Dietary Profile of Women With Chronic Muscle Temporomandibular Disorder: An Observational Study.

IF 3.1 3区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of oral rehabilitation Pub Date : 2025-01-09 DOI:10.1111/joor.13929

Sandra Maria Abreu Nogueira, Samuel Machado Santos Lima, Kaluce Gonçalvez de Sousa Almondes, Maria Alice Vale de Lima, Luana Pinheiro Guerra Fontoura, Maria Laura Marreiro Mesquita, Glautemberg de Almeida Viana, Lara Pereira Saraiva Leão Borges, Raniel Fernandes Peixoto, Leonardo Rigoldi Bonjardim, Paulo César Rodrigues Conti, Lívia Maria Sales Pinto Fiamengui

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Abstract

Background: Temporomandibular disorder (TMD) is the main chronic pain that affects the face, and it is associated with dietary changes due to pain and dysfunction. However, there is a scarcity of studies on its impact on nutrition and vice versa.

Objectives: To assess and compare the intake of energy and nutrients among chronic TMD myalgia and asymptomatic women and to evaluate data according to dietary reference intakes (DRI) and the World Health Organization (WHO) values.

Methods: In this analytical cross-sectional study, 84 female subjects were evaluated according to the diagnostic criteria of TMD (DC/TMD) and allocated into two groups: asymptomatic group (n = 16) and TMD group (n = 68). Participants were assessed using three 24-h dietary recalls and then analysed for energy, macro and micronutrient content (Nutwin programme). The multiple source method programme was used to estimate participants' usual dietary intake. Usual energy and nutrients intake were also analysed according to the DRI and WHO values. The obtained data were analysed using SPSS 25.0 software. The data were considered significant when the p values were ≤ 0.05.

Results: The TMD group showed lowered usual intake of cholesterol, sodium, omega-3, omega-6, folate, magnesium, selenium and increased usual intake of trans fat. The TMD group showed a higher prevalence of inadequacy of selenium and folate intake.

Conclusion: Dietary intake inadequacies were observed in both groups; however, TMD women showed a significantly lower intake of several nutrients. Long-term dietary assessment is suggested to accurately investigate the relationship between TMD and nutrient deficiencies.

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女性慢性肌肉颞下颌紊乱的饮食特征：一项观察性研究。

背景：颞下颌紊乱（Temporomandibular disorder， TMD）是影响面部的主要慢性疼痛，与疼痛和功能障碍引起的饮食改变有关。然而，关于它对营养的影响的研究很少，反之亦然。目的：评估和比较慢性TMD肌痛和无症状女性的能量和营养摄入，并根据饮食参考摄入量（DRI）和世界卫生组织（WHO）的值评估数据。方法：根据TMD诊断标准（DC/TMD）对84例女性受试者进行分析性横断面研究，将其分为无症状组（n = 16）和TMD组（n = 68）。参与者通过3次24小时饮食回顾进行评估，然后分析能量、宏量和微量营养素含量（Nutwin计划）。采用多源方法评估参与者的日常饮食摄入量。还根据DRI和WHO的值分析了通常的能量和营养素摄入量。采用SPSS 25.0软件对所得数据进行分析。当p值≤0.05时，认为数据具有显著性。结果：TMD组胆固醇、钠、omega-3、omega-6、叶酸、镁、硒的日常摄入量降低，反式脂肪的日常摄入量增加。TMD组硒和叶酸摄入不足的发生率更高。结论：两组患者均存在膳食摄入不足；然而，TMD女性的几种营养素摄入量明显减少。建议进行长期膳食评估，以准确研究TMD与营养缺乏之间的关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral rehabilitation 医学-牙科与口腔外科

CiteScore

5.60

自引率

10.30%

发文量

116

审稿时长

4-8 weeks

期刊介绍： Journal of Oral Rehabilitation aims to be the most prestigious journal of dental research within all aspects of oral rehabilitation and applied oral physiology. It covers all diagnostic and clinical management aspects necessary to re-establish a subjective and objective harmonious oral function. Oral rehabilitation may become necessary as a result of developmental or acquired disturbances in the orofacial region, orofacial traumas, or a variety of dental and oral diseases (primarily dental caries and periodontal diseases) and orofacial pain conditions. As such, oral rehabilitation in the twenty-first century is a matter of skilful diagnosis and minimal, appropriate intervention, the nature of which is intimately linked to a profound knowledge of oral physiology, oral biology, and dental and oral pathology. The scientific content of the journal therefore strives to reflect the best of evidence-based clinical dentistry. Modern clinical management should be based on solid scientific evidence gathered about diagnostic procedures and the properties and efficacy of the chosen intervention (e.g. material science, biological, toxicological, pharmacological or psychological aspects). The content of the journal also reflects documentation of the possible side-effects of rehabilitation, and includes prognostic perspectives of the treatment modalities chosen.