Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Epidemiology

Consumption of green tea but not coffee is associated with the oral health-related quality of life among an older Japanese population: Kyoto-Kameoka cross-sectional study

European Journal of Clinical Nutrition volume 73, pages 577–584 (2019)Cite this article

Subjects

Abstract

Background/Objectives

The consumption of both green tea and coffee is known to induce positive health effects; however, it remains unclear whether there is an association between the consumption of these beverages and oral health-related quality of life (OHRQoL). Thus, the present study investigated the relationship between the consumption of green tea and coffee and OHRQoL.

Subjects/Methods

We analyzed cross-sectional baseline data in 2012. The subjects were 7514 Japanese participants (3563 men, 3951 women; ≥65 years of age). Each subject completed a validated self-administered questionnaire that included items on the frequency of the consumption of green tea and coffee. OHRQoL was evaluated using the self-reported General Oral Health Assessment Index (GOHAI), which assesses oral health problems in older adults. A GOHAI score <50 points was defined as a poor OHRQoL.

Results

Following adjustment for age, body mass index, total energy intake, alcohol, smoking, medication use, coffee, and fruit and vegetable consumption, increased consumption of green tea showed a strong positive association with the GOHAI score in both men and women (Ptrend < 0.001 in both). In contrast, after adjusting for all factors, no statistically significant association was observed between coffee consumption and the GOHAI score in men (Ptrend = 0.538) or women (Ptrend = 0.607). The respective multivariate-odds ratios (95% confidence intervals) for a poor OHRQoL associated with green tea consumption frequencies of none, <1 cup/day, 1–2 cups/day, and ≥3 cups/day were 1.00, 1.01 (0.80–1.27), 0.95 (0.74–1.21), and 0.78 (0.61–0.99) (Ptrend = 0.024) in men, and 1.00, 1.19 (0.90–1.57), 0.98 (0.74–1.29), and 0.86 (0.67–1.12) (Ptrend = 0.014) in women.

Conclusions

Regardless of sex, green tea consumption was positively associated with the GOHAI score. Therefore, ≥3 cups/day of green tea may reduce the risk of a poor OHRQoL, especially in men.

This is a preview of subscription content, access via your institution

Access options

Rent or buy this article

Prices vary by article type

from$1.95

to$39.95

Learn more

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Bennadi D, Reddy CV. Oral health related quality of life. J Int Soc Prev Community Dent. 2013;3:1–6. https://doi.org/10.4103/2231-0762.115700

    Article  PubMed  PubMed Central  Google Scholar 

  2. Sischo L, Broder HL. Oral health-related quality of life: what, why, how, and future implications. J Dent Res. 2011;90:1264–70. https://doi.org/10.1177/0022034511399918.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Chaffee BW, Rodrigues PH, Kramer PF, Vitolo MR, Feldens CA. Oral health-related quality-of-life scores differ by socioeconomic status and caries experience. Community Dent Oral Epidemiol. 2017;45:216–24. https://doi.org/10.1111/cdoe.12279

    Article  PubMed  PubMed Central  Google Scholar 

  4. Iwasaki M, Taylor GW, Manz MC, Yoshihara A, Sato M, Muramatsu K, et al. Oral health status: relationship to nutrient and food intake among 80-year-old Japanese adults. Community Dent Oral Epidemiol. 2014;42:441–50.

    Article  Google Scholar 

  5. Kshetrimayum N, Reddy CV, Siddhana S, Manjunath M, Rudraswamy S, Sulavai S. Oral health-related quality of life and nutritional status of institutionalized elderly population aged 60 years and above in Mysore City, India. Gerodontology. 2013;30:119–25. https://doi.org/10.1111/j.1741-2358.2012.00651.x.

    Article  PubMed  Google Scholar 

  6. Nowjack-Raymer RE, Sheiham A. Numbers of natural teeth, diet, and nutritional status in US adults. J Dent Res. 2007;86:1171–5.

    Article  CAS  Google Scholar 

  7. Wakai K, Naito M, Naito T, Kojima M, Nakagaki H, Umemura O, et al. Tooth loss and intakes of nutrients and foods: a nationwide survey of Japanese dentists. Community Dent Oral Epidemiol. 2010;38:43–49. https://doi.org/10.1111/j.1600-0528.2009.00512.x.

    Article  PubMed  Google Scholar 

  8. Favaro-Moreira NC, Krausch-Hofmann S, Matthys C, Vereecken C, Vanhauwaert E, Declercq A, et al. Risk factors for malnutrition in older adults: a systematic review of the literature based on longitudinalData. Adv Nutr. 2016;7:507–22. https://doi.org/10.3945/an.115.011254

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Cruz-Jentoft AJ, Kiesswetter E, Drey M, Sieber CC. Nutrition, frailty, and sarcopenia. Aging Clin Exp Res. 2017;29:43–48. https://doi.org/10.1007/s40520-016-0709-0

    Article  PubMed  Google Scholar 

  10. Izawa S, Kuzuya M, Okada K, Enoki H, Koike T, Kanda S, et al. The nutritional status of frail elderly with care needs according to the mini-nutritional assessment. Clin Nutr. 2006;25:962–7. https://doi.org/10.1016/j.clnu.2006.05.006.

    Article  PubMed  Google Scholar 

  11. Hickson M. Malnutrition and ageing. Postgrad Med J. 2006;82:2–8. https://doi.org/10.1136/pgmj.2005.037564.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Bender BS. Infectious disease risk in the elderly. Immunol Allergy Clin North Am. 2003;23:57–64.

    Article  Google Scholar 

  13. Atchison KA, Dolan TA. Development of the Geriatric Oral Health Assessment Index. J Dent Educ. 1990;54:680–7.

    CAS  PubMed  Google Scholar 

  14. Naito M, Suzukamo Y, Nakayama T, Hamajima N, Fukuhara S. Linguistic adaptation and validation of the General Oral Health Assessment Index (GOHAI) in an elderly Japanese population. J Public Heal Dent. 2006;66:273–5.

    Article  Google Scholar 

  15. Zaitsu T, Ueno M, Shinada K, Ohara S, Wright FA, Kawaguchi Y. Association of clinical oral health status with self-rated oral health and GOHAI in Japanese adults. Community Dent Health. 2011;28:297–300.

    CAS  PubMed  Google Scholar 

  16. Shigli K, Hebbal M. Assessment of changes in oral health-related quality of life among patients with complete denture before and 1 month post-insertion using Geriatric Oral Health Assessment Index. Gerodontology. 2010;27:167–73. https://doi.org/10.1111/j.1741-2358.2009.00323.x.

    Article  PubMed  Google Scholar 

  17. Tubert-Jeannin S, Riordan PJ, Morel-Papernot A, Porcheray S, Saby-Collet S. Validation of an oral health quality of life index (GOHAI) in France. Community Dent Oral Epidemiol. 2003;31:275–84.

    Article  CAS  Google Scholar 

  18. Hozawa A, Kuriyama S, Nakaya N, Ohmori-Matsuda K, Kakizaki M, Sone T, et al. Green tea consumption is associated with lower psychological distress in a general population: the Ohsaki Cohort 2006 Study. Am J Clin Nutr. 2009;90:1390–6. https://doi.org/10.3945/ajcn.2009.28214.

    Article  CAS  PubMed  Google Scholar 

  19. Niu K, Hozawa A, Kuriyama S, Ebihara S, Guo H, Nakaya N, et al. Green tea consumption is associated with depressive symptoms in the elderly. Am J Clin Nutr. 2009;90:1615–22. https://doi.org/10.3945/ajcn.2009.28216.

    Article  CAS  PubMed  Google Scholar 

  20. Thielecke F, Boschmann M. The potential role of green tea catechins in the prevention of the metabolic syndrome - a review. Phytochemistry. 2009;70:11–24. https://doi.org/10.1016/j.phytochem.2008.11.011.

    Article  CAS  PubMed  Google Scholar 

  21. Yuan JM. Cancer prevention by green tea: evidence from epidemiologic studies. Am J Clin Nutr. 2013;98(6 Suppl):1676S–1681S. https://doi.org/10.3945/ajcn.113.058271.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Gaur S, Agnihotri R. Green tea: a novel functional food for the oral health of older adults. Geriatr Gerontol Int. 2014;14:238–50. https://doi.org/10.1111/ggi.12194.

    Article  PubMed  Google Scholar 

  23. Koyama Y, Kuriyama S, Aida J, Sone T, Nakaya N, Ohmori-Matsuda K, et al. Association between green tea consumption and tooth loss: cross-sectional results from the Ohsaki Cohort 2006 Study. Prev Med. 2010;50:173–9. https://doi.org/10.1016/j.ypmed.2010.01.010.

    Article  PubMed  Google Scholar 

  24. Kushiyama M, Shimazaki Y, Murakami M, Yamashita Y. Relationship between intake of green tea and periodontal disease. J Periodontol. 2009;80:372–7. https://doi.org/10.1902/jop.2009.080510.

    Article  PubMed  Google Scholar 

  25. Yamada Y, Nanri H, Watanabe Y, Yoshida T, Yokoyama K, Itoi A et al. Prevalence of frailty assessed by fried and kihon checklist indexes in a prospective cohort study: design and demographics of the Kyoto-Kameoka Longitudinal Study. J Am Med Dir Assoc. 2017. https://doi.org/10.1016/j.jamda.2017.02.022

    Article  Google Scholar 

  26. Goto C, Tokudome Y, Imaeda N, Takekuma K, Kuriki K, Igarashi F, Ikeda M, Tokudome S. Validation study of fatty acid consumption assessed with a short food frequency questionnaire against plasma concentration in middle-aged Japanese people. Scand J Nutr. 2006;50:77–82.

    Article  Google Scholar 

  27. Imaeda N, Goto C, Tokudome Y, Hirose K, Tajima K, Tokudome S. Reproducibility of a short food frequency questionnaire for Japanese general population. J Epidemiol. 2007;17:100–7.

    Article  Google Scholar 

  28. Tokudome S, Goto C, Imaeda N, Tokudome Y, Ikeda M, Maki S. Development of a data-based short food frequency questionnaire for assessing nutrient intake by middle-aged Japanese. Asian Pac J Cancer Prev. 2004;5:40–43.

    PubMed  Google Scholar 

  29. Tokudome Y, Goto C, Imaeda N, Hasegawa T, Kato R, Hirose K, et al. Relative validity of a short food frequency questionnaire for assessing nutrient intake versus three-day weighed diet records in middle-aged Japanese. J Epidemiol. 2005;15:135–45.

    Article  Google Scholar 

  30. Science and Technology agency of Japan: Standard Tables of Food Composition in Japan. 5th revised ed. Tokyo JPB, Minitry of Finance, 2001 (Japanese).

  31. Locker D, Allen F. What do measures of ‘oral health-related quality of life’ measure? Community Dent Oral Epidemiol. 2007;35:401–11. https://doi.org/10.1111/j.1600-0528.2007.00418.x.

    Article  PubMed  Google Scholar 

  32. Manrique-Espinoza B, Salinas-Rodriguez A, Rosas-Carrasco O, Gutierrez-Robledo LM, Avila-Funes JA. Sarcopenia is associated with physical and mental components of health-related quality of life in older adults. J Am Med Dir Assoc. 2017;18:636 e631–636 e635. https://doi.org/10.1016/j.jamda.2017.04.005.

    Article  Google Scholar 

  33. Moynihan P, Petersen PE. Diet, nutrition and the prevention of dental diseases. Public Health Nutr. 2004;7(1A):201–26.

    Article  Google Scholar 

  34. Tomata Y, Kakizaki M, Nakaya N, Tsuboya T, Sone T, Kuriyama S, et al. Green tea consumption and the risk of incident functional disability in elderly Japanese: the Ohsaki Cohort 2006 Study. Am J Clin Nutr. 2012;95:732–9. https://doi.org/10.3945/ajcn.111.023200

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  35. Hirasawa M, Takada K, Makimura M, Otake S. Improvement of periodontal status by green tea catechin using a local delivery system: a clinical pilot study. J Periodontal Res. 2002;37:433–8.

    Article  CAS  Google Scholar 

  36. Sakanaka S, Okada Y. Inhibitory effects of green tea polyphenols on the production of a virulence factor of the periodontal-disease-causing anaerobic bacterium Porphyromonas gingivalis. J Agric Food Chem. 2004;52:1688–92. https://doi.org/10.1021/jf0302815.

    Article  CAS  PubMed  Google Scholar 

  37. Smullen J, Koutsou GA, Foster HA, Zumbe A, Storey DM. The antibacterial activity of plant extracts containing polyphenols against Streptococcus mutans. Caries Res. 2007;41:342–9. https://doi.org/10.1159/000104791.

    Article  CAS  PubMed  Google Scholar 

  38. Gerritsen AE, Allen PF, Witter DJ, Bronkhorst EM, Creugers NH. Tooth loss and oral health-related quality of life: a systematic review and meta-analysis. Health Qual Life Outcomes. 2010;8:126 https://doi.org/10.1186/1477-7525-8-126.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Cabrera C, Artacho R, Gimenez R. Beneficial effects of green tea--a review. J Am Coll Nutr. 2006;25:79–99.

    Article  CAS  Google Scholar 

  40. Slavin JL, Lloyd B. Health benefits of fruits and vegetables. Adv Nutr. 2012;3:506–16. https://doi.org/10.3945/an.112.002154.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Brennan DS, Singh KA, Liu P, Spencer A. Fruit and vegetable consumption among older adults by tooth loss and socio-economic status. Aust Dent J. 2010;55:143–9. https://doi.org/10.1111/j.1834-7819.2010.01217.x

    Article  CAS  PubMed  Google Scholar 

  42. Ng N, Kaye EK, Garcia RI. Coffee consumption and periodontal disease in males. J Periodontol. 2014;85:1042–9. https://doi.org/10.1902/jop.2013.130179.

    Article  PubMed  Google Scholar 

  43. Potischman N, Freudenheim JL. Biomarkers of nutritional exposure and nutritional status: an overview. J Nutr. 2003;133(Suppl 3):873S–874S.

    Article  CAS  Google Scholar 

  44. Janssens B, Petrovic M, Jacquet W, Schols J, Vanobbergen J, De Visschere L. Medication use and its potential impact on the oral health status of nursing home residents in flanders (Belgium). J Am Med Dir Assoc. 2017;18:809 e801–809 e808. https://doi.org/10.1016/j.jamda.2017.06.003.

    Article  Google Scholar 

Download references

Acknowledgements

We are grateful to Drs. Shinkan Tokudome, Nahomi Imaeda, and Chiho Goto for granting us permission to use the FFQ and for providing the SAS program for estimating nutrient intakes. This study was supported by the JSPS KAKENHI (16K16287, 24240091, and 15H05363), by the Kyoto Prefecture, by Kameoka City, and by Planning Division Health and Welfare Bureau for the Elderly of the Ministry of Health, Labour, and Welfare.

Author information

Authors and Affiliations

  1. National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan

    Hinako Nanri, Yosuke Yamada, Tsukasa Yoshida & Kazuko Ishikawa-Takata

  2. Kyoto Gakuen University, Kyoto, Japan

    Hinako Nanri, Yosuke Yamada, Motoko Miyake & Misaka Kimura

  3. Kyoto Prefectural University of Medicine, Kyoto, Japan

    Yosuke Yamada, Yuya Watanabe & Misaka Kimura

  4. Kobe Women’s University, Hyogo, Japan

    Aya Itoi

  5. Doshisha Women’s College of Liberal Arts, Kyoto, Japan

    Emi Yamagata

  6. Doshisha University, Kyoto, Japan

    Yuya Watanabe

  7. Kameoka City Government, Kyoto, Japan

    Tsukasa Yoshida

  8. Shiga University, Shiga, Japan

    Heiwa Date

  9. Hiroshima University Graduate School of Biomedical and Health Sciences, Hiroshima, Japan

    Mitsuyoshi Yoshida

  10. Nippon Dental University, Tokyo, Japan

    Takeshi Kikutani

Authors
  1. Hinako Nanri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yosuke Yamada
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Aya Itoi
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Emi Yamagata
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yuya Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Tsukasa Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Motoko Miyake
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Heiwa Date
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Kazuko Ishikawa-Takata
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Mitsuyoshi Yoshida
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Takeshi Kikutani
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Misaka Kimura
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

for the Kameoka Study Group

Corresponding author

Correspondence to Hinako Nanri.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Electronic supplementary material

Rights and permissions

Reprints and Permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nanri, H., Yamada, Y., Itoi, A. et al. Consumption of green tea but not coffee is associated with the oral health-related quality of life among an older Japanese population: Kyoto-Kameoka cross-sectional study. Eur J Clin Nutr 73, 577–584 (2019). https://doi.org/10.1038/s41430-018-0186-y

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41430-018-0186-y

This article is cited by

Search

Advanced search

Quick links