A Mediterranean-Style Diet in association with gastroesophageal reflux disease in adolescents (original) (raw)
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Saudi medical journal, 2006
To estimate the prevalence and clinical spectrum of gastroesophageal reflux disease (GERD) in a young population and evaluate the risk factors. This cross-sectional study using a reliable and valid questionnaire was performed during June and July 2005, on randomized selection of 620 students form Azad University of Tabriz. Gastroesophageal reflux disease was defined as at least weekly heartburn and/or acid regurgitation. Mean age (+/- SD) of the responders was 22.48 +/- 1.98 years. The prevalence of heartburn and/or acid regurgitation experienced at least weekly was 6.3% and monthly was 13%. The severity of symptoms was mainly of a mild to moderate degree. There was no difference in prevalence of any GERD symptom between 2 genders and it was not associated with age of the study population. A frequent symptom of GERD was reported more among subjects with atypical symptoms. There was no relation between marriage status and prevalence of GERD. On the other hand, GERD was less common am...
Lifestyle Characteristics and Gastroesophageal Reflux Disease: A Population-Based Study in Albania
Gastroenterology Research and Practice, 2013
Aim. We aimed to assess the prevalence and lifestyle correlates of gastroesophageal reflux disease (GERD) in the adult population of Albania, a Mediterranean country in Southeast Europe which has experienced major behavioral changes in the past two decades.Methods. A cross-sectional study, conducted in 2012, included a population-representative sample of 845 individuals (≥18 years) residing in Tirana (345 men, mean age: ; 500 women, mean age: ; response rate: 84.5%). Assessment of GERD was based on Montreal definition. Covariates included socioeconomic characteristics, lifestyle factors, and body mass index. Logistic regression was used to assess the association of socioeconomic characteristics and lifestyle factors with GERD.Results. The overall prevalence of GERD was 11.9%. There were no significant sex differences, but a higher prevalence among the older participants. In fully adjusted models, there was a positive relationship of GERD with smoking, physical inactivity, fried food...
Cureus, 2022
Introduction: Gastroesophageal reflux disease (GERD) is a digestive disorder that is commonly seen in adults and characterized by heartburn and regurgitation. The epidemiological aspects of GERD have been studied over the past decade due to the increasing prevalence and complications of the disease. Thus, we aimed in this study to assess the prevalence, risk factors of GERD, and its relationship with academic performance among students at Jazan University. Methods: This is a descriptive and analytical cross-sectional study that was conducted among Jazan university students in Jazan Province, Saudi Arabia. Data was collected using a self-administered questionnaire and analysis was performed using SPSS (IBM Corp., Armonk, NY). Results: A total of 953 students participated in this study. The prevalence of GERD was found to be 23.1%. Our findings showed that five or more physical activities for ≥ 30 minutes per week, and fiber-rich foods were found to decrease the odds of developing GERD. However, more than three meals per day and having a family history of GERD were found to increase the odds of GERD. Moreover, age, use of proton pump inhibitors (PPI), and Khat chewing were also statistically significant risk factors for GERD (p<0.05). Conclusion: Our results demonstrated a high prevalence of GERD among Jazan university students. However, risk factors were almost similar to those reported by previous studies. Thus, raising awareness about the modifiable risk factors of GERD is warranted.
The Turkish Journal of Gastroenterology the Official Journal of Turkish Society of Gastroenterology, 2012
Amaç: Gastro-özofageal reflü hastal›¤› anketi'nin Türkçe versiyonu ile Türk popülasyonunda gastro-özofageal reflü hastal›¤› preva-lans› ve demografik belirleyicilerini saptamak. Gereç ve Yöntem: Sosyodemografik özellikler, mide hastal›¤› öyküsü, gastro-özofageal reflü hastal›¤›, reflü semptomlar›n›n hastalar›n yaflam›na etkisi, hekim vizitleri, tan›sal testler ve reflü ilaçlar›na yönelik maddeler içeren anket formlar›n›n yüz-yüze görüflme metodu ile uygulanmas›n› temel alan bu kesitsel çal›flma, toplam 8143 gönüllü (ortalama yafl: 38.5 (13.3) y›l; %52.3'u erkek) ile yürütüldü. Bulgular: Çal›fl›lan popülasyonun yar›s›nda mide semptomu öyküsü vard›. Kad›nlarda daha s›k bildirilen (p<0.001) semptomlar›n, popülasyonun %19.1'inde gastro-özofageal reflü hastal›¤› olarak tan›mland›¤› tespit edildi. Kat›l›mc›lar›n büyük ço¤unlu¤unda gastro-özofageal reflü hastal›¤› olas›l›¤› düflüktü (75.3%). Gastro-özofageal reflü hasta-l›¤›n›n hastalar›n yaflam›na etkisinin, popülasyonun %17.9'unda hafif, %6.8'inde ise a¤›r derecede oldu¤u tespit edildi. Toplam gastro-özofageal reflü hastal›¤› anketi skorlar› ve reflü prevalans› ileri yafl gruplar›nda daha yüksek olarak bulundu (p<0.001). Reflü semptomlar› baz›nda kad›nlarda gastro-özofageal reflü hastal›¤› prevalans› daha yüksekti. Yafll› hastalar ile ve kad›n hastalarda gastro-özofageal reflü hastal›¤›n›n uyku ve psikolojik/emosyonel iyilik durumu üzerine etkisi daha belirgin iken, yeme/içme davran›fl›, psikososyal aktiviteler üzerine etkisi yafltan ba¤›ms›z olarak kad›nlarda daha çok öne ç›kmakta idi (p<0.001). Reflü prevalans›n›n Do-¤u Anadolu, ‹ç Anadolu, Akdeniz ve Karadeniz Bölgeleri'nde yaflayanlarda Türkiye'nin di¤er co¤rafik bölgeleri ile k›yasland›¤›nda belirgin flekilde daha yüksek oldu¤u tespit edildi (p<0.001, her biri için). Sonuç: Gastro-özofageal reflü hastal›¤› prevalans ve demografik belirleyicileri, Bat› toplumlar›nda gözlenen profili özellikler ile uyumlu olup, kad›nlar ve ileri yafla özgü seçicilik göstermektedir. Anahtar kelimeler: Gastro-özofageal reflü hastal›¤›, gastro-özofageal reflü hastal›¤› anketi, prevalans, yafl, cinsiyet Background/aims: We aimed to establish the prevalence and demographic determinants of gastroesophageal reflux disease in the Turkish general population using the Turkish version of the gastroesophageal reflux disease questionnaire. Material and Methods: A total of 8143 volunteers (mean age: 38.5 (13.3) years; 52.3% males) were included in this cross-sectional questionnaire study conducted via face-to-face administration of the questionnaire forms including items on sociodemographic features, past history of gastric disorders, gastroesophageal reflux disease, the influence of reflux symptoms on patients' lives, physician visits, diagnostic tests, and reflux medications. Results: A past history of gastric symptoms was reported in half of the population. More female participants (p<0.001) had a past history of gastric symptoms that yielded a previous diagnosis of gastroesophageal reflux disease in 19.1% of the population. The likelihood of gastroesophageal reflux disease was low in the majority (75.3%) of the subjects evaluated. Gastroesophageal reflux disease with an inconveniencing or disrupting impact on the patient's life was present in 17.9% and 6.8% of the population. Total gastroesophageal reflux disease-questionnaire scores and reflux prevalence were higher in older age groups (p<0.001). Females were more likely to have gastroesophageal reflux disease prevalence based on reflux symptoms. The impact of gastroesophageal reflux disease on sleep and psychological/emotional well-being was more pronounced in older and female patients, whereas the impact on eating/drinking behaviors and physical-social activities was more marked among females independent of their age (p<0.001). Reflux prevalence was higher in subjects from East Anatolia, Central Anatolia, Mediterranean, and Black Sea regions of Turkey (p<0.001 for each). Conclusions: Prevalence and demographic determinants of gastroesophageal reflux disease are compatible with the profile of the disease in the other Western populations, with a predilection for females and older individuals.
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2017
Findings from studies that investigated the relationship between fruit and vegetable intake with gastroesophageal reflux disease (GERD) were inconsistent. We aimed to assess the relationship between fruit and vegetable consumption and GERD among a large group of Iranian adults. In this cross-sectional study on 3979 adults, a validated food frequency questionnaire was used to assess usual dietary intakes including fruits and vegetables. The presence of heartburn sometimes or more during the past 3 months were considered as having GERD. The prevalence of GERD among study population was 23.9%. After adjustment for potential confounding factors, those with the highest consumption of fruits had 25% lower risk for GERD, in comparison to those with the lowest intake (odds ratio [OR] = 0.75, 95% confidence interval [CI]: 0.59-0.97). Vegetable intake was not significantly related to the risk of GERD in crude or multivariable-adjusted models. However, participants with the highest intake of f...
Diet, Lifestyle and Gender in Gastro-Esophageal Reflux Disease
Digestive Diseases and Sciences, 2008
Background Studies indicate that gastro-esophageal reflux disease (GERD) is associated with obesity, smoking, esophagitis, diet, and lifestyle. Aim To identify risk factors associated with GERD among patients presenting to a tertiary GI clinic in Italy. Methods Patients with a first diagnosis of GERD based on heartburn and/or regurgitation and/or esophagitis at the endoscopic examination were enrolled. A control group with neither GERD symptoms nor esophagitis was enrolled from the same hospital. Each subject completed a questionnaire including demographic information, lifestyle (e.g., exercise, alcohol, coffee, chocolate, and soda consumption, smoking, having large meals), and frequency of bowel movement. For each participant the body mass index (BMI) was calculated. Results Five hundred subjects were enrolled including 300 GERD patients and 200 controls. Females had significantly higher prevalence of GERD than males (66 vs. 48%, P = 0.001, OR = 2.1, 95% CI = 1.5-3.1). There was an inverse relationship between the level of education and presence of GERD (76% of GERD patients has completed only elementary school (OR = 2.1, 95% CI = 1.7-4.9). Obesity (BMI of C95th percentile for their age/gender specific) was significantly related to GERD (OR = 1.8, P = 0.01). None of the other variables studied showed significant associations with GERD. Logistic regression analysis showed that BMI C95th percentile, gender, and low education level were significant risk factors for GERD. Conclusions Understanding the epidemiology and risk factors for GERD in a region is the first step in designing prevention and treatment strategies.
BMC Public Health, 2023
Background Dietary patterns and food items have been associated with gastroesophageal reflux disease (GERD) risk and they have led to conflicting findings. The aim of this study was to determine the association between a dietary approach to stop hypertension (DASH)-style diet with the risk of GERD and its symptoms in adolescents. Methods This study was performed on 5,141 adolescents aged between 13 and 14 years. Dietary intake was evaluated using a food frequency method. The diagnosis of GERD was done by using a six-item GERD questionnaire that asked about GERD symptoms. A binary logistic regression was used to assess the association between the DASHstyle diet score and GERD and its symptoms in crude and multivariable-adjusted models. Our findings revealed that after adjustment for all confounding variables, the adolescents with the highest adherence to the DASH-style diet had a lower chance of developing GERD [odds ratio (OR) = 0.50; 95%CI 0.33-0.75, P trend < 0.001)], reflux (OR = 0.42; 95%CI 0.25-0.71, P trend =0.001), nausea (OR = 0.59; 95% CI:0.32-1.08, P trend =0.05) and stomach pain (OR = 0.69; 95%CI 0.49-0.98, P trend =0.03) compared to those with the lowest adherence. Similar results were found for odds of GERD among boys, and the total population (OR = 0.37; 95%CI: 0.18-0.73, P trend =0.002, OR = 0.51; 95%CI: 0.34-0.77, P trend <0.0, respectively). The current study revealed that adherence to a DASH-style diet might protect against GERD and its symptoms including, reflux, nausea, and stomach pain in adolescents. Further prospective research is needed to confirm these findings.
Prevalence and Risk Factors of Gastroesophageal Reflux Disease in Tabriz, Iran
Iranian journal of public health
Background: Gastroesophageal reflux disease (GERD) is one of the most common gastrointestinal problems in the west while different reports indicate an increase in the prevalence in Iran. The aim of this study was to estimate the prevalence and clinical spectrum of GERD in staff of a referral hospital and evaluate the risk factors. Methods: This cross-sectional study using a modified Mayo clinic questionnaire was performed on staff of Imam Hospi-tal, Tabriz, Iran on a pilot of 50 subjects, and a randomly selected group consisted of 522 subjects in the year 2005. GERD symptoms were defined as at least weekly heartburn and/or acid regurgitation during the past year. Results: Response rate was 95%. Mean age of responders was 40.02±10.72 yr. The prevalence of recurrent heartburn and/or acid regurgitation experienced at least weekly and monthly was 26.8% and 34.1%, respectively. They were not related to age and gender. The severity of symptoms was mainly reported of a mild to moderate deg...
Determinants of Gastro-esophageal Reflux Disease in Palestine
2019
Gastro-esophageal reflux disease (GERD) is used to describe symptoms and changes of the esophageal mucosa that result from reflux of the stomach contents into the esophagus, which is affected by various lifestyle factors. Yet, it has never been investigated among Palestinian population. We aim to evaluate the potential determinants of GERD severity in Nablus district. A cross sectional study using a previously validated questionnaire was performed. A non-random purposive sampling technique was used of nearly 120 subjects from the outpatient clinics of three Hospitals and one private internal clinic in Nablus. SPSS software version 16 was used for data entry and analysis. Nearly 66.7% of the study participants were females while 34.2% were above 50 years old and 24.1% were between 20-30 years old. Among the Palestinian population, the number of family members, height, fatty food, coffee consumption and having antihypertensive drugs or non-steroidal anti-inflammatory drugs (NSAIDs) in...
International journal of molecular epidemiology and genetics, 2013
Many people with gastro-esophageal reflux symptoms do not consult a physician; therefore studies on gastro-esophageal reflux in general practice or in hospitals may not accurately describe the burden of gastro-esophageal reflux symptoms in the general population. The aim of this study was to assess the prevalence of gastro-esophageal reflux disease and its association with some life-style parameters in Rasht-Iran. A telephone survey was performed. Phone numbers was randomly collected from the telecommunication service center of Rasht. 1473 people (Mean age: 38.31 ± 13.09) were included in the study. People who didn't answer the phone after three times or didn't have consent to enter the study were excluded. Data were collected by an examiner using a GerdQ questionnaire. The validity and reliability of the questionnaire was tested by translation and retranslation and a pilot study was performed to assess its appropriateness. The prevalence of gastro-esophageal reflux was achi...