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Don't eat tomatoes: patient's self-reported experiences of causes of symptoms in gastro-oesophageal reflux disease.
Fam Pract 2010; 27(4):410-7FP

Abstract

BACKGROUND

About 30-50% of patients with gastro-oesophageal reflux disease (GORD) experience refractory symptoms despite taking proton pump inhibitors regularly. Epidemiology studies suggest lifestyle risks, but these are under-represented in existing guidelines. The potential for changes to positively impact on symptoms may be underestimated. Lifestyle advice currently appears to be ineffective.

OBJECTIVES

To inform the future design of a behaviour change intervention aimed at improving symptoms for patients with GORD, by exploring patient understanding and experiences of lifestyle influences on GORD symptoms.

METHODS

We conducted semi-structured interviews with 23 patients (12 women and 11 men) aged 30-86 years, aiming to identify lifestyle influences perceived by patients to affect their symptoms.

RESULTS

Patients reported a wide range of daily influences on their symptoms, including diet, drinking with a meal, body position, alcohol, gaining weight, stress and anxiety. Dietary influences included types of food eaten and eating pattern-including speed of eating and meal size. Many foods were identified as troublesome, but not all foods affected all patients. Eating late and daytime tiredness were not recognized as causes or consequences of night-time reflux.

CONCLUSIONS

Patients stated that daily living patterns affected their reflux symptoms, but influences were highly variable between respondents. Lifestyle factors appear to combine in unique patterns for individuals, but GORD patients may not be able to identify potential triggers and make changes for themselves. A behaviour change intervention might prove beneficial to these patients.

Authors+Show Affiliations

Faculty of Society and Health, Bucks New University, Uxbridge, Buckinghamshire, UK. lesley.dibley@bucks.ac.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20406788

Citation

Dibley, Lesley B., et al. "Don't Eat Tomatoes: Patient's Self-reported Experiences of Causes of Symptoms in Gastro-oesophageal Reflux Disease." Family Practice, vol. 27, no. 4, 2010, pp. 410-7.
Dibley LB, Norton C, Jones R. Don't eat tomatoes: patient's self-reported experiences of causes of symptoms in gastro-oesophageal reflux disease. Fam Pract. 2010;27(4):410-7.
Dibley, L. B., Norton, C., & Jones, R. (2010). Don't eat tomatoes: patient's self-reported experiences of causes of symptoms in gastro-oesophageal reflux disease. Family Practice, 27(4), pp. 410-7. doi:10.1093/fampra/cmq020.
Dibley LB, Norton C, Jones R. Don't Eat Tomatoes: Patient's Self-reported Experiences of Causes of Symptoms in Gastro-oesophageal Reflux Disease. Fam Pract. 2010;27(4):410-7. PubMed PMID: 20406788.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Don't eat tomatoes: patient's self-reported experiences of causes of symptoms in gastro-oesophageal reflux disease. AU - Dibley,Lesley B, AU - Norton,Christine, AU - Jones,Roger, Y1 - 2010/04/20/ PY - 2010/4/22/entrez PY - 2010/4/22/pubmed PY - 2010/12/14/medline SP - 410 EP - 7 JF - Family practice JO - Fam Pract VL - 27 IS - 4 N2 - BACKGROUND: About 30-50% of patients with gastro-oesophageal reflux disease (GORD) experience refractory symptoms despite taking proton pump inhibitors regularly. Epidemiology studies suggest lifestyle risks, but these are under-represented in existing guidelines. The potential for changes to positively impact on symptoms may be underestimated. Lifestyle advice currently appears to be ineffective. OBJECTIVES: To inform the future design of a behaviour change intervention aimed at improving symptoms for patients with GORD, by exploring patient understanding and experiences of lifestyle influences on GORD symptoms. METHODS: We conducted semi-structured interviews with 23 patients (12 women and 11 men) aged 30-86 years, aiming to identify lifestyle influences perceived by patients to affect their symptoms. RESULTS: Patients reported a wide range of daily influences on their symptoms, including diet, drinking with a meal, body position, alcohol, gaining weight, stress and anxiety. Dietary influences included types of food eaten and eating pattern-including speed of eating and meal size. Many foods were identified as troublesome, but not all foods affected all patients. Eating late and daytime tiredness were not recognized as causes or consequences of night-time reflux. CONCLUSIONS: Patients stated that daily living patterns affected their reflux symptoms, but influences were highly variable between respondents. Lifestyle factors appear to combine in unique patterns for individuals, but GORD patients may not be able to identify potential triggers and make changes for themselves. A behaviour change intervention might prove beneficial to these patients. SN - 1460-2229 UR - https://www.unboundmedicine.com/medline/citation/20406788/Don't_eat_tomatoes:_patient's_self_reported_experiences_of_causes_of_symptoms_in_gastro_oesophageal_reflux_disease_ L2 - https://academic.oup.com/fampra/article-lookup/doi/10.1093/fampra/cmq020 DB - PRIME DP - Unbound Medicine ER -