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Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study.
BMC Gastroenterol 2017; 17(1):132BG

Abstract

BACKGROUND

Gastro-esophageal reflux disease (GERD) is suggested to be associated with some socio-demographic and lifestyle factors. Although the roles of some factors such as obesity are well documented, evidence on the impact of other factors such as dietary habits are still inconclusive. The aim of this study was to determine the relationship between socio-demographic and lifestyle factors with GERD in participants referred to a teaching hospital in Zahedan, South-East of Iran.

METHODS

This comparative cross-sectional study was conducted during 2014-2015. All patients completed a structured questionnaire regarding information on socio-demographic status, lifestyle factors and dietary habits. Anthropometric indices including body mass index (BMI) and waist circumference (WC) were used to determine general and central obesity, respectively. Data were analyzed using SPSS software version 22. Value of p < 0.05 was considered as statistically significant.

RESULTS

Five hundred and five participants, including 285 GERD and 220 Non-GERD participants participated in the study. In univariate analysis, being married (OR = 1.57, 95%CI = 1.04, 2.36), general obesity (OR = 1.77, 95%CI = 1.11, 2.81), central obesity (OR = 2.09, 95%CI = 1.46,3.01) and consumption of citrus fruits between meals (OR = 1.69, 95%CI = 1.04, 2.73) were associated with higher odds of GERD, while higher educational level (OR = 0.53, 95%CI = 0.36,0.77) and regular physical activity ≥2 h/week (OR = 0.53, 95%CI = 0.30, 0.94) were associated with lower odds of GERD. In the adjusted model, central obesity (OR = 1.88, 95%CI = 1.18, 3.01) and consumption of citrus fruits between meals (OR = 2.22, 95%CI = 1.30, 3.81) were positively associated with odds of GERD, while higher educational level (OR = 0.55, 95%CI = 0.33, 0.91) was associated with decreased odds of GERD.

CONCLUSION

According to the results of the current study, central obesity as determined by WC and citrus fruit intake were independent factors associated with GERD. Therefore, lifestyle modification might have a positive effect in the treatment of GERD in an urban population of Iran.

Authors+Show Affiliations

Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.Department of Nutrition, Faculty of Medicine & Children and Adolescents Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, P.O. Box :98167-4315, Zahedan, Iran. shahrakimansour@yahoo.com.Gastroenterology and Hepatology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.Department of Pediatrics, Faculty of Medicine & Children and Adolescents Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical Sciences, Zahedan, Iran.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

29179692

Citation

Eslami, Omid, et al. "Dietary Habits and Obesity Indices in Patients With Gastro-esophageal Reflux Disease: a Comparative Cross-sectional Study." BMC Gastroenterology, vol. 17, no. 1, 2017, p. 132.
Eslami O, Shahraki M, Bahari A, et al. Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study. BMC Gastroenterol. 2017;17(1):132.
Eslami, O., Shahraki, M., Bahari, A., & Shahraki, T. (2017). Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study. BMC Gastroenterology, 17(1), p. 132. doi:10.1186/s12876-017-0699-1.
Eslami O, et al. Dietary Habits and Obesity Indices in Patients With Gastro-esophageal Reflux Disease: a Comparative Cross-sectional Study. BMC Gastroenterol. 2017 Nov 28;17(1):132. PubMed PMID: 29179692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study. AU - Eslami,Omid, AU - Shahraki,Mansour, AU - Bahari,Ali, AU - Shahraki,Touran, Y1 - 2017/11/28/ PY - 2017/06/14/received PY - 2017/11/20/accepted PY - 2017/11/29/entrez PY - 2017/11/29/pubmed PY - 2018/6/21/medline KW - Central obesity KW - Dietary habits KW - Gastro-esophageal reflux disease KW - Waist circumference SP - 132 EP - 132 JF - BMC gastroenterology JO - BMC Gastroenterol VL - 17 IS - 1 N2 - BACKGROUND: Gastro-esophageal reflux disease (GERD) is suggested to be associated with some socio-demographic and lifestyle factors. Although the roles of some factors such as obesity are well documented, evidence on the impact of other factors such as dietary habits are still inconclusive. The aim of this study was to determine the relationship between socio-demographic and lifestyle factors with GERD in participants referred to a teaching hospital in Zahedan, South-East of Iran. METHODS: This comparative cross-sectional study was conducted during 2014-2015. All patients completed a structured questionnaire regarding information on socio-demographic status, lifestyle factors and dietary habits. Anthropometric indices including body mass index (BMI) and waist circumference (WC) were used to determine general and central obesity, respectively. Data were analyzed using SPSS software version 22. Value of p < 0.05 was considered as statistically significant. RESULTS: Five hundred and five participants, including 285 GERD and 220 Non-GERD participants participated in the study. In univariate analysis, being married (OR = 1.57, 95%CI = 1.04, 2.36), general obesity (OR = 1.77, 95%CI = 1.11, 2.81), central obesity (OR = 2.09, 95%CI = 1.46,3.01) and consumption of citrus fruits between meals (OR = 1.69, 95%CI = 1.04, 2.73) were associated with higher odds of GERD, while higher educational level (OR = 0.53, 95%CI = 0.36,0.77) and regular physical activity ≥2 h/week (OR = 0.53, 95%CI = 0.30, 0.94) were associated with lower odds of GERD. In the adjusted model, central obesity (OR = 1.88, 95%CI = 1.18, 3.01) and consumption of citrus fruits between meals (OR = 2.22, 95%CI = 1.30, 3.81) were positively associated with odds of GERD, while higher educational level (OR = 0.55, 95%CI = 0.33, 0.91) was associated with decreased odds of GERD. CONCLUSION: According to the results of the current study, central obesity as determined by WC and citrus fruit intake were independent factors associated with GERD. Therefore, lifestyle modification might have a positive effect in the treatment of GERD in an urban population of Iran. SN - 1471-230X UR - https://www.unboundmedicine.com/medline/citation/29179692/Dietary_habits_and_obesity_indices_in_patients_with_gastro_esophageal_reflux_disease:_a_comparative_cross_sectional_study_ L2 - https://bmcgastroenterol.biomedcentral.com/articles/10.1186/s12876-017-0699-1 DB - PRIME DP - Unbound Medicine ER -