Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: A comparative cross-sectional study

Eslami, O. and Shahraki, M. and Bahari, A. and Shahraki, T. (2017) Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: A comparative cross-sectional study. BMC Gastroenterology, 17 (1).

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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, 95CI=1.04, 2.36), general obesity (OR=1.77, 95CI=1.11, 2.81), central obesity (OR=2.09, 95CI=1.46,3.01) and consumption of citrus fruits between meals (OR=1.69, 95CI=1.04, 2.73) were associated with higher odds of GERD, while higher educational level (OR=0.53, 95CI=0.36,0.77) and regular physical activity ≥2h/week (OR=0.53, 95CI=0.30, 0.94) were associated with lower odds of GERD. In the adjusted model, central obesity (OR=1.88, 95CI=1.18, 3.01) and consumption of citrus fruits between meals (OR=2.22, 95CI=1.30, 3.81) were positively associated with odds of GERD, while higher educational level (OR=0.55, 95CI=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. © 2017 The Author(s).

Item Type: Article
Additional Information: Cited By :7 Export Date: 16 February 2020 CODEN: BGMAB Correspondence Address: Shahraki, M.; Zahedan University of Medical Sciences, Department of Nutrition, Faculty of Medicine and Children and Adolescents Health Research Center, Resistant Tuberculosis Institute, P.O. Box :98167-4315, Iran; email: shahrakimansour@yahoo.com
Uncontrolled Keywords: Central obesity Dietary habits Gastro-esophageal reflux disease Waist circumference adult Article body mass citrus fruit comparative study controlled study cross-sectional study demography dietary intake educational status female food intake gastroesophageal reflux habit human Iran lifestyle modification major clinical study male married person meal obesity physical activity risk factor structured questionnaire teaching hospital urban population comorbidity food preference fruit lifestyle prevalence questionnaire socioeconomics statistics and numerical data Body Mass Index Cross-Sectional Studies Food Preferences Humans Life Style Socioeconomic Factors Surveys and Questionnaires
Subjects: WD Nutrition Disease and metabolic diseases
WI Digestive System
Divisions: Mashhad University of Medical Sciences
Depositing User: mr lib3 lib3
Date Deposited: 13 May 2020 08:57
Last Modified: 13 May 2020 08:57
URI: http://eprints.mums.ac.ir/id/eprint/16810

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