Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study
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....
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| Format: | Article |
| Language: | English |
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BMC
2017-11-01
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| Series: | BMC Gastroenterology |
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| Online Access: | http://link.springer.com/article/10.1186/s12876-017-0699-1 |
| _version_ | 1828424489223847936 |
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| author | Omid Eslami Mansour Shahraki Ali Bahari Touran Shahraki |
| author_facet | Omid Eslami Mansour Shahraki Ali Bahari Touran Shahraki |
| author_sort | Omid Eslami |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-10T16:17:46Z |
| format | Article |
| id | doaj.art-0a14d499406449bf8c37643b8c394980 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-10T16:17:46Z |
| publishDate | 2017-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-0a14d499406449bf8c37643b8c3949802022-12-22T01:41:54ZengBMCBMC Gastroenterology1471-230X2017-11-011711910.1186/s12876-017-0699-1Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional studyOmid Eslami0Mansour Shahraki1Ali Bahari2Touran Shahraki3Department of Nutrition, School of Public Health, Iran University of Medical SciencesDepartment of Nutrition, Faculty of Medicine & Children and Adolescents Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical SciencesGastroenterology and Hepatology Research Center, Mashhad University of Medical SciencesDepartment of Pediatrics, Faculty of Medicine & Children and Adolescents Health Research Center, Resistant Tuberculosis Institute, Zahedan University of Medical SciencesAbstract 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.http://link.springer.com/article/10.1186/s12876-017-0699-1Gastro-esophageal reflux diseaseDietary habitsCentral obesityWaist circumference |
| spellingShingle | Omid Eslami Mansour Shahraki Ali Bahari Touran Shahraki Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study BMC Gastroenterology Gastro-esophageal reflux disease Dietary habits Central obesity Waist circumference |
| title | Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study |
| title_full | Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study |
| title_fullStr | Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study |
| title_full_unstemmed | Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study |
| title_short | Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: a comparative cross-sectional study |
| title_sort | dietary habits and obesity indices in patients with gastro esophageal reflux disease a comparative cross sectional study |
| topic | Gastro-esophageal reflux disease Dietary habits Central obesity Waist circumference |
| url | http://link.springer.com/article/10.1186/s12876-017-0699-1 |
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