Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
Abstract 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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-15225-6 |
| _version_ | 1827982465021509632 |
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| author | Sara Beigrezaei Bahareh Sasanfar Zahra Nafei Nasrin Behniafard Majid Aflatoonian Amin Salehi-Abargouei |
| author_facet | Sara Beigrezaei Bahareh Sasanfar Zahra Nafei Nasrin Behniafard Majid Aflatoonian Amin Salehi-Abargouei |
| author_sort | Sara Beigrezaei |
| collection | DOAJ |
| description | Abstract 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. Study design Cross-sectional. 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 DASH-style diet score and GERD and its symptoms in crude and multivariable-adjusted models. Results 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, Ptrend< 0.001)], reflux (OR = 0.42; 95%CI 0.25–0.71, Ptrend=0.001), nausea (OR = 0.59; 95% CI:0.32–1.08, Ptrend=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, Ptrend=0.002, OR = 0.51; 95%CI: 0.34–0.77, P trend<0.0, respectively). Conclusion 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. |
| first_indexed | 2024-04-09T22:34:31Z |
| format | Article |
| id | doaj.art-fa89666ad9ec408f9a6a384ad02d3911 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-09T22:34:31Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-fa89666ad9ec408f9a6a384ad02d39112023-03-22T12:36:48ZengBMCBMC Public Health1471-24582023-02-012311910.1186/s12889-023-15225-6Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescentsSara Beigrezaei0Bahareh Sasanfar1Zahra Nafei2Nasrin Behniafard3Majid Aflatoonian4Amin Salehi-Abargouei5Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical SciencesNutrition and Food Security Research Center, Shahid Sadoughi University of Medical SciencesChildren Growth Disorder Research Center, Shahid Sadoughi University of Medical SciencesChildren Growth Disorder Research Center, Shahid Sadoughi University of Medical SciencesChildren Growth Disorder Research Center, Shahid Sadoughi University of Medical SciencesNutrition and Food Security Research Center, Shahid Sadoughi University of Medical SciencesAbstract 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. Study design Cross-sectional. 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 DASH-style diet score and GERD and its symptoms in crude and multivariable-adjusted models. Results 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, Ptrend< 0.001)], reflux (OR = 0.42; 95%CI 0.25–0.71, Ptrend=0.001), nausea (OR = 0.59; 95% CI:0.32–1.08, Ptrend=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, Ptrend=0.002, OR = 0.51; 95%CI: 0.34–0.77, P trend<0.0, respectively). Conclusion 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.https://doi.org/10.1186/s12889-023-15225-6DietDietary approaches to stop hypertensionGastroesophageal reflux diseaseAdolescentsCross- sectional |
| spellingShingle | Sara Beigrezaei Bahareh Sasanfar Zahra Nafei Nasrin Behniafard Majid Aflatoonian Amin Salehi-Abargouei Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents BMC Public Health Diet Dietary approaches to stop hypertension Gastroesophageal reflux disease Adolescents Cross- sectional |
| title | Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents |
| title_full | Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents |
| title_fullStr | Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents |
| title_full_unstemmed | Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents |
| title_short | Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents |
| title_sort | dietary approaches to stop hypertension dash style diet in association with gastroesophageal reflux disease in adolescents |
| topic | Diet Dietary approaches to stop hypertension Gastroesophageal reflux disease Adolescents Cross- sectional |
| url | https://doi.org/10.1186/s12889-023-15225-6 |
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