Relationship Between Dietary Patterns and Symptom Severity in Gastroesophageal Reflux Disease (GERD): A Patient-Centered Survey
DOI:
https://doi.org/10.61919/jhrr.v5i1.1753Keywords:
Gastroesophageal reflux disease (GERD), dietary patterns, symptom severity, quality of lifeAbstract
Background: Gastroesophageal reflux disease (GERD) is a prevalent condition significantly influenced by dietary patterns. Understanding the relationship between diet and GERD symptom severity is crucial for effective management, particularly in populations with unique dietary practices, such as Pakistan. Objective: This study aimed to explore the association between dietary habits and GERD symptom severity in the Pakistani population, focusing on culturally specific dietary triggers and their impact on quality of life. Methods: A patient-centered cross-sectional survey was conducted among 76 participants aged 18 years and above, recruited from outpatient clinics and community settings. Data were collected using a structured questionnaire, including demographic information, medical history, dietary habits (assessed via a modified Food Frequency Questionnaire), and GERD symptom severity (evaluated using the GERD-Q tool). Statistical analyses, including chi-square tests and logistic regression, were performed using SPSS version 25. Results: Among participants, 65% (n=49) were diagnosed with GERD, and 35% (n=27) reported symptomatic but undiagnosed GERD. Frequent consumption of spicy foods (50%, n=38), fried foods (45%, n=34), and caffeinated beverages (65%, n=49) was strongly associated with increased symptom severity (p < 0.001). Moderate to severe symptoms were reported by 70% (n=53), significantly impacting daily activities and sleep. Despite treatment, 40% (n=30) expressed dissatisfaction with their management plan. Conclusion: Dietary patterns play a critical role in GERD symptom severity and quality of life in the Pakistani population. Culturally tailored dietary interventions and improved management strategies are needed to address this burden effectively.
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References
Boulton KHA, Dettmar PW. A narrative review of the prevalence of gastroesophageal reflux disease (GERD). Annals of Esophagus. 2021;0:0-.
Chen Y, Chen C, Ouyang Z, Duan C, Liu J, Hou X, et al. Prevalence and beveragerelated risk factors of gastroesophageal reflux disease: An original study in Chinese college freshmen, a systemic review and metaanalysis. Neurogastroenterol Motil. 2021;34(5).
Mei Z, Zhengkun H, Zhi-Bang H, Xin-lin C, Feng-bin L. Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review. Ther Clin Risk Manag. 2021.
Taraszewska A. Risk factors for gastroesophageal reflux disease symptoms related to lifestyle and diet. Roczniki Państwowego Zakładu Higieny. 2021.
E MIP, Sri M, Rahmawati R, Indri DOC. Patterns of dietrelated practices and symptoms of gastroesophageal reflux among high school students: A crosssectional study. Malahayati International Journal of Nursing and Health Science. 2023.
Chen JW, Vela MF, Peterson KA, Carlson DA. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review. Clin Gastroenterol Hepatol. 2023;21(6):1414-21.e3.
Y C, Xiao-hong S, Wenjuan F, Jiao Y, Peng W, Dong L, et al. Differences in Dietary and Lifestyle Triggers between Non-Erosive Reflux Disease and Reflux Esophagitis---A Multicenter Cross-Sectional Survey in China. Nutrients. 2023.
K F, F M, E E, A M. Gastrointestinal Quality of Life in Gastroesophageal Reflux Disease: A Systematic Review. Digestion. 2022.
R Y, C G, J P. Personalized Approach to the Evaluation and Management of Gastroesophageal Reflux Disease. Clin Gastroenterol Hepatol. 2022.
Steven DM, Vandan P, R Y. Factors that Impact Day-to-Day Esophageal Acid Reflux Variability and Its Diagnostic Significance for Gastroesophageal Reflux Disease. Dig Dis Sci. 2022.
Gianluca R, Luciana B, C B, Pierfrancesco V, Mattia O, Irene S, et al. The Role of a Plant-Only (Vegan) Diet in Gastroesophageal Reflux Disease: Online Survey of the Italian General Population. Nutrients. 2023.
Rivière P, Vauquelin B, Rolland E, Melchior C, Roman S, Bruley des Varannes S, et al. Low FODMAPs diet or usual dietary advice for the treatment of refractory gastroesophageal reflux disease: An openlabeled randomized trial. Neurogastroenterol Motil. 2021;33(9).
Sabrina EW, A H, S GD, S D-S, H M, R T, et al. Diet and risk of gastro-oesophageal reflux disease in the Melbourne Collaborative Cohort Study. Public Health Nutr. 2021.
Salehi-sahlabadi A, Sadat S, Beigrezaei S, Pourmasomi M, Feizi A, Ghiasvand R, et al. Dietary patterns and risk of non-alcoholic fatty liver disease. BMC Gastroenterol. 2021;21(1).
Amanda JK, Madeline G, Z B, T T, R Y. HYPERVIGILANCE AND ANXIETY ARE ELEVATED AMONG PATIENTS WITH LARYNGEAL SYMPTOMS WITH AND WITHOUT LARYNGOPHARYNGEAL REFLUX. Clin Gastroenterol Hepatol. 2022.
Chhabra P, Ingole N. Gastroesophageal Reflux Disease (GERD): Highlighting Diagnosis, Treatment, and Lifestyle Changes. Cureus. 2022.
Cihang G, Timothy O, K K, M V, K N, H S. The Effects of Modifying Amount and Type of Dietary Carbohydrate on Esophageal Acid Exposure Time and Esophageal Reflux Symptoms: A Randomized Controlled Trial. Am J Gastroenterol. 2022.
Neda H-E, Davood S, Salimeh H, Shima M, Nafiseh H, Seyyed MN. Dietary Intake in Relation to the Risk of Reflux Disease: A Systematic Review. Preventive Nutrition and Food Science. 2021.
Lee S-W, Chang C-S. Impact of Overlapping Functional Gastrointestinal Disorders on the Quality of Life in Patients With Gastroesophageal Reflux Disease. J Neurogastroenterol Motil. 2021;27(2):176-84.
Ong J-S, An J, Han X, Law MH, Nandakumar P, Schumacher J, et al. Multitrait genetic association analysis identifies 50 new risk loci for gastro-oesophageal reflux, seven new loci for Barretttextquoterights oesophagus and provides insights into clinical heterogeneity in reflux diagnosis. Gut. 2021;71(6):1053-61.
Peters V, Spooren CEGM, Pierik MJ, Weersma RK, van Dullemen HM, Festen EAM, et al. Dietary Intake Pattern is Associated with Occurrence of Flares in IBD Patients. Journal of Crohn's and Colitis. 2021;15(8):1305-15.
Raaj SM, L N, Wenjie M, K S, M S, A C. Association of Diet and Lifestyle With the Risk of Gastroesophageal Reflux Disease Symptoms in US Women. JAMA Internal Medicine. 2021.
Al-Momani H, Balawi DaA, Almasri M, AlGhawrie H, Ibrahim L, Adli L, et al. Gastroesophageal Reflux in Lockdown. Future Science OA. 2023;9(6).
K F, T D, F O, R B, W B, G V, et al. Severity of GERD and disease progression. Dis Esophagus. 2021.
L G, R Y, T T, J P, M T, L K. Esophageal hypervigilance is prevalent across gastroesophageal reflux disease presentations. Neurogastroenterol Motil. 2021.
Lechien JR, CrevierBuchman L, Distinguin L, Iannella G, Maniaci A, De Marrez LG, et al. Is Diet Sufficient as Laryngopharyngeal Reflux Treatment? A CrossOver Observational Study. The Laryngoscope. 2021;132(10):1916-23.
Zoe M, Georgia S, J H, Isabella RM, S T, M C, et al. What is the efficacy of dietary, nutraceutical, and probiotic interventions for the management of gastroesophageal reflux disease symptoms? A systematic literature review and meta-analysis. Clinical Nutrition ESPEN. 2022.
Beigrezaei S, Sasanfar B, Nafei Z, Behniafard N, Aflatoonian M, Salehi-Abargouei A. Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents. BMC Public Health. 2023;23(1).
Godala M, Gaszyńska E, Durko Ł, Małecka-Wojciesko E. Dietary Behaviors and Beliefs in Patients with Inflammatory Bowel Disease. Journal of Clinical Medicine. 2023;12(10):3455.
M F, C G. Dietary factors involved in GERD management. Best practice & research Clinical gastroenterology. 2023.
N L, Panyavee P, P S, T P, S G. The Efficacy of Dietary Interventions in Patients with Gastroesophageal Reflux Disease: A Systematic Review and Meta-Analysis of Intervention Studies. Nutrients. 2023.
Yedi H. Functional Food in Relation to Gastroesophageal Reflux Disease (GERD). Nutrients. 2023.
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