Effects of Dietary Factors on Gastroesophageal Reflux Disease (GERD) Among the Student and Faculty of Public and Private Medical Universities of Karachi, Pakistan

Sobia Memon, G. Maheshwari, Sunnela Bhai, Areeb Ahmed, Umair Ahmed, Manal Amer Ali, Areesha Asad, Omayma Asif
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Abstract

Aim: Gastroesophageal reflux disease (GERD) results from gastric contents moving into the esophagus, causing distressing symptoms and complications. Its prevalence has surged in the past two decades, notably in Asian countries. While nutritional management is common in clinical practice, definitive recommendations remain unclear. Few studies have explored the link between food and GERD. Methods: We conducted a descriptive cross-sectional study involving 359 eligible subjects out of 405 participants. We employed purposive sampling, targeting medical students, teachers, and staff aged 18 to 60 from four universities. Data were analyzed using SPSS version 26.0 with a confidence interval of 95% and a significance threshold of p < 0.05. Results: Among participants, 56.5% were female, with an average age of 24.55. Notably, 70.4% tested positive for GERD. Trigger foods included oily (24.2%) and spicy (45.4%) items, while 24.2% reported no specific triggers. Conclusion: This study underscores the significance of dietary modifications in managing GERD symptoms. Tailoring diets to individual symptoms and adjusting meal size, timing, and composition offer more benefits than elimination diets, particularly focusing on smaller meals and avoiding late-night eating habits. Keywords: Gastroesophageal reflux disease (GERD), reflux, esophageal disease, diet, nutrition, food intake, heartburn, fast-food.
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饮食因素对巴基斯坦卡拉奇公立和私立医科大学师生胃食管反流病(GERD)的影响
目的:胃食管反流病(GERD)是由于胃内容物进入食管,引起令人痛苦的症状和并发症。在过去二十年中,该病的发病率急剧上升,尤其是在亚洲国家。虽然营养管理在临床实践中很常见,但明确的建议仍不明确。很少有研究探讨食物与胃食管反流病之间的联系。研究方法我们进行了一项描述性横断面研究,405 名参与者中有 359 名符合条件。我们采用了目的性抽样,目标人群是来自四所大学的 18 至 60 岁的医学生、教师和工作人员。数据使用 SPSS 26.0 版进行分析,置信区间为 95%,显著性阈值为 p <0.05。结果显示56.5%的参与者为女性,平均年龄为 24.55 岁。值得注意的是,70.4%的人胃食管反流检测呈阳性。诱发胃食管反流的食物包括油腻(24.2%)和辛辣(45.4%),24.2%的人表示没有特定的诱发因素。结论这项研究强调了调整饮食对控制胃食管反流症状的重要性。根据个人症状调整饮食、调整进餐量、进餐时间和进餐成分比消除性饮食更有益处,尤其是注重少食多餐和避免深夜进食习惯。关键词:胃食管反流胃食管反流病(GERD)、反流、食管疾病、饮食、营养、食物摄入量、胃灼热、快餐。
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