Maior prevalência de obesidade na doença do refluxo gastroesofagiano erosiva

Biccas, Beatriz; Lemme, Eponina; Abrahão, Luiz; Aguero, Gustavo Cálcena; Alvariz, Angela; Schechter, Rosana Bihari

doi:10.1590/s0004-28032009000100008

Cited by 23 publications

(22 citation statements)

References 18 publications

(19 reference statements)

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“…Coronary heart disease, hypertension and stroke, certain types of cancer, diabetes, gallbladder disease, dyslipidemia, osteoarthritis, gout, and pulmonary diseases, including sleep apnea [ 10 ] are some comorbidities directly related to obesity. Obesity has been associated with oral conditions such as periodontal disease [ 11 , 12 ], dental caries [ 13 ], dental wear [ 14 , 15 ] and xerostomia [ 16 ]. As part of overall general health [ 9 ], oral health is relevant in primary prevention and risk-reduction strategies [ 9 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

et al. 2015

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The aim of this study was to identify the impact of oral disease on the quality of life of morbid obese and normal weight individuals. Cohort was composed of 100 morbid-obese and 50 normal-weight subjects. Dental caries, community periodontal index, gingival bleeding on probing (BOP), calculus, probing pocket depth, clinical attachment level, dental wear, stimulated salivary flow, and salivary pH were used to evaluate oral diseases. Socioeconomic and the oral impacts on daily performances (OIDP) questionnaires showed the quality of life in both groups. Unpaired Student, Fisher’s Exact, Chi-Square, Mann-Whitney, and Multiple Regression tests were used (p<0.05). Obese showed lower socio-economic level than control group, but no differences were found considering OIDP. No significant differences were observed between groups considering the number of absent teeth, bruxism, difficult mastication, calculus, initial caries lesion, and caries. However, saliva flow was low, and the salivary pH was changed in the obese group. Enamel wear was lower and dentine wear was higher in obese. More BOP, insertion loss, and periodontal pocket, especially the deeper ones, were found in obese subjects. The regression model showed gender, smoking, salivary pH, socio-economic level, periodontal pocket, and periodontal insertion loss significantly associated to obesity. However, both OIDP and BOP did not show significant contribution to the model. The quality of life of morbid obese was more negatively influenced by oral disease and socio-economic factors than in normal weight subjects.

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Section: Introductionmentioning

confidence: 99%

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

et al. 2015

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“…In this study, 14 patients had LES hypotonia, with the majority (76.92%) being overweight or obese. Although the statistical analysis did not show correlation, this finding may have exerted some influence on this variable due to the increased frequency of defects and higher incidence of transient relaxation of lower esophageal sphincter 2 , 3 .…”

Section: Discussionmentioning

confidence: 73%

Influence of exercise testing in gastroesophageal reflux in patients with gastroesophageal reflux disease

Mendes-Filho

Moraes-Filho

Nasi

et al. 2014

ABCD, arq. bras. cir. dig.

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BackgroundGastroesophageal reflux disease is a worldwide prevalent condition that exhibits a large variety of signs and symptoms of esophageal or extra-esophageal nature and can be related to the esophagic adenocarcinoma. In the last few years, greater importance has been given to the influence of physical exercises on it. Some recent investigations, though showing conflicting results, point to an exacerbation of gastroesophageal reflux during physical exercises.AimTo evaluate the influence of physical activities in patients presenting with erosive and non erosive disease by ergometric stress testing and influence of the lower esophageal sphincter tonus and body mass index during this situation.MethodsTwenty-nine patients with erosive disease (group I) and 10 patients with non-erosive disease (group II) were prospectively evaluated. All the patients were submitted to clinical evaluation, followed by upper digestive endoscopy, manometry and 24 h esophageal pH monitoring. An ergometric testing was performed 1 h before removing the esophageal pH probe. During the ergometric stress testing, the following variables were analyzed: test efficacy, maximum oxygen uptake, acid reflux duration, gastroesophageal reflux symptoms, influence of the lower esophageal sphincter tonus and influence of body mass index in the occurrence of gastroesophageal reflux during these physical stress.ResultsMaximum oxigen consumption or VO 2 max, showed significant correlation when it was 70% or higher only in the erosive disease group, evaluating the patients with or without acid reflux during the ergometric testing (p=0,032). The other considered variables didn't show significant correlations between gastroesophageal reflux and physical activity (p>0,05).Conclusions1) Highly intensive physical activity can predispose the occurrence of gastroesophageal reflux episodes in gastroesophageal reflux disease patients with erosive disease; 2) light or short sessions of physical activity have no influence on reflux, regardless of body mass index; 3) the lower esophageal sphincter tonus does not influence the occurrence of reflux disease episodes during exercise testing.

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“…On the other hand, one study in Korea (8) showed that this BMI value, in a multivariate analysis, is not a risk factor, whereas the hernia is statistically associated with the erosive form. Biccas et al (16) observed a significantly higher prevalence of hiatal hernia in EE patients, but did not attribute this increase to overweight. Thus, although obesity leads to a greater possibility of hiatal hernia, it does not seem to influence the role of the hernia as a predictor of severity in EGD.…”

Section: Discussionmentioning

confidence: 92%

Clinical and Endoscopic Evaluation in Patients With Gastroesophageal Symptoms

Meira

Tanajura

Viana

2019

Arq. Gastroenterol.

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BACKGROUND: The gastroesophageal reflux disease (GERD) is the most common esophageal disease in medical practice, and it is suspected according to patients’ symptoms. GERD can be classified in erosive esophagitis (EE) according to the presence of upper gastrointestinal endoscopy findings. OBJECTIVE: To evaluate endoscopic findings in patients with symptoms suggestive of GERD comparing epicemiological and risk factors. METHODS: Upper endoscopy reports were examined retrospectively from patients with symptoms of GERD such as heartburn, regurgitation, cough, throat clearing, globus and chest pain. EE was determined based on Los Angeles classification. Comparisons between risk factors in EE and non-EE groups were done with statistical analysis. RESULTS: A total of 984 endoscopic reports were examined and 676 selected for analysis (281 with EE and 395 with non-EE form). Most were female 381 (56.36%) with a mean age of 44.01±15.40 years. Hiatal hernia was present in 47(6.96%) and smoking in 41(6.07%). Univariate logistic regression showed that male (OR=2.24, CI 95%, 1.63-3.06) and hiatal hernia (OR=4.52, CI 95%, 2.30-8.89) were independent predictors of erosions in the EE group. The presence of hiatal hernia (OR=12.04, CI 95%, 3.57-40.62), smoking (OR=8.46, CI 95%, 3.28-31.32) and aged patients (OR=8.01, CI 95%, 2.42-26.49) were also indicated as a risk factor for severe EE (grades C and D of Los Angeles). CONCLUSION Male gender and hiatal hernia were associated with EE. Aged patients, smoking and hiatal hernia were related to severe EE. It is suggested that the risk factors for EE and non-EE types are different. Cohort studies are necessary to identify the exact mechanisms involved in each disease form.

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Maior prevalência de obesidade na doença do refluxo gastroesofagiano erosiva

Cited by 23 publications

References 18 publications

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

Assessment of Oral Conditions and Quality of Life in Morbid Obese and Normal Weight Individuals: A Cross-Sectional Study

Influence of exercise testing in gastroesophageal reflux in patients with gastroesophageal reflux disease

Clinical and Endoscopic Evaluation in Patients With Gastroesophageal Symptoms

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