Risk factors of gastroesophageal reflux disease in Shiraz, southern Iran

Saberifiroozi, Mehdi; Khademolhosseini, Farnaz; Yousefi, Maryam; Mehrabani, Davood; Zare, Najaf; Heydari, Seyed Taghi

doi:10.3748/wjg.v13.i41.5486

Cited by 52 publications

(81 citation statements)

References 33 publications

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“…Also, in our region, the presence of H. pylori is more common, particularly in men (25). As in other studies, the prevalence of GERD increased with age, obesity, physical inactivity, a low education level, and with stress (11,26,27), but we did not observe an association with smoking.…”

Section: Chirila Et Al Diet In Gerd and Dyspepsiacontrasting

confidence: 28%

The role of diet in the overlap between gastroesophageal reflux disease and functional dyspepsia

Chirilă¹,

Morariu²,

Bărboi³

et al. 2016

Turk J Gastroenterol

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Section: Chirila Et Al Diet In Gerd and Dyspepsiacontrasting

confidence: 28%

The role of diet in the overlap between gastroesophageal reflux disease and functional dyspepsia

Chirilă¹,

Morariu²,

Bărboi³

et al. 2016

Turk J Gastroenterol

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“…Jansson et al [20] , in a large population-based study, revealed in Norway, positive association between low socioeconomic status (based on occupation, education and maternal deprivation) and reflux symptoms. In a study in southern Iran, the prevalence of GERD was significantly higher in rural and illiterate subjects [9] . The relationship between lower educational level and the frequency of GERD which was discussed previously, probably reflects the action of certain unhealthy life style habits or less ability to modify such habits [14,21] .…”

Section: Discussionmentioning

confidence: 99%

“…The authors also found that the prevalence of GERD in Asia is either increasing or being recognized more frequently. In a study from urban and rural population of southern Iran, the prevalence of reflux symptoms occurring at least 3 times per week was 15.4% [9] . Hu et al [17] demonstrated that only 4.8% of Chinese population had GERD.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Mostaghni¹,

Mehrabani²,

Khademolhosseini³

et al. 2009

WJG

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AIM:To investigate the prevalence and risk factors of gastroesophageal reflux disease (GERD) symptoms in Qashqai migrating nomads with a different life style in Fars province, southern Iran. METHODS:In summer 2006, 748 Qashqai migrating nomads aged 25 years or more were enrolled using a multiple-stage stratified cluster random sampling method. A questionnaire consisting of demographic characteristics, lifestyle and GERD symptoms (heartburn, regurgitation, chest pain, dysphagia, hoarseness and cough) as completed for each subject. RESULTS:The questionnaire was completed in 717 subjects. The prevalence rate of GERD, defined as reflux occurring at least one time per week in the preceding year, was 33% (237 subjects). The prevalence was higher in older individuals (36.0% v s 2 8 . 9 % , P < 0 . 0 5 ) a n d i n t h o s e w i t h o t h e r gastrointestinal complaints (51.0% vs 27.8%, P < 0.001), but not different in obese and non-obese subjects. It was also higher in those consuming fruits and vegetables more than once a week (36.2% vs 17.3%, P < 0.001). GERD had a positive correlation with smoking (42.1% vs 27.8%, P < 0.001), but a negative relation with non-alcoholic beverages. The association between GERD and non-steroidal antiinflammatory drugs (NSAIDs) consumption was also significant (40.2% vs 25.4%, P < 0.001). CONCLUSION:The prevalence of GERD (33%) is very high in Qashqai migrating nomads which may be due to a lower socioeconomic and educational level of these people and difference in the life style. Older age, frequent consumption of fruits and vegetables, smoking and NSAIDs are risk factors for GERD in this population.

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“…Roesch-Ramos and colleagues indicated that the female/male ratio in GERD group was 2.3/1 which is in line with the predominance of female gender in GERD patients (2). On the other hand, despite a wide range of the rate of dental erosions in patients with GERD in different populations (3,4), the prevalence of DE is higher more than 3 times in comparison to our findings in a study in one of our referral university clinics (5).…”

Section: Dear Editormentioning

confidence: 57%

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

2015

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Roesch-Ramos et al. assessed the association of gastroesophageal reflux disease (GERD) and dental erosions in a sample of 120 Mexican participants. They showed a significant relationship between GERD and dental erosion (DE) in their study and considered this issue as an extraesophageal manifestation of GERD (1).Ignoring some spelling mistakes for abbreviation of dental erosion in abstract (ED instead of DE), there is a mismatch between findings in table II and text (Result section) where the authors claim that "there was no difference in the consumption of spicy food and alcoholic beverages" between healthy and GERD groups. As it is clear in table II, both abovementioned items showed significant difference (p = 0.03), since the statistical significance level was set as p < 0.05 (1).Roesch-Ramos and colleagues indicated that the female/male ratio in GERD group was 2.3/1 which is in line with the predominance of female gender in GERD patients (2). On the other hand, despite a wide range of the rate of dental erosions in patients with GERD in different populations (3,4), the prevalence of DE is higher more than 3 times in comparison to our findings in a study in one of our referral university clinics (5). It may arise from social and cultural differences affecting extrinsic factors like food and beverage consumption or oral hygiene.To our knowledge, the relationship between GERD and dental erosion reported about 80 years ago (5) and the accepted mechanism for dental erosion in GERD patients is the reduction in tone of lower esophageal sphincter (LES) and flow of the gastric acid toward mouth leading to symptoms like halitosis (6). It is worthwhile to know that Ibn Sina (Avicenna), the great Iranian physician (7) put forward this theory in his masterpiece, Canon of Medicine, hundreds of years ago (8). Considering DE as a systemic disease manifestation similar to new literature (9), he explained the disease of stomach in detail mentioning the weakness of LES and the resulting complications such as halitosis exhaustively (8).Although a clear relationship between GERD and DE has been shown by numerous studies (4), introducing simple preventive methods like lifestyle modifications about food and drink presented in our traditional heritage (8,10) would be an effective approach toward decreasing such common ailments.

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Risk factors of gastroesophageal reflux disease in Shiraz, southern Iran

Cited by 52 publications

References 33 publications

The role of diet in the overlap between gastroesophageal reflux disease and functional dyspepsia

The role of diet in the overlap between gastroesophageal reflux disease and functional dyspepsia

Prevalence and risk factors of gastroesophageal reflux disease in Qashqai migrating nomads, southern Iran

Gastroesophageal reflux disease and dental erosion correlation; a new theory from ancient time

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