Ther Clin Risk Manag. 2006 Sep;2(3):329-34. doi: 10.2147/tcrm.2006.2.3.329.
To assess the effectiveness of lifestyle measures in the treatment of gastroesophageal reflux disease (GERD) among adults attending a dietetic practice.
A retrospective case series of adult patients presenting with GERD to a dietetic practice over a three year period. The routine lifestyle counselling for treatment of symptoms of GERD included: not reclining within two to three hours of eating; a diet low in fat; small frequent meals; avoiding dietary components considered to relax the lower esophageal sphincter; and avoiding local irritants.
Twenty three cases were included (12 male). Eighteen, (9 female) were referred by their doctor, 7 (6 female) presented for GERD alone, 7 (4 female) presented for GERD together with comorbidities, and 9 (1 female) incidentally mentioned GERD during a dietary consultation for another disorder. Thirteen participants (9 female) had previously undergone endoscopies, 18 (11 female) were taking medication for GERD, and 19 (7 female) had comorbidities. Twenty two (10 female) reported an improvement in symptoms with 11/18 taking GERD medication at presentation reducing their medication following treatment.
These results suggest that a more thorough investigation of lifestyle modification in the treatment of GERD is warranted.
评估生活方式措施在饮食实践中治疗成人胃食管反流病（GERD）的效果。
对三年间在饮食实践中出现 GERD 的成年患者进行回顾性病例系列研究。针对 GERD 症状的常规生活方式咨询包括：进食后两到三小时内不要躺卧；低脂肪饮食；少吃多餐；避免被认为可放松食管下括约肌的饮食成分；避免局部刺激物。
共纳入 23 例（12 例男性）。18 例（9 例女性）由医生转介，7 例（6 例女性）仅因 GERD 就诊，7 例（4 例女性）因 GERD 合并其他疾病就诊，9 例（1 例女性）在因其他疾病进行饮食咨询时顺便提及 GERD。13 名参与者（9 例女性）曾接受过内镜检查，18 名（11 例女性）正在服用 GERD 药物，19 名（7 例女性）有合并症。22 名（10 例女性）报告症状有所改善，18 名就诊时服用 GERD 药物的患者中有 11 名在治疗后减少了用药。
这些结果表明，有必要更彻底地研究 GERD 治疗中生活方式改变的效果。
