National Institute of Public Health - National Institute of Hygiene, Department of Nutrition Education, Warsaw, Poland.
Rocz Panstw Zakl Hig. 2021;72(1):21-28. doi: 10.32394/rpzh.2021.0145.
Gastroesophageal reflux disease (GERD) is one of the most common diseases of the upper gastrointestinal tract. The most characteristic symptom of the disease is heartburn, which occurs at least once a week. The prevalence of the disease varies and, depending on the region of the world, it may affect from a few to over 30% of an adult population. It is estimated that in Poland this disease may affect up to 35.5% of adults reporting abdominal ailments. If untreated, the disease can lead to serious complications including precancerous conditions and esophageal adenocarcinoma. Pharmacotherapy is considered as the first-line treatment in GERD patients but lifestyle modifications, including diet changes, are an important element supporting the treatment of the disease. Many factors may contribute to the development of the disease. Among them, there are non-modifiable factors such as age, sex or genetic factors and modifiable factors, e.g. lifestyle, diet, excessive body weight. This review focuses on GERD risk factors related to lifestyle and nutrition that include both dietary components and nutritional behaviour. Lifestyle risk factors that may contribute to GERD symptoms include excessive body weight, particularly obesity, moderate/high alcohol consumption, smoking, postprandial and vigorous physical activity, as well as lack of regular physical activity. Many studies indicate fatty, fried, sour, spicy food/products, orange and grapefruit juice, tomatoes and tomato preserves, chocolate, coffee/tea, carbonated beverages, alcohol as triggers for GERD symptoms. Eating habits such as irregular meal pattern, large volume of meals, eating meals just before bedtime may correlate with the symptoms of GERD. The role of lifestyle, diet and eating habits as risk factors for GERD is not clearly understood, and the results of the available studies are often contradictory. Determination of modifiable risk factors for this disease and its symptoms is important for effective dietary prevention and diet therapy of GERD.
胃食管反流病(GERD)是上消化道最常见的疾病之一。该病最典型的症状是烧心,每周至少发作一次。该病的患病率存在差异,取决于世界的不同地区,可能会影响 5%至 30%以上的成年人群。据估计,在波兰,这种疾病可能会影响多达 35.5%的报告有腹部不适的成年人。如果不治疗,这种疾病可能会导致严重的并发症,包括癌前病变和食管腺癌。药物治疗被认为是 GERD 患者的一线治疗方法,但生活方式的改变,包括饮食的改变,是支持疾病治疗的重要因素。许多因素可能导致疾病的发生。其中,有些是不可改变的因素,如年龄、性别或遗传因素,有些是可改变的因素,如生活方式、饮食、超重。本篇综述重点关注与生活方式和营养相关的 GERD 危险因素,包括饮食成分和营养行为。可能导致 GERD 症状的生活方式危险因素包括超重,尤其是肥胖、中度/大量饮酒、吸烟、餐后和剧烈体力活动以及缺乏规律的体力活动。许多研究表明高脂肪、油炸、酸味、辛辣食物/产品、橙汁和西柚汁、西红柿和番茄酱、巧克力、咖啡/茶、碳酸饮料、酒精是 GERD 症状的诱因。不规律的进餐模式、大量进餐、睡前进餐等饮食习惯可能与 GERD 症状相关。生活方式、饮食和饮食习惯作为 GERD 的危险因素的作用尚不清楚,而且现有研究的结果往往相互矛盾。确定这种疾病及其症状的可改变危险因素对于 GERD 的有效饮食预防和饮食治疗非常重要。
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