Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

Mei Zhang,1 Zheng-Kun Hou,2 Zhi-Bang Huang,1 Xin-Lin Chen,3 Feng-Bin Liu2,4 1Graduate College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 2Gastroenterology Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China;...

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Autores principales:	Zhang M, Hou ZK, Huang ZB, Chen XL, Liu FB
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	gastroesophageal reflux disease diet lifestyle systematic review Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/6a68c2970d554a70a113f70b2e1d1572
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id	oai:doaj.org-article:6a68c2970d554a70a113f70b2e1d1572
record_format	dspace
institution	DOAJ
collection	DOAJ
language	EN
topic	gastroesophageal reflux disease diet lifestyle systematic review Therapeutics. Pharmacology RM1-950
spellingShingle	gastroesophageal reflux disease diet lifestyle systematic review Therapeutics. Pharmacology RM1-950 Zhang M Hou ZK Huang ZB Chen XL Liu FB Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
description	Mei Zhang,1 Zheng-Kun Hou,2 Zhi-Bang Huang,1 Xin-Lin Chen,3 Feng-Bin Liu2,4 1Graduate College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 2Gastroenterology Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 3Department of Preventive Medicine and Health Statistics, College of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 4Baiyun Hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaCorrespondence: Zheng-Kun HouDepartment of Gastroenterology, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510405, Guangdong, ChinaTel +86 020– 36591314Email fenghou5128@126.comAbstract: We performed this review to clarify which dietary and lifestyle factors are related to gastroesophageal reflux disease. Through a systematic search of the PubMed, EMBASE, China National Knowledge Infrastructure (CNKI), and Chinese BioMedical Literature (CBM) databases, we identified articles with clear definitions of GERD, including nonerosive gastroesophageal reflux disease (NERD), reflux esophagitis (RE) and Barrett’s esophagus (BE), that included dietary and lifestyle factors as independent factors affecting the onset of GERD (expressed as odds ratios (ORs) or relative risks (RRs) and 95% confidence intervals (CIs)). Due to heterogeneity among the studies, we used descriptive statistical analyses to analyze and synthesize each outcome based on the disease type. In total, 72 articles were included, conducted in ten Western countries (26 articles in total) and nine Eastern countries (46 articles in total). We categorized dietary factors into 20 items and lifestyle factors into 11 items. GERD is related to many irregular dietary and lifestyle habits (such as a habit of midnight snacking: OR=5.08, 95% CI 4.03– 6.4; skipping breakfast: OR=2.7, 95% CI 2.17– 3.35; eating quickly: OR=4.06, 95% CI 3.11– 5.29; eating very hot foods: OR=1.81, 95% CI 1.37– 2.4; and eating beyond fullness: OR=2.85, 95% CI 2.18– 3.73). Vegetarian diets (consumption of nonvegetarian food (no/yes); OR=0.34, 95% CI 0.211– 0.545) and no intake of meat (OR=0.841, 95% CI 0.715– 0.990) were negatively related to GERD, while meat (daily meat, fish, and egg intake: OR=1.088, 95% CI 1.042-1.135) and fat (high–fat diet: OR=7.568, 95% CI 4.557– 8.908) consumption were positively related to GERD. An interval of less than three hours between dinner and bedtime (OR=7.45, 95% CI 3.38– 16.4) was positively related to GERD, and proper physical exercise (physical exercise > 30 minutes (> 3 times/week): OR=0.7, 95% CI 0.6– 0.9) was negatively correlated with GERD. Smoking (OR=1.19, 95% CI 1.12– 1.264), alcohol consumption (OR=1.278, 95% CI 1.207– 1.353) and mental state (poor mental state: OR=1.278, 95% CI 1.207– 1.353) were positively correlated with GERD. RE (vitamin C: OR=0.46, 95% CI=0.24– 0.90) and BE (vitamin C: OR=0.44,95% CI 0.2-0.98; vitamin E: OR=0.46, 95% CI 0.26– 0.83) were generally negatively correlated with antioxidant intake. In conclusion, many dietary and lifestyle factors affect the onset of GERD, and these factors differ among regions and disease types. These findings need to be further confirmed in subsequent studies.Keywords: gastroesophageal reflux disease, diet, lifestyle, systematic review
format	article
author	Zhang M Hou ZK Huang ZB Chen XL Liu FB
author_facet	Zhang M Hou ZK Huang ZB Chen XL Liu FB
author_sort	Zhang M
title	Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
title_short	Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
title_full	Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
title_fullStr	Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
title_full_unstemmed	Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review
title_sort	dietary and lifestyle factors related to gastroesophageal reflux disease: a systematic review
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/6a68c2970d554a70a113f70b2e1d1572
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spelling	oai:doaj.org-article:6a68c2970d554a70a113f70b2e1d15722021-12-02T14:22:18ZDietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review1178-203Xhttps://doaj.org/article/6a68c2970d554a70a113f70b2e1d15722021-04-01T00:00:00Zhttps://www.dovepress.com/dietary-and-lifestyle-factors-related-to-gastroesophageal-reflux-disea-peer-reviewed-article-TCRMhttps://doaj.org/toc/1178-203XMei Zhang,1 Zheng-Kun Hou,2 Zhi-Bang Huang,1 Xin-Lin Chen,3 Feng-Bin Liu2,4 1Graduate College, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 2Gastroenterology Department, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 3Department of Preventive Medicine and Health Statistics, College of Basic Medical Science, Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China; 4Baiyun Hospital of the First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, ChinaCorrespondence: Zheng-Kun HouDepartment of Gastroenterology, The First Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510405, Guangdong, ChinaTel +86 020– 36591314Email fenghou5128@126.comAbstract: We performed this review to clarify which dietary and lifestyle factors are related to gastroesophageal reflux disease. Through a systematic search of the PubMed, EMBASE, China National Knowledge Infrastructure (CNKI), and Chinese BioMedical Literature (CBM) databases, we identified articles with clear definitions of GERD, including nonerosive gastroesophageal reflux disease (NERD), reflux esophagitis (RE) and Barrett’s esophagus (BE), that included dietary and lifestyle factors as independent factors affecting the onset of GERD (expressed as odds ratios (ORs) or relative risks (RRs) and 95% confidence intervals (CIs)). Due to heterogeneity among the studies, we used descriptive statistical analyses to analyze and synthesize each outcome based on the disease type. In total, 72 articles were included, conducted in ten Western countries (26 articles in total) and nine Eastern countries (46 articles in total). We categorized dietary factors into 20 items and lifestyle factors into 11 items. GERD is related to many irregular dietary and lifestyle habits (such as a habit of midnight snacking: OR=5.08, 95% CI 4.03– 6.4; skipping breakfast: OR=2.7, 95% CI 2.17– 3.35; eating quickly: OR=4.06, 95% CI 3.11– 5.29; eating very hot foods: OR=1.81, 95% CI 1.37– 2.4; and eating beyond fullness: OR=2.85, 95% CI 2.18– 3.73). Vegetarian diets (consumption of nonvegetarian food (no/yes); OR=0.34, 95% CI 0.211– 0.545) and no intake of meat (OR=0.841, 95% CI 0.715– 0.990) were negatively related to GERD, while meat (daily meat, fish, and egg intake: OR=1.088, 95% CI 1.042-1.135) and fat (high–fat diet: OR=7.568, 95% CI 4.557– 8.908) consumption were positively related to GERD. An interval of less than three hours between dinner and bedtime (OR=7.45, 95% CI 3.38– 16.4) was positively related to GERD, and proper physical exercise (physical exercise > 30 minutes (> 3 times/week): OR=0.7, 95% CI 0.6– 0.9) was negatively correlated with GERD. Smoking (OR=1.19, 95% CI 1.12– 1.264), alcohol consumption (OR=1.278, 95% CI 1.207– 1.353) and mental state (poor mental state: OR=1.278, 95% CI 1.207– 1.353) were positively correlated with GERD. RE (vitamin C: OR=0.46, 95% CI=0.24– 0.90) and BE (vitamin C: OR=0.44,95% CI 0.2-0.98; vitamin E: OR=0.46, 95% CI 0.26– 0.83) were generally negatively correlated with antioxidant intake. In conclusion, many dietary and lifestyle factors affect the onset of GERD, and these factors differ among regions and disease types. These findings need to be further confirmed in subsequent studies.Keywords: gastroesophageal reflux disease, diet, lifestyle, systematic reviewZhang MHou ZKHuang ZBChen XLLiu FBDove Medical Pressarticlegastroesophageal reflux diseasedietlifestylesystematic reviewTherapeutics. PharmacologyRM1-950ENTherapeutics and Clinical Risk Management, Vol Volume 17, Pp 305-323 (2021)

Dietary and Lifestyle Factors Related to Gastroesophageal Reflux Disease: A Systematic Review

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