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Diet Restricts GERD beyond Acid Suppressants

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eMediNexus    05 January 2021

Adhering to an anti-reflux lifestyle may prevent many symptoms of gastrointestinal reflux disorder (GERD) in women, suggest data from Nurses Health Study II. The decreased risk was observed even in regular users of acid suppressants, including proton pump inhibitors (PPIs) and histamine-2 receptor antagonists (H2RAs).

Andrew T. Chan, MD, MPH, of Massachusetts General Hospital in Boston, and colleagues noted that the possible explanations for this could bereduction in lower esophageal sphincter tone, increases in gastroesophageal pressure gradients, and mechanical factors, such as hiatal hernia. The results support the significance of lifestyle modification in managing GERD, reported researchers in JAMA Internal Medicine. Researchers used an anti-reflux lifestyle score (range 0-5) consisting of five variables including normal weight, defined as BMI of 18.5 to less than 25.0; never smoking; moderate-to-vigorous physical activity for at least 30 minutes in a day; not more than two cups of coffee, tea, or soda per day; eating a prudent diet. In comparison with women who did not adhere to anti-reflux lifestyle factors, the multivariable hazard ratio (HR) for GERD symptoms was 0.50 (95% CI 0.42-0.59) among those with five anti-reflux lifestyle factors… (Medpage Today)

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