PREVALENCE AND RISK FACTORS OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) IN MEDICAL COLLEGE STUDENTS

Authors

  • N IQBAL Department of Internal Medicine, MD Health Center, Lahore, Pakistan
  • A KHAN Liaquat College of Medicine and Dentistry (JSMU) Karachi, Pakistan
  • MS YOUSAF Department of Gastroenterology Prime Teaching Hospital Peshawar, Pakistan
  • MA KHAN Department of Medicine, Benazir Bhutto Shaheed Teaching Hospital Abbottabad, Pakistan
  • I ALAM Department of Gastroenterology Jinnah Medical College and Teaching Hospital Peshawar, Pakistan
  • RU REHMAN Department of Gastroenterology DHQ Teaching Hospital KDA Kohat, Pakistan
  • Y AHMAD Department of Gastroenterology Jinnah Medical College and Teaching Hospital Peshawar, Pakistan
  • MA KHAN Department of Pathology Gajju Khan Medical College Swabi, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.816

Keywords:

Lifestyle, Habits, Dietary, GERD, Reflux, Medical, Students

Abstract

Gastro-esophageal reflux disease (GERD) is a common gastrointestinal disorder characterized by the reflux of stomach contents into the esophagus, leading to heartburn, regurgitation, and chest pain. Objectives: The study's main aim is to find the prevalence and risk factors of gastroesophageal reflux disease in medical college students. Methods: This cross-sectional study was conducted at Allama Iqbal Medical College Lahore from October 2023 to March 2024. Data were collected from 550 medical college students from 1st year, 2nd, 3rd, 4th and 5th year. Data were collected through an online survey, including demographic data, GERD symptoms, dietary habits and lifestyle factors, and stress levels. GERD symptoms were reported, which include all data related to heartburn, chest pain and dysphagia. Results: Data were collected from 550 participants. The mean age of the participants (with GERD) was 24.0 ± 3.0 years, and without GERD, 23.0 ± 2.5 years. There were 65% female and 35 % male in the GERD group and 55% female and 45% male in the without GERD group. Students with GERD exhibited significantly higher prevalence rates of certain lifestyle factors compared to those without GERD. Specifically, students with GERD reported higher rates of consumption of spicy/acidic foods (50% vs. 35%), high intake of caffeine/carbonated beverages (60% vs. 40%), irregular meal patterns (40% vs. 20%), large meals before bedtime (30% vs. 15%), and sedentary lifestyle behaviors (70% vs. 40%). These differences were statistically significant, as indicated by the p-values <0.05 for consumption of spicy/acidic foods and large meals before bedtime, <0.01 for high intake of caffeine/carbonated beverages and irregular meal patterns, and <0.001 for sedentary lifestyle behaviours. Conclusion: It is concluded that gastroesophageal reflux disease (GERD) presents a significant health concern among medical college students, with a notable prevalence of symptoms reported in this population.

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References

Sharma A, Sharma PK, Puri P. Prevalence and the risk factors of gastroesophageal reflux disease in medical students. Med J Armed Forces India. 2018 Jul;74(3):250-254. doi: 10.1016/j.mjafi.2017.08.005. Epub 2017 Oct 7. PMID: 30093768; PMCID: PMC6081271.

Clarrett, Danisa M., and Christine Hachem. "Gastroesophageal Reflux Disease (GERD)." Missouri Medicine, vol. 115, no. 3, 2018, pp. 214-218, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140167/.

Taraszewska A. Risk factors for gastroesophageal reflux disease symptoms related to lifestyle and diet. RoczPanstwZaklHig. 2021;72(1):21-28. doi: 10.32394/rpzh.2021.0145. PMID: 33882662.

Yuan L, Tang D, Peng J, Qu N, Yue C, Wang F. [Study on lifestyle in patients with gastroesophageal reflux disease]. Zhong Nan Da XueXue Bao Yi Xue Ban. 2017 May 28;42(5):558-564. Chinese. doi: 10.11817/j.issn.1672-7347.2017.05.013. PMID: 28626103.

Heidarzadeh-Esfahani N, Soleimani D, Hajiahmadi S, Moradi S, Heidarzadeh N, Nachvak SM. Dietary Intake about the Risk of Reflux Disease: A Systematic Review. PrevNutr Food Sci. 2021 Dec 31;26(4):367-379. Doi: 10.3746/pnf.2021.26.4.367. PMID: 35047433; PMCID: PMC8747955.

Lei WY, Wang JH, Wen SH, Yi CH, Hung JS, Liu TT, et al. Risk of acute myocardial infarction in patients with gastroesophageal reflux disease: a nationwide population-based study. PLoS One. 2017;12:e0173899. doi: 10.1371/journal.pone.0173899.

Newberry C, Lynch K. Can we use diet to effectively treat esopha-geal disease? A review of the current literature. Curr Gastroenterol Rep. 2017;19:38. doi: 10.1007/s11894-017-0578-5

Rajaie S, Ebrahimpour-Koujan S, HassanzadehKeshteli A, Esmaillzadeh A, Saneei P, Daghaghzadeh H, et al. Spicy food consumption and risk of uninvestigated heartburn in Isfahani adults. Dig Dis. 2020;38:178–187. doi: 10.1159/000502542.

Sethi S, Richter JE. Diet and gastroesophageal reflux disease: role in pathogenesis and management. CurrOpin Gastroenterol. 2017;33:107–111. doi: 10.1097/MOG.0000000000000337.

Arivan, R., Deepanjali, S. Prevalence and risk factors of gastro-esophageal reflux disease among undergraduate medical students from a southern Indian medical school: a cross-sectional study. BMC Res Notes 11, 448 (2018). https://doi.org/10.1186/s13104-018-3569-1

Edman JS, Greeson J, Roberts RS, Kaufman AB, Abrams DI, Dolor RJ, et al. Perceived stress in patients with common gastrointestinal disorders: associations with quality of life, symptoms and disease management. Explore (NY). 2017;13:124–8.

Sadafi, S., Azizi, A., Pasdar, Y. et al. Risk factors for gastroesophageal reflux disease: a population-based study. BMC Gastroenterol 24, 64 (2024). https://doi.org/10.1186/s12876-024-03143-9

On ZX, Grant J, Shi Z, Taylor AW, Wittert GA, Tully PJ, et al. The association between gastroesophageal reflux disease with sleep quality, depression, and anxiety in a cohort study of Australian men. J Gastroenterol Hepatol. 2017;32(6):1170–7.

Quach DT, Phan BT. A Long Duration of Reflux Symptoms is the predominant risk factor for Depression in Vietnamese patients with gastroesophageal reflux disease. Neuropsychiatr Dis Treat. 2022:2141–50.

Choi JM, Yang JI, Kang SJ, Han YM, Lee J, Lee C, et al. Association between anxiety and depression and gastroesophageal reflux disease: results from a large cross-sectional study. J NeurogastroenterolMotil. 2018;24(4):593.

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Published

2024-04-30

How to Cite

IQBAL , N., KHAN , A., YOUSAF , M., KHAN , M., ALAM , I., REHMAN , R., AHMAD , Y., & KHAN , M. (2024). PREVALENCE AND RISK FACTORS OF GASTROESOPHAGEAL REFLUX DISEASE (GERD) IN MEDICAL COLLEGE STUDENTS. Biological and Clinical Sciences Research Journal, 2024(1), 816. https://doi.org/10.54112/bcsrj.v2024i1.816

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