首页|相关生活方式对胃食管反流病发病的影响

相关生活方式对胃食管反流病发病的影响

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目的 探究相关生活方式对胃食管反流病(GERD)发病的影响.方法 选取2023年2月至2024年3月北京中医药大学东直门医院、中日友好医院消化科门诊及海运仓、北新仓、北新桥、樱花园社区的765人进行调查.结合既往诊断、胃镜报告、胃食管反流病自测问卷评分将受试者分为病例组及对照组,收集两组一般资料、饮食结构、饮食习惯、生活习惯、运动、睡眠质量、心理因素,分析影响GERD发病的因素.结果 694人纳入最终研究.两组人均月收入、常住地、睡眠障碍、饭后久坐、饭后平卧、高腹压活动、运动强度、工作强度、快速进食、饱餐、粗粮、油脂丰富、豆制品、蔬菜、水果、饮食偏烫、嗜食生冷、嗜食酸性、嗜食甜食、饮食偏咸、烟熏食物、流食或半流食、宵夜、规律饮食、焦虑、抑郁、饭后-入睡时间比较,差异有统计学意义(P<0.05).运动强度(中等)、豆制品、规律饮食是GERD发病的保护因素(P<0.05),人均月收入(5 000~<20 000、≥20 000元)、睡眠障碍、高腹压活动、工作强度(中等、较大)、饱餐、饮食偏烫、嗜食酸性、烟熏食物、焦虑、抑郁是GERD发病的危险因素(P<0.05).结论 影响GERD发病的生活方式种类繁多,临床应给予针对性的身心干预、饮食结构及生活习惯的调整,实现生活方式临床化,以减少及预防GERD的发生.
Effect of related lifestyle on the incidence of gastroesophageal reflux disease
Objective To investigate the effect of related lifestyle on gastroesophageal reflux disease(GERD).Methods From February 2023 to March 2024,765 people in Department of Gastrogastrotic Outpatient,Dongzhimen Hospital of Beijing University of Chinese Medicine and China-Japan Friendship Hospital,as well as Haiyuncang,Beixincang,Beixinqiao,and Yinghuayuan communities were selected for investigation.Subjects were divided into case group and control group according to previous diagnosis,gastroscopy report,and GERD self-test questionnaire score.General data,diet structure,eating habits,living habits,exercise,sleep quality,and psychological factors of two groups were collected,and the factors affecting the onset of GERD were analyzed.Results A total of 694 people were included in the final study.There were significant differences in per capita monthly income,permanent residence,sleep disorders,sedentary after meals,lying flat after meals,high abdominal pressure activities,exercise intensity,work intensity,fast eating,full diet,whole grains,fat rich,soy products,vegetables,fruits,hot diet,cold eating,acid eating,sweet eating,salty diet,smoked food,liquid or semi-liquid food,late night snack,regular diet,anxiety,depression,after meals-when falling asleep between two groups(P<0.05).Exercise intensity(medium),soy products,and regular diet were protective factors for GERD(P<0.05),per capita monthly income(5 000-<20 000,≥20 000 yuan),sleep disorder,high abdominal pressure activities,work intensity(medium,large),full diet,hot diet,acid eating,smoked food,anxiety,and depression were the risk factors for GERD(P<0.05).Conclusion There are many kinds of lifestyle that affect the incidence of GERD.In clinical practice,targeted physical and mental intervention,adjustment of diet structure and living habits should be given to achieve clinical lifestyle to reduce and prevent the occurrence of GERD.

Gastroesophageal reflux diseaseLifestyleIn-fluencing factors

王燕睿、陆雅婷、罗世杰、王世琦、朱立

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北京中医药大学第一临床医学院,北京 100700

北京中医药大学第一临床医学院脾胃病科,北京 100700

胃食管反流病 生活方式 影响因素

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(24)