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Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents

BACKGROUND: Dietary patterns and food items have been associated with gastroesophageal reflux disease (GERD) risk and they have led to conflicting findings. The aim of this study was to determine the association between a dietary approach to stop hypertension (DASH)-style diet with the risk of GERD...

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Autores principales: Beigrezaei, Sara, Sasanfar, Bahareh, Nafei, Zahra, Behniafard, Nasrin, Aflatoonian, Majid, Salehi-Abargouei, Amin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936743/
https://www.ncbi.nlm.nih.gov/pubmed/36803489
http://dx.doi.org/10.1186/s12889-023-15225-6
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author Beigrezaei, Sara
Sasanfar, Bahareh
Nafei, Zahra
Behniafard, Nasrin
Aflatoonian, Majid
Salehi-Abargouei, Amin
author_facet Beigrezaei, Sara
Sasanfar, Bahareh
Nafei, Zahra
Behniafard, Nasrin
Aflatoonian, Majid
Salehi-Abargouei, Amin
author_sort Beigrezaei, Sara
collection PubMed
description BACKGROUND: Dietary patterns and food items have been associated with gastroesophageal reflux disease (GERD) risk and they have led to conflicting findings. The aim of this study was to determine the association between a dietary approach to stop hypertension (DASH)-style diet with the risk of GERD and its symptoms in adolescents. STUDY DESIGN: Cross-sectional. METHODS: This study was performed on 5,141 adolescents aged between 13 and 14 years. Dietary intake was evaluated using a food frequency method. The diagnosis of GERD was done by using a six-item GERD questionnaire that asked about GERD symptoms. A binary logistic regression was used to assess the association between the DASH-style diet score and GERD and its symptoms in crude and multivariable-adjusted models. RESULTS: Our findings revealed that after adjustment for all confounding variables, the adolescents with the highest adherence to the DASH-style diet had a lower chance of developing GERD [odds ratio (OR) = 0.50; 95%CI 0.33–0.75, P(trend)< 0.001)], reflux (OR = 0.42; 95%CI 0.25–0.71, P(trend)=0.001), nausea (OR = 0.59; 95% CI:0.32–1.08, P(trend)=0.05) and stomach pain (OR = 0.69; 95%CI 0.49–0.98, P (trend)=0.03) compared to those with the lowest adherence. Similar results were found for odds of GERD among boys, and the total population (OR = 0.37; 95%CI: 0.18–0.73, P(trend)=0.002, OR = 0.51; 95%CI: 0.34–0.77, P (trend)<0.0, respectively). CONCLUSION: The current study revealed that adherence to a DASH-style diet might protect against GERD and its symptoms including, reflux, nausea, and stomach pain in adolescents. Further prospective research is needed to confirm these findings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15225-6.
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spelling pubmed-99367432023-02-18 Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents Beigrezaei, Sara Sasanfar, Bahareh Nafei, Zahra Behniafard, Nasrin Aflatoonian, Majid Salehi-Abargouei, Amin BMC Public Health Research BACKGROUND: Dietary patterns and food items have been associated with gastroesophageal reflux disease (GERD) risk and they have led to conflicting findings. The aim of this study was to determine the association between a dietary approach to stop hypertension (DASH)-style diet with the risk of GERD and its symptoms in adolescents. STUDY DESIGN: Cross-sectional. METHODS: This study was performed on 5,141 adolescents aged between 13 and 14 years. Dietary intake was evaluated using a food frequency method. The diagnosis of GERD was done by using a six-item GERD questionnaire that asked about GERD symptoms. A binary logistic regression was used to assess the association between the DASH-style diet score and GERD and its symptoms in crude and multivariable-adjusted models. RESULTS: Our findings revealed that after adjustment for all confounding variables, the adolescents with the highest adherence to the DASH-style diet had a lower chance of developing GERD [odds ratio (OR) = 0.50; 95%CI 0.33–0.75, P(trend)< 0.001)], reflux (OR = 0.42; 95%CI 0.25–0.71, P(trend)=0.001), nausea (OR = 0.59; 95% CI:0.32–1.08, P(trend)=0.05) and stomach pain (OR = 0.69; 95%CI 0.49–0.98, P (trend)=0.03) compared to those with the lowest adherence. Similar results were found for odds of GERD among boys, and the total population (OR = 0.37; 95%CI: 0.18–0.73, P(trend)=0.002, OR = 0.51; 95%CI: 0.34–0.77, P (trend)<0.0, respectively). CONCLUSION: The current study revealed that adherence to a DASH-style diet might protect against GERD and its symptoms including, reflux, nausea, and stomach pain in adolescents. Further prospective research is needed to confirm these findings. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-15225-6. BioMed Central 2023-02-17 /pmc/articles/PMC9936743/ /pubmed/36803489 http://dx.doi.org/10.1186/s12889-023-15225-6 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Beigrezaei, Sara
Sasanfar, Bahareh
Nafei, Zahra
Behniafard, Nasrin
Aflatoonian, Majid
Salehi-Abargouei, Amin
Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title_full Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title_fullStr Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title_full_unstemmed Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title_short Dietary approaches to stop hypertension (DASH)-style diet in association with gastroesophageal reflux disease in adolescents
title_sort dietary approaches to stop hypertension (dash)-style diet in association with gastroesophageal reflux disease in adolescents
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9936743/
https://www.ncbi.nlm.nih.gov/pubmed/36803489
http://dx.doi.org/10.1186/s12889-023-15225-6
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