The Relationship between the Speed of Eating and Gastroesophageal Reflux Disease (GERD) in Iranian Adults

Document Type : Original Article (s)

Authors

1 Student of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 PhD in Nutrition, Food Security Research Center, Student Research Committee, School of Nutrition and Food Sciences, Isfahan University of Medical Sciences, Isfahan, Iran

3 Professor, Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran

4 Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

5 Associate Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

6 Professor, Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: The association between the speed of eating and gastroesophageal reflux disease (GERD) is less studied in Middle-Eastern countries. We aimed to find the relationship between the speed of eating and gastroesophageal reflux disease symptoms in a large sample of Iranian adults.Methods: In this cross-sectional study, 4669 individuals fulfilled a questionnaire about their eating habits. Regarding the speed of eating, participants were asked: ‘How thoroughly do you chew foods? (not very well, well, very well)’, ‘How long does it take you to eat lunch? How long does it take you to eat dinner? (< 10 minutes, 10–20 minutes, > 20 minutes). Gastroesophageal reflux disease was defined as having heartburn sometimes or more during the last three months. The severity of disease was assessed with a four-item scale rating (mild, moderate, severe, and very severe).Findings: The prevalence of gastroesophageal reflux disease in study population was 23.7%. After adjustment of potential confounders, the association remained the same. Individuals who had “not very well” and ”well” chewed their food, had an increased risk of 94% and 38% to have gastroesophageal reflux disease with great frequency. When the mutual effect of other potential confounders were taken into account, association remained meaningful, those who had “not very well” and “well” chewed their food had an increased risk of 91% and 35% to have gastroesophageal reflux disease with great frequency. On the other hand, individuals who ate their lunch during more than 10 minutes had a reduced risk of 30% and 25% to have gastroesophageal reflux disease with great frequency.Conclusion: We found a significant association between the speed of eating and gastroesophageal reflux disease symptoms and heartburn.

Keywords

References

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Journal of Isfahan Medical School
Volume 35, Issue 456 - Serial Number 456
September and October 2018
Pages 1675-1682

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History

  • Receive Date: 05 September 2017
  • Revise Date: 24 May 2024
  • Accept Date: 06 April 2022

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