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Gender Specific Differences in Prevalence and Risk Factors for Gastro-Esophageal Reflux Disease.
Kim, Sang Yoon; Jung, Hye Kyung; Lim, Jiyoung; Kim, Tae Oh; Choe, A Reum; Tae, Chung Hyun; Shim, Ki Nam; Moon, Chang Mo; Kim, Seong Eun; Jung, Sung Ae.
Afiliação
  • Kim SY; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Jung HK; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea. junghk@ewha.ac.kr.
  • Lim J; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Kim TO; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Choe AR; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Tae CH; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Shim KN; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Moon CM; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Kim SE; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
  • Jung SA; Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
J Korean Med Sci ; 34(21): e158, 2019 Jun 02.
Article em En | MEDLINE | ID: mdl-31144481
ABSTRACT

BACKGROUND:

Gender-related factors might play an important role in the development of reflux esophagitis (RE) and symptomatic gastro-esophageal reflux disease (GERD). We aimed to evaluate the prevalence and risk factors for RE and symptomatic GERD and determine whether gender specific differences exist.

METHODS:

This study was conducted on a health cohort consisting of 10,158 participants who underwent comprehensive health screening. Lifestyles and gastrointestinal symptoms were investigated using a self-reported structured questionnaire. Questionnaires about menstrual status were added for the women.

RESULTS:

The prevalence of RE in men was significantly higher than that in women (10.6% vs. 2.0%, P < 0.001); however, symptomatic GERD showed predominance in women (6.2% vs. 2.5%, P < 0.001). Although the prevalence of RE gradually increased with the duration of menopause stratified by decade (P = 0.007), that of symptomatic GERD rapidly increased across the menopausal transit in women. Apart from common risk factors of obesity and current smoking for RE, over 70 years of age in women and hiatal hernia and hypertriglyceridemia in men were significant risk factors. In symptomatic GERD, high somatization was a common risk factor. Excessive alcohol drinking was a significant risk factor in men, but not in women.

CONCLUSION:

This study showed a predominance of RE in men, but a predominance of symptomatic GERD in women. In women, dynamic increase in the prevalence of GERD is closely related to the menopause conditions and its duration. There are specific risk factors for RE and symptomatic GERD according to gender differences.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refluxo Gastroesofágico / Nível de Saúde Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Korean Med Sci Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refluxo Gastroesofágico / Nível de Saúde Tipo de estudo: Etiology_studies / Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: J Korean Med Sci Assunto da revista: MEDICINA Ano de publicação: 2019 Tipo de documento: Article