Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents
Background: Gastroesophageal reflux disease (GERD) is a common esophageal disorder affecting adolescents. Recent studies have indicated that the risk of GERD may be influenced by different dietary patterns. This study aimed to examine the relationship between an adherence to Mediterranean-like dieta...
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| Format: | Article |
| Language: | English |
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Shahid Sadoughi University of Medical Sciences and Health Services
2025-02-01
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| Series: | Journal of Nutrition and Food Security |
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| Online Access: | http://jnfs.ssu.ac.ir/article-1-987-en.pdf |
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| author | Azam AhmadiVasmehjani Sara Beigrezaei Zahra Nafei Nasrin Behniafard Zahra Darabi Amin Salehi-Abargouei Majid Aflatoonian |
| author_facet | Azam AhmadiVasmehjani Sara Beigrezaei Zahra Nafei Nasrin Behniafard Zahra Darabi Amin Salehi-Abargouei Majid Aflatoonian |
| author_sort | Azam AhmadiVasmehjani |
| collection | DOAJ |
| description | Background: Gastroesophageal reflux disease (GERD) is a common esophageal disorder affecting adolescents. Recent studies have indicated that the risk of GERD may be influenced by different dietary patterns. This study aimed to examine the relationship between an adherence to Mediterranean-like dietary pattern and GERD in a large group of adolescents from central Iran. Methods: This cross-sectional study involved 5141 adolescents aged 13-14 years. Dietary intake was assessed using a food frequency method which included in a reliable and valid Global Asthma Network (GAN) core questionnaire. GERD symptoms and the frequency of their occurrence over the last week were assessed using a validated GERD questionnaire. A binary logistic regression was used to evaluate the relationship between adherence to Mediterranean-like dietary pattern and GERD and its related symptoms. Results: The results showed that after controlling for potential confounding variables including age, sex, watching TV and computer, and BMI, the adolescents in the highest adherence to the Mediterranean style diet (MedDiet) score had lower odds of GERD [odds ratio (OR)=0.53; 95% CI 0.35-0.80, Ptrend=0.005)], sense of reflux (OR=0.45; 95% CI 0.26-0.77,
Ptrend=0.01) and poor sleep (OR=0.54; 95% CI 0.31-0.96, Ptrend=0.02) compared with those in the lowest adherence. No significant association found between MedDiet and other GERD symptoms. Conclusions: This study found a negative relationship between following a MedDiet and having GERD among Iranian adolescents. Following the MedDiet may be a useful strategy to prevent GERD in adolescents. |
| format | Article |
| id | doaj-art-8181b9d1fadc4a678713426176c26830 |
| institution | Kabale University |
| issn | 2476-7417 2476-7425 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Shahid Sadoughi University of Medical Sciences and Health Services |
| record_format | Article |
| series | Journal of Nutrition and Food Security |
| spelling | doaj-art-8181b9d1fadc4a678713426176c268302025-02-08T10:57:36ZengShahid Sadoughi University of Medical Sciences and Health ServicesJournal of Nutrition and Food Security2476-74172476-74252025-02-011018191Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in AdolescentsAzam AhmadiVasmehjani0Sara Beigrezaei1Zahra Nafei2Nasrin Behniafard3Zahra Darabi4Amin Salehi-Abargouei5Majid Aflatoonian6 Research Center for Food Hygiene and Safety, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Julius center for health sciences and primary care, University of Medical Center Utrecht, Utrecht University, Utrecht, the Netherlan Children Growth Disorder Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Mother and Newborn Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Nutritional Health Research Center, School of Health and Nutrition, Lorestan University of Medical Sciences, Khorramabad, Iran Department of Nutrition, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Children Growth Disorder Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Background: Gastroesophageal reflux disease (GERD) is a common esophageal disorder affecting adolescents. Recent studies have indicated that the risk of GERD may be influenced by different dietary patterns. This study aimed to examine the relationship between an adherence to Mediterranean-like dietary pattern and GERD in a large group of adolescents from central Iran. Methods: This cross-sectional study involved 5141 adolescents aged 13-14 years. Dietary intake was assessed using a food frequency method which included in a reliable and valid Global Asthma Network (GAN) core questionnaire. GERD symptoms and the frequency of their occurrence over the last week were assessed using a validated GERD questionnaire. A binary logistic regression was used to evaluate the relationship between adherence to Mediterranean-like dietary pattern and GERD and its related symptoms. Results: The results showed that after controlling for potential confounding variables including age, sex, watching TV and computer, and BMI, the adolescents in the highest adherence to the Mediterranean style diet (MedDiet) score had lower odds of GERD [odds ratio (OR)=0.53; 95% CI 0.35-0.80, Ptrend=0.005)], sense of reflux (OR=0.45; 95% CI 0.26-0.77, Ptrend=0.01) and poor sleep (OR=0.54; 95% CI 0.31-0.96, Ptrend=0.02) compared with those in the lowest adherence. No significant association found between MedDiet and other GERD symptoms. Conclusions: This study found a negative relationship between following a MedDiet and having GERD among Iranian adolescents. Following the MedDiet may be a useful strategy to prevent GERD in adolescents.http://jnfs.ssu.ac.ir/article-1-987-en.pdfmediterranean dietgastroesophageal reflux diseaseadolescentscross- sectionaldietary pattern. |
| spellingShingle | Azam AhmadiVasmehjani Sara Beigrezaei Zahra Nafei Nasrin Behniafard Zahra Darabi Amin Salehi-Abargouei Majid Aflatoonian Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents Journal of Nutrition and Food Security mediterranean diet gastroesophageal reflux disease adolescents cross- sectional dietary pattern. |
| title | Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents |
| title_full | Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents |
| title_fullStr | Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents |
| title_full_unstemmed | Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents |
| title_short | Adherence to Mediterranean-Like Dietary Pattern in Association with Gastroesophageal Reflux Disease in Adolescents |
| title_sort | adherence to mediterranean like dietary pattern in association with gastroesophageal reflux disease in adolescents |
| topic | mediterranean diet gastroesophageal reflux disease adolescents cross- sectional dietary pattern. |
| url | http://jnfs.ssu.ac.ir/article-1-987-en.pdf |
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