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Survey of nocturnal reflux in patients with gastroesophageal reflux disease in China
Author(s) -
Zhang Ling,
Hou Xiao Hua,
Zou Xiao Ping,
Li Rong Zhou,
Wang Cheng Dang,
Sun Jing,
Wang Cai Hua,
Xu Chun Fang,
Chen Chun Xiao,
Deng Ming Ming,
Zuo Xiu Li,
Zou Duo Wu
Publication year - 2019
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/1751-2980.12820
Subject(s) - medicine , heartburn , pittsburgh sleep quality index , reflux , body mass index , depression (economics) , anxiety , observational study , nerd , gerd , regurgitation (circulation) , quality of life (healthcare) , disease , physical therapy , pediatrics , psychiatry , sleep quality , insomnia , nursing , macroeconomics , economics
Objective To evaluate current diagnosis and treatment of patients with nocturnal gastroesophageal reflux (nGER). Methods This multicenter observational study was conducted in 44 hospitals in China from May 2017 to February 2018. Outpatients with nGER were recruited and their relevant data were collected using a questionnaire, including age, gender, body mass index, history of smoking and alcohol consumption, comorbid diseases, lifestyle, self‐reported health status, medical history, nGER symptoms and severity, Hospital Anxiety Depression Scale, Pittsburgh Sleep Quality Index, diagnosis and treatment choices. The study was registered on the Chinese Clinical Trial Registry (no. ChiCTR1800017525). Results The study included 4978 individuals, with valid questionnaires collected from 4448 patients (89.4%). The symptoms of heartburn and regurgitation were more severe at night than during the day ( P < 0.05). Age and body mass index were positively correlated with reflux severity at night and during the day ( P < 0.05). The severity of nGER was positively associated with lifestyle factors such as smoking, a high‐fat diet, carbonated beverage consumption, late supper (later than 9 pm ), and snoring (all P < 0.05). Night‐time heartburn and regurgitation were related with sleep disorder. Conclusions Lifestyle factors are associated with nGER severity, and nGER affects sleep quality. It will be beneficial to popularize and strengthen the diagnosis and treatment of nGER.