遵义市中老年人群的胃食管反流病与生活方式的关联研究

目的调查遵义地区中老年人胃食管反流病(gastroesophageal reflux disease,GERD)患者的生活方式和饮食习惯现状,探讨该地区中老年人GERD的危险因素。方法以2018年1月-2019年4月期间于遵义市第一人民医院住院的130例患者为病例组,同期在本院体检的130例正常人为对照组,收集并比较研究对象的一般资料、生活方式和饮食习惯,采用多因素非条件logistic回归分析遵义地区中老年人群GERD的危险因素。结果多因素非条件logistic回归分析结果表明,遵义地区中老年人群GERD的危险因素有BMI (OR=4.628,95%CI=2.344～9.134)、饮酒(OR=3.424,95%CI=1.401～8.373)、睡眠不足(OR=1.847,95%CI=1.344～2.540)、不吃早餐(OR=3.102,95%CI=1.770～5.436)、高脂饮食(OR=2.694,95%CI=1.667～4.354)、高糖饮食(OR=2.236,95%CI=1.3002～3.842)以及常饮浓茶(OR=4.296,95%CI=2.328～7.933)(P<0....

Association between gastroesophageal reflux disease and lifestyle in middle-aged and elderly people in Zunyi city

The aim of this study was to investigate the current lifestyle and dietary habits of elderly patients with gastroesophageal reflux disease(GERD) in Zunyi area, and to explore the risk factors of GERD in middle-aged and elderly people in this area. Methods A total of 130 patients admitted to the first people’s hospital of Zunyi city from January 2018 to April 2019 were used as the case group, and 130 normal persons who had physical examinations in our hospital during the same period were used as the control group. The general data and lifestyle of the study subjects were collected and compared.The risk factors of gastroesophageal reflux disease in middle-aged and elderly people in Zunyi area were analyzed using multi-factor leek condition logistic regression. Results Multivariate unconditional logistic regression analysis showed that risk factors for GERD in Zunyi area were BMI(OR=4.628, 95%CI=2.344-9.134), drinking(OR=3.424, 95%CI=1.401-8.373), lack of sleep(OR=1.847, 95%CI=1.344-2.540), lack of breakfast(OR=3.102, 95%CI=1.770-5.436), high fat diet(OR=2.694, 95%CI=1.667-4.354), high sugar diet(OR=2.236, 95%CI=1.3002-3.842), and drinking strong tea(OR=4.296, 95%CI=2.328-7.933)(P<0.05). Conclusion There were many risk factors for GERD among the middle-aged and elderly people in Zunyi district. We should increase the propaganda of GERD in response to unhealthy dietary habits such as high-fat and high-sugar diets, starting with a light diet and regular work and rest, and gradually improving the lifestyle to effectively prevent gastroesophageal reflux among middle-aged and elderly people.