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Title: | Gastroesophageal reflux disease in Sri Lanka: An island-wide epidemiological survey assessing the prevalence and associated factors |
Authors: | Wickramasinghe, N. Thuraisingham, A. Jayalath, A. Wickramasinghe, D. Samarasekera, D.N. Yazaki, E. Devanarayana, N.M. |
Keywords: | Gastroesophageal |
Issue Date: | 2024 |
Publisher: | Public Library of Science |
Citation: | PLOS Global Public Health.2024;4(5):e0003162 |
Abstract: | Gastroesophageal reflux disease (GERD) is commonly encountered in clinical practice in Sri Lanka. However, its prevalence in Sri Lanka is unknown. Our objective was to study the island-wide prevalence of GERD symptoms in Sri Lanka and its associated factors. A total of 1200 individuals aged 18-70 years (male: female 1: 1.16, mean age 42.7 years [SD 14.4 years]). were recruited from all 25 districts of the country, using stratified random sampling. An interviewer-administered, country-validated questionnaire was used to assess the GERD symptom prevalence and associated factors. Weight, height, waist, and hip circumference were measured. Heartburn and/or regurgitation at least once a week, an internationally used criterion for probable GERD was used to diagnose GERD. In this study, GERD symptom prevalence was 25.3% (male 42.1% and female 57.9%). Factors independently associated with GERD were inadequate sleep, snacking at midnight, sleeping within two hours of consuming a meal, skipping breakfast, increased mental stress, and certain medications used such as statins, and antihypertensive medications (p<0.001, univariate and logistic regression analysis). 38.4% of the study population have been using medication for heartburn and regurgitation in the past 3 months and 19.8% were on proton pump inhibitors. To conclude, the prevalence of GERD symptoms in Sri Lanka (25.3%) is higher than its estimated global prevalence of 13.8%. Several meal-related lifestyle habits, mental stress, and the use of some medications are significantly associated with GERD, indicating the importance of lifestyle modification and stress reduction in its management. |
Description: | Not indexed in MEDLINE. |
URI: | http://repository.kln.ac.lk/handle/123456789/27916 |
ISSN: | 2767-3375 (Electronic) |
Appears in Collections: | Journal/Magazine Articles |
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pgph.0003162.pdf | 661.17 kB | Adobe PDF | View/Open |
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