Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study

MUNGAN, Zeynel

Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study

Zeynel MUNGAN (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Gastroenteroloji Anabilim Dalı, İstanbul, Türkiye)

Turkish Journal of Gastroenterology

9 2

Yıl: 2012 Cilt: 23 Sayı: 4 Sayfa Aralığı: 323 - 332 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study

Öz:

Amaç: Gastro-özofageal reflü hastalığı anketinin Türkçe versiyonu ile Türk popülasyonunda gastro-özofageal reflü hastalığı prevalansı ve demografik belirleyicilerini saptamak. Gereç ve Yöntem: Sosyodemografik özellikler, mide hastalığı öyküsü, gastro-özofageal reflü hastalığı, reflü semptomlarının hastaların yaşamına etkisi, hekim vizitleri, tanısal testler ve reflü ilaçlarına yönelik maddeler içeren anket formlarının yüz-yüze görüşme metodu ile uygulanmasını temel alan bu kesitsel çalışma, toplam 8143 gönüllü (ortalama yaş: 38.5 (13.3) yıl; %52.3u erkek) ile yürütüldü. Bulgular: Çalışılan popülasyonun yarısında mide semptomu öyküsü vardı. Kadınlarda daha sık bildirilen (p<0.001) semptomların, popülasyonun %19.1inde gastro-özofageal reflü hastalığı olarak tanımlandığı tespit edildi. Katılımcıların büyük çoğunluğunda gastro-özofageal reflü hastalığı olasılığı düşüktü (75.3%). Gastro-özofageal reflü hastalığının hastaların yaşamına etkisinin, popülasyonun %17.9unda hafif, %6.8inde ise ağır derecede olduğu tespit edildi. Toplam gastro-özofageal reflü hastalığı anketi skorları ve reflü prevalansı ileri yaş gruplarında daha yüksek olarak bulundu (p<0.001). Reflü semptomları bazında kadınlarda gastro-özofageal reflü hastalığı prevalansı daha yüksekti. Yaşlı hastalar ile ve kadın hastalarda gastro-özofageal reflü hastalığının uyku ve psikolojik/emosyonel iyilik durumu üzerine etkisi daha belirgin iken, yeme/içme davranışı, psikososyal aktiviteler üzerine etkisi yaştan bağımsız olarak kadınlarda daha çok öne çıkmakta idi (p<0.001). Reflü prevalansının Doğu Anadolu, İç Anadolu, Akdeniz ve Karadeniz Bölgelerinde yaşayanlarda Türkiyenin diğer coğrafik bölgeleri ile kıyaslandığında belirgin şekilde daha yüksek olduğu tespit edildi (p<0.001, her biri için). Sonuç: Gastro-özofageal reflü hastalığı prevalans ve demografik belirleyicileri, Batı toplumlarında gözlenen profili özellikler ile uyumlu olup, kadınlar ve ileri yaşa özgü seçicilik göstermektedir.

Anahtar Kelime:

Konular: Cerrahi

Türk popülasyonunda gastro-özofageal reflü hastalığı (GÖRH) prevalansı ve demografik belirleyicileri: Toplum-tabanlı kesitsel bir çalışma

Öz:

Background/aims: We aimed to establish the prevalence and demographic determinants of gastroesophageal reflux disease in the Turkish general population using the Turkish version of the gastroesophageal reflux disease questionnaire. Material and Methods: A total of 8143 volunteers (mean age: 38.5 (13.3) years; 52.3% males) were included in this cross-sectional questionnaire study conducted via face-to-face administration of the questionnaire forms including items on sociodemographic features, past history of gastric disorders, gastroesophageal reflux disease, the influence of reflux symptoms on patients lives, physician visits, diagnostic tests, and reflux medications. Results: A past history of gastric symptoms was reported in half of the population. More female participants (p<0.001) had a past history of gastric symptoms that yielded a previous diagnosis of gastroesophageal reflux disease in 19.1% of the population. The likelihood of gastroesophageal reflux disease was low in the majority (75.3%) of the subjects evaluated. Gastroesophageal reflux disease with an inconveniencing or disrupting impact on the patient s life was present in 17.9% and 6.8% of the population. Total gastroesophageal reflux disease-questionnaire scores and reflux prevalence were higher in older age groups (p<0.001). Females were more likely to have gastroesophageal reflux disease prevalence based on reflux symptoms. The impact of gastroesophageal reflux disease on sleep and psychological/emotional well-being was more pronounced in older and female patients, whereas the impact on eating/drinking behaviors and physical-social activities was more marked among females independent of their age (p<0.001). Reflux prevalence was higher in subjects from East Anatolia, Central Anatolia, Mediterranean, and Black Sea regions of Turkey (p<0.001 for each). Conclusions: Prevalence and demographic determinants of gastroesophageal reflux disease are compatible with the profile of the disease in the other Western populations, with a predilection for females and older individuals.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	MUNGAN Z (2012). Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. , 323 - 332.
Chicago	MUNGAN Zeynel Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. (2012): 323 - 332.
MLA	MUNGAN Zeynel Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. , 2012, ss.323 - 332.
AMA	MUNGAN Z Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. . 2012; 323 - 332.
Vancouver	MUNGAN Z Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. . 2012; 323 - 332.
IEEE	MUNGAN Z "Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study." , ss.323 - 332, 2012.
ISNAD	MUNGAN, Zeynel. "Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study". (2012), 323-332.

APA	MUNGAN Z (2012). Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. Turkish Journal of Gastroenterology, 23(4), 323 - 332.
Chicago	MUNGAN Zeynel Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. Turkish Journal of Gastroenterology 23, no.4 (2012): 323 - 332.
MLA	MUNGAN Zeynel Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. Turkish Journal of Gastroenterology, vol.23, no.4, 2012, ss.323 - 332.
AMA	MUNGAN Z Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. Turkish Journal of Gastroenterology. 2012; 23(4): 323 - 332.
Vancouver	MUNGAN Z Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study. Turkish Journal of Gastroenterology. 2012; 23(4): 323 - 332.
IEEE	MUNGAN Z "Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study." Turkish Journal of Gastroenterology, 23, ss.323 - 332, 2012.
ISNAD	MUNGAN, Zeynel. "Prevalence and demographic determinants of gastroesophageal reflux disease (GERD) in the Turkish general population: A population-based cross-sectional study". Turkish Journal of Gastroenterology 23/4 (2012), 323-332.