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2000
Volume 32, Issue 29
  • ISSN: 0929-8673
  • E-ISSN: 1875-533X

Abstract

Purpose

This study aimed to explore the potential causal relationship between dietary habits and Gastroesophageal Reflux Disease (GERD).

Methods

Using the inverse-variance weighted method, a two-sample Mendelian randomization (MR) analysis was performed to investigate the causal relationship between 22 dietary habits and GERD. The stability and reliability of the results were assessed using leave-one-out analysis, heterogeneity tests, and tests for horizontal pleiotropy based on the effect measure odds ratio (OR) and 95% confidence interval (CI).

Results

The results of the MR analysis indicated a positive association between alcohol drinking (OR=1.472; 95% CI, 1.331 to 1.629; <1.0×10-3) and salt added to food (OR=1.270; 95% CI, 1.117 to 1.443; <1.0×10-3) with the risk of GERD. Conversely, bread intake (OR=0.613; 95% CI, 0.477 to 0.790; <1.0×10-3), cereal intake (OR=0.613; 95% CI, 0.391 to 0.677; <1.0×10-3), cheese intake (OR=0.709; 95% CI, 0.593 to 0.846; <1.0×10-3), dried fruit intake (OR=0.535; 95% CI, 0.404 to 0.709; <1.0×10-3), fresh fruit intake (OR=0.415; 95% CI, 0.278 to 0.619; <1.0×10-3), and oily fish intake (OR=0.746; 95% CI, 0.633 to 0.879; <1.0×10-3) were negatively associated with the risk of GERD. Sensitivity analysis showed no evidence of reverse causation, pleiotropy, or heterogeneity.

Conclusion

Alcohol and salt added to food raised GERD risk, while bread intake, cereal intake, cheese intake, intake of certain dried fruits and certain fresh fruits, and oily fish lowered it. Our study affirms the potential causal link between these diets and GERD, offering insights into targeted prevention strategies.

 This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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References

  1. GyawaliC. P. YadlapatiR. FassR. KatzkaD. PandolfinoJ. SavarinoE. SifrimD. Updates to the modern diagnosis of GERD: Lyon consensus 2.0.Gut2024732361371
    [Google Scholar]
  2. IwakiriK. FujiwaraY. ManabeN. IharaE. KuribayashiS. AkiyamaJ. KondoT. YamashitaH. IshimuraN. KitasakoY. IijimaK. KoikeT. OmuraN. NomuraT. KawamuraO. OharaS. OzawaS. KinoshitaY. MochidaS. EnomotoN. ShimosegawaT. KoikeK. Evidence-based clinical practice guidelines for gastroesophageal reflux disease 2021.J. Gastroenterol.202257426728510.1007/s00535‑022‑01861‑z35226174
    [Google Scholar]
  3. PatelD. FassR. VaeziM. Untangling nonerosive reflux disease from functional heartburn.Clin. Gastroenterol. Hepatol.20211971314132610.1016/j.cgh.2020.03.05732246998
    [Google Scholar]
  4. EusebiL.H. RatnakumaranR. YuanY. Solaymani-DodaranM. BazzoliF. FordA.C. Global prevalence of, and risk factors for, gastro-oesophageal reflux symptoms: A meta-analysis.Gut201867343044010.1136/gutjnl‑2016‑31358928232473
    [Google Scholar]
  5. YadlapatiR. HubscherE. PelletierC. JacobR. BrackleyA. ShahS. Induction and maintenance of healing in erosive esophagitis in the United States.Expert Rev. Gastroenterol. Hepatol.2022161096798010.1080/17474124.2022.213411536254610
    [Google Scholar]
  6. MariA. Na’amnihW. GhantousL. AhmadH.S. KhouryT. MuhsenK. Quality of life and severity of symptoms among patients with various degrees of reflux esophagitis: A prospective study.Sci. Rep.20231311397010.1038/s41598‑023‑41332‑w37634042
    [Google Scholar]
  7. NirwanJ.S. HasanS.S. BabarZ.U.D. ConwayB.R. GhoriM.U. Global prevalence and risk factors of gastro-oesophageal reflux disease (GORD): Systematic review with meta-analysis.Sci. Rep.2020101581410.1038/s41598‑020‑62795‑132242117
    [Google Scholar]
  8. ChenY.H. WangH. The association between depression and gastroesophageal reflux based on phylogenetic analysis of mirna biomarkers.Curr. Med. Chem.202027386536654710.2174/092986732766620042521490632334497
    [Google Scholar]
  9. Maret-OudaJ. MarkarS.R. LagergrenJ. Gastroesophageal reflux disease.JAMA2020324242536254710.1001/jama.2020.2136033351048
    [Google Scholar]
  10. GyawaliC.P. KahrilasP.J. SavarinoE. ZerbibF. MionF. SmoutA.J.P.M. VaeziM. SifrimD. FoxM.R. VelaM.F. TutuianR. TackJ. BredenoordA.J. PandolfinoJ. RomanS. Modern diagnosis of GERD: The Lyon Consensus.Gut20186771351136210.1136/gutjnl‑2017‑31472229437910
    [Google Scholar]
  11. KatzP.O. DunbarK.B. Schnoll-SussmanF.H. GreerK.B. YadlapatiR. SpechlerS.J. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease ACG clinical guideline for the diagnosis and management of gastroesophageal reflux disease.Am. J. Gastroenterol.20221171275610.14309/ajg.000000000000153834807007
    [Google Scholar]
  12. FossmarkR. MartinsenT.C. WaldumH.L. Adverse effects of proton pump inhibitors-evidence and plausibility.Int. J. Mol. Sci.20192020520310.3390/ijms2020520331640115
    [Google Scholar]
  13. AbrahamiD. McDonaldE.G. SchnitzerM.E. BarkunA.N. SuissaS. AzoulayL. Proton pump inhibitors and risk of gastric cancer: Population-based cohort study.Gut2022711162410.1136/gutjnl‑2021‑32509734226290
    [Google Scholar]
  14. LespessaillesE. ToumiH. Proton pump inhibitors and bone health: An update narrative review.Int. J. Mol. Sci.202223181073310.3390/ijms23181073336142643
    [Google Scholar]
  15. BjörklundL. MattissonY. BläckbergA. SunnerhagenT. LjungquistO. A population-based study on the incidence, risk factors, and outcome of salmonella bloodstream infections in South Sweden 2012–2022.Infect. Dis. Ther.202413350151910.1007/s40121‑024‑00929‑y38393503
    [Google Scholar]
  16. RasoolM.F. SarwarR. ArshadM.S. ImranI. SaeedH. MajeedA. AkbarM. ChaudhryM.O. RehmanA. AshrafW. AhmadT. BadoghaishW. AlqahtaniF. Assessing the frequency and risk factors associated with gastroesophageal reflux disease (GERD) in Southern Punjab, Pakistan.Risk Manag. Healthc. Policy2021144619462510.2147/RMHP.S33514234803413
    [Google Scholar]
  17. RichterJ.E. RubensteinJ.H. Presentation and epidemiology of gastroesophageal reflux disease.Gastroenterology2018154226727610.1053/j.gastro.2017.07.04528780072
    [Google Scholar]
  18. HerdianaY. Functional food in relation to gastroesophageal reflux disease (GERD).Nutrients20231516358310.3390/nu1516358337630773
    [Google Scholar]
  19. RubensteinJ.H. ChenJ.W. Epidemiology of gastroesophageal reflux disease.Gastroenterol. Clin. North Am.201443111410.1016/j.gtc.2013.11.00624503355
    [Google Scholar]
  20. FoxM. BarrC. NolanS. LomerM. AnggiansahA. WongT. The effects of dietary fat and calorie density on esophageal acid exposure and reflux symptoms.Clin. Gastroenterol. Hepatol.200754439444.e110.1016/j.cgh.2006.12.01317363334
    [Google Scholar]
  21. ThriftA.P. CookM.B. VaughanT.L. AndersonL.A. MurrayL.J. WhitemanD.C. ShaheenN.J. CorleyD.A. Alcohol and the risk of Barrett’s esophagus: A pooled analysis from the International BEACON Consortium.Am. J. Gastroenterol.2014109101586159410.1038/ajg.2014.20625047401
    [Google Scholar]
  22. LawlorD.A. HarbordR.M. SterneJ.A.C. TimpsonN. Davey SmithG. Mendelian randomization: Using genes as instruments for making causal inferences in epidemiology.Stat. Med.20082781133116310.1002/sim.303417886233
    [Google Scholar]
  23. Davey SmithG. HemaniG. Mendelian randomization: Genetic anchors for causal inference in epidemiological studies.Hum. Mol. Genet.201423R1R89R9810.1093/hmg/ddu32825064373
    [Google Scholar]
  24. NitschD. MolokhiaM. SmeethL. DeStavolaB.L. WhittakerJ.C. LeonD.A. Limits to causal inference based on Mendelian randomization: A comparison with randomized controlled trials.Am. J. Epidemiol.2006163539740310.1093/aje/kwj06216410347
    [Google Scholar]
  25. MaoX. HuangC. WangY. MaoS. LiZ. ZouW. LiaoZ. Association between dietary habits and pancreatitis among individuals of european ancestry: A two-sample mendelian randomization study.Nutrients2023155115310.3390/nu1505115336904153
    [Google Scholar]
  26. KennedyO.J. PirastuN. PooleR. FallowfieldJ.A. HayesP.C. GrzeszkowiakE.J. TaalM.W. WilsonJ.F. ParkesJ. RoderickP.J. Coffee consumption and kidney function: A mendelian randomization study.Am. J. Kidney Dis.202075575376110.1053/j.ajkd.2019.08.02531837886
    [Google Scholar]
  27. CarnegieR. ZhengJ. SallisH.M. JonesH.J. WadeK.H. EvansJ. ZammitS. MunafòM.R. MartinR.M. Mendelian randomisation for nutritional psychiatry.Lancet Psychiatry20207220821610.1016/S2215‑0366(19)30293‑731759900
    [Google Scholar]
  28. BowdenJ. Del Greco MF. MinelliC. Davey SmithG. SheehanN. ThompsonJ. A framework for the investigation of pleiotropy in two-sample summary data Mendelian randomization.Stat. Med.201736111783180210.1002/sim.722128114746
    [Google Scholar]
  29. OngJ.S. AnJ. HanX. LawM.H. NandakumarP. SchumacherJ. GockelI. BohmerA. JankowskiJ. PallesC. OlsenC.M. NealeR.E. FitzgeraldR. ThriftA.P. VaughanT.L. BuasM.F. HindsD.A. GharahkhaniP. KendallB.J. MacGregorS. 23andMe Research team Esophageal cancer consortium Multitrait genetic association analysis identifies 50 new risk loci for gastro-oesophageal reflux, seven new loci for Barrett’s oesophagus and provides insights into clinical heterogeneity in reflux diagnosis.Gut20227161053106110.1136/gutjnl‑2020‑32390634187846
    [Google Scholar]
  30. GeorgakisM.K. de LemosJ.A. AyersC. WangB. BjörkbackaH. PanaT.A. ThorandB. SunC. FaniL. MalikR. DupuisJ. EngströmG. Orho-MelanderM. MelanderO. BoekholdtS.M. ZiererA. ElhadadM.A. KoenigW. HerderC. HoogeveenR.C. KavousiM. BallantyneC.M. PetersA. MyintP.K. NilssonJ. BenjaminE.J. DichgansM. Association of circulating monocyte chemoattractant protein–1 levels with cardiovascular mortality.JAMA Cardiol.20216558759210.1001/jamacardio.2020.539233146689
    [Google Scholar]
  31. HemaniG. ZhengJ. ElsworthB. WadeK.H. HaberlandV. BairdD. LaurinC. BurgessS. BowdenJ. LangdonR. TanV.Y. YarmolinskyJ. ShihabH.A. TimpsonN.J. EvansD.M. ReltonC. MartinR.M. Davey SmithG. GauntT.R. HaycockP.C. The MR-base platform supports systematic causal inference across the human phenome.eLife20187e3440810.7554/eLife.3440829846171
    [Google Scholar]
  32. PapadimitriouN. DimouN. TsilidisK.K. BanburyB. MartinR.M. LewisS.J. KazmiN. RobinsonT.M. AlbanesD. AleksandrovaK. BerndtS.I. Timothy BishopD. BrennerH. BuchananD.D. Bueno-de-MesquitaB. CampbellP.T. Castellví-BelS. ChanA.T. Chang-ClaudeJ. Ellingjord-DaleM. FigueiredoJ.C. GallingerS.J. GilesG.G. GiovannucciE. GruberS.B. GsurA. HampeJ. HampelH. HarlidS. HarrisonT.A. HoffmeisterM. HopperJ.L. HsuL. María HuertaJ. HuygheJ.R. JenkinsM.A. KekuT.O. KühnT. La VecchiaC. Le MarchandL. LiC.I. LiL. LindblomA. LindorN.M. LynchB. MarkowitzS.D. MasalaG. MayA.M. MilneR. MonninkhofE. MorenoL. MorenoV. NewcombP.A. OffitK. PerducaV. PharoahP.D.P. PlatzE.A. PotterJ.D. RennertG. RiboliE. SánchezM.J. SchmitS.L. SchoenR.E. SeveriG. SieriS. SlatteryM.L. SongM. TangenC.M. ThibodeauS.N. TravisR.C. TrichopoulouA. UlrichC.M. van DuijnhovenF.J.B. Van GuelpenB. VodickaP. WhiteE. WolkA. WoodsM.O. WuA.H. PetersU. GunterM.J. MurphyN. Physical activity and risks of breast and colorectal cancer: A Mendelian randomisation analysis.Nat. Commun.202011159710.1038/s41467‑020‑14389‑832001714
    [Google Scholar]
  33. BowdenJ. Del Greco MF. MinelliC. Davey SmithG. SheehanN.A. ThompsonJ.R. Assessing the suitability of summary data for two-sample Mendelian randomization analyses using MR-Egger regression: The role of the I2 statistic.Int. J. Epidemiol.2016456dyw22010.1093/ije/dyw22027616674
    [Google Scholar]
  34. BurgessS. ThompsonS.G. CRP CHD Genetics Collaboration Avoiding bias from weak instruments in Mendelian randomization studies.Int. J. Epidemiol.201140375576410.1093/ije/dyr03621414999
    [Google Scholar]
  35. VerbanckM. ChenC.Y. NealeB. DoR. Detection of widespread horizontal pleiotropy in causal relationships inferred from Mendelian randomization between complex traits and diseases.Nat. Genet.201850569369810.1038/s41588‑018‑0099‑729686387
    [Google Scholar]
  36. BurgessS. Davey SmithG. DaviesN.M. DudbridgeF. GillD. GlymourM.M. HartwigF.P. KutalikZ. HolmesM.V. MinelliC. MorrisonJ.V. PanW. ReltonC.L. TheodoratouE. Guidelines for performing Mendelian randomization investigations: Update for summer 2023.Wellcome Open Res.2019418610.12688/wellcomeopenres.15555.332760811
    [Google Scholar]
  37. SongJ. LiA. QianY. LiuB. LvL. YeD. SunX. MaoY. Genetically predicted circulating levels of cytokines and the risk of cancer.Front. Immunol.20221388614410.3389/fimmu.2022.88614435865545
    [Google Scholar]
  38. BowdenJ. Davey SmithG. BurgessS. Mendelian randomization with invalid instruments: Effect estimation and bias detection through Egger regression.Int. J. Epidemiol.201544251252510.1093/ije/dyv08026050253
    [Google Scholar]
  39. EslamiO. ShahrakiM. BahariA. ShahrakiT. Dietary habits and obesity indices in patients with gastro-esophageal reflux disease: A comparative cross-sectional study.BMC Gastroenterol.201717113210.1186/s12876‑017‑0699‑129179692
    [Google Scholar]
  40. ZhangM. HouZ.K. HuangZ.B. ChenX.L. LiuF.B. Dietary and lifestyle factors related to gastroesophageal reflux disease: A systematic review.Ther. Clin. Risk Manag.20211730532310.2147/TCRM.S29668033883899
    [Google Scholar]
  41. LakananurakN. PitisuttithumP. SusantitaphongP. PatcharatrakulT. GonlachanvitS. The efficacy of dietary interventions in patients with gastroesophageal reflux disease: A systematic review and meta-analysis of intervention studies.Nutrients202416346410.3390/nu1603046438337748
    [Google Scholar]
  42. NilssonM. JohnsenR. YeW. HveemK. LagergrenJ. Lifestyle related risk factors in the aetiology of gastro-oesophageal reflux.Gut200453121730173510.1136/gut.2004.04326515542505
    [Google Scholar]
  43. AndersonL.A. CantwellM.M. WatsonR.G.P. JohnstonB.T. MurphyS.J. FergusonH.R. McGuiganJ. ComberH. ReynoldsJ.V. MurrayL.J. The association between alcohol and reflux esophagitis, Barrett’s esophagus, and esophageal adenocarcinoma.Gastroenterology2009136379980510.1053/j.gastro.2008.12.00519162028
    [Google Scholar]
  44. ChenY. ChenC. OuyangZ. DuanC. LiuJ. HouX. BaiT. Prevalence and beverage-related risk factors of gastroesophageal reflux disease: An original study in Chinese college freshmen, a systemic review and meta-analysis.Neurogastroenterol. Motil.2022345e1426610.1111/nmo.1426634585480
    [Google Scholar]
  45. PanJ. CenL. ChenW. YuC. LiY. ShenZ. Alcohol consumption and the risk of gastroesophageal reflux disease: A systematic review and meta-analysis.Alcohol Alcohol.2019541626910.1093/alcalc/agy06330184159
    [Google Scholar]
  46. ChangC.H. WuC.P. WangJ.D. LeeS.W. ChangC.S. YehH.Z. KoC.W. LienH.C. Alcohol and tea consumption are associated with asymptomatic erosive esophagitis in Taiwanese men.PLoS One2017123e017323010.1371/journal.pone.017323028264069
    [Google Scholar]
  47. Surdea-BlagaT. NegrutiuD.E. PalageM. DumitrascuD.L. Food and gastroesophageal reflux disease.Curr. Med. Chem.201926193497351110.2174/092986732466617051512380728521699
    [Google Scholar]
  48. QuachD.T. LuuM.N. NguyenP.V. VoU.P.P. VoC.H.M. Dietary and lifestyle factors associated with troublesome gastroesophageal reflux symptoms in Vietnamese adults.Front. Nutr.202310128051110.3389/fnut.2023.128051138024385
    [Google Scholar]
  49. SeidlH. GundlingF. ScheppW. SchmidtT. PehlC. Effect of low-proof alcoholic beverages on duodenogastro-esophageal reflux in health and GERD.Neurogastroenterol. Motil.2011232145e29, e2910.1111/j.1365‑2982.2010.01614.x20939854
    [Google Scholar]
  50. Ness-JensenE. LagergrenJ. Tobacco smoking, alcohol consumption and gastro-oesophageal reflux disease.Best Pract. Res. Clin. Gastroenterol.201731550150810.1016/j.bpg.2017.09.00429195669
    [Google Scholar]
  51. PehlC. FrommherzM. WendlB. SchmidtT. PfeifferA. C Pehl, M. Frommherz, B. Wendl, T. Effect of white wine on esophageal peristalsis and acid clearance.Scand. J. Gastroenterol.200035121255125910.1080/00365520045358411199363
    [Google Scholar]
  52. PehlC. FrommherzM. WendlB. PfeifferA. Gastroesophageal reflux induced by white wine: The role of acid clearance and “rereflux”.Am. J. Gastroenterol.200297356156710.1111/j.1572‑0241.2002.05530.x11922547
    [Google Scholar]
  53. WangS.E. HodgeA.M. DashtiS.G. Dixon-SuenS.C. MitchellH. ThomasR.J.S. WilliamsonE.M. MakalicE. BoussioutasA. HaydonA.M. GilesG.G. MilneR.L. KendallB.J. EnglishD.R. Diet and risk of gastro-oesophageal reflux disease in the melbourne collaborative cohort study.Public Health Nutr.202124155034504610.1017/S136898002100019733472714
    [Google Scholar]
  54. NamH.H. NanL. ChooB.K. Inhibitory effects of Camellia japonica on cell inflammation and acute rat reflux esophagitis.Chin. Med.2021161610.1186/s13020‑020‑00411‑033413538
    [Google Scholar]
  55. SamuthpongtornC. MehtaR.S. MaW. SongM. StallerK. ChanA.T. Dietary fiber is associated with decreased risk of gastroesophageal reflux symptoms.Clin. Gastroenterol. Hepatol.202422365365510.1016/j.cgh.2023.07.00637481119
    [Google Scholar]
  56. SaneeiP. KeshteliA.H. ShaabaniP. TabibianS-R. EsmaillzadehA. AdibiP. The relationship between fruit and vegetable intake with gastroesophageal reflux disease in Iranian adults.J. Res. Med. Sci.201722112510.4103/jrms.JRMS_283_1729259636
    [Google Scholar]
  57. MorozovS. IsakovV. KonovalovaM. Fiber-enriched diet helps to control symptoms and improves esophageal motility in patients with non-erosive gastroesophageal reflux disease.World J. Gastroenterol.201824212291229910.3748/wjg.v24.i21.229129881238
    [Google Scholar]
  58. LinS. LiH. FangX. Esophageal motor dysfunctions in gastroesophageal reflux disease and therapeutic perspectives.J. Neurogastroenterol. Motil.201925449950710.5056/jnm1908131587540
    [Google Scholar]
  59. ChenY. SunX. FanW. YuJ. WangP. LiuD. SongM. LiuS. ZuoX. ZhangR. HouY. HanS. LiY. ZhangJ. LiX. KeM. FangX. Differences in dietary and lifestyle triggers between non-erosive reflux disease and reflux esophagitis-a multicenter cross-sectional survey in China.Nutrients20231515340010.3390/nu1515340037571337
    [Google Scholar]
  60. WongM.W. HungJ.S. LeiW.Y. LiuT.T. YiC.H. LiangS.W. GyawaliC.P. WangJ.H. ChenC.L. Esophageal secondary peristalsis following acid infusion and chemical clearance correlate with mucosal integrity and acid sensitivity in GERD patients.Therap. Adv. Gastroenterol.2023161756284823117932910.1177/1756284823117932937440930
    [Google Scholar]
  61. LechienJ.R. BobinF. MulsV. HoroiM. ThillM.P. DequanterD. RodriguezA. SaussezS. Patients with acid, high-fat and low-protein diet have higher laryngopharyngeal reflux episodes at the impedance-pH monitoring. European archives of oto-rhino-laryngology: official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS): Affiliated with the German Society for Oto-Rhino-Laryngology -.Head Neck Surg.20202772511520
    [Google Scholar]
  62. SharmaP. YadlapatiR. Pathophysiology and treatment options for gastroesophageal reflux disease: Looking beyond acid.Ann. N. Y. Acad. Sci.20211486131410.1111/nyas.1450133015827
    [Google Scholar]
  63. GuC. OlszewskiT. VaeziM.F. NiswenderK.D. SilverH.J. Objective ambulatory pH monitoring and subjective symptom assessment of gastroesophageal reflux disease show type of carbohydrate and type of fat matter.Therap. Adv. Gastroenterol.202215p. 1756284822110128910.1177/1756284822110128935663436
    [Google Scholar]
  64. LangellaC. NaviglioD. MarinoM. CalogeroA. GalloM. New food approaches to reduce and/or eliminate increased gastric acidity related to gastroesophageal pathologies.Nutrition201854263210.1016/j.nut.2018.03.00229729504
    [Google Scholar]
  65. MehtaR.S. SongM. StallerK. ChanA.T. Association Between Beverage Intake and Incidence of Gastroesophageal Reflux Symptoms Association between beverage intake and incidence of gastroesophageal reflux symptoms.Clin. Gastroenterol. Hepatol.2020181022262233.e410.1016/j.cgh.2019.11.04031786327
    [Google Scholar]
  66. PoleseB. IzzoL. MancinoN. PesceM. RurgoS. TricaricoM.C. LombardiS. De ConnoB. SarnelliG. RitieniA. Effect of dewaxed coffee on gastroesophageal symptoms in patients with GERD: A randomized pilot study.Nutrients20221412251010.3390/nu1412251035745239
    [Google Scholar]
  67. YuanS. LarssonS.C. Adiposity, diabetes, lifestyle factors and risk of gastroesophageal reflux disease: A Mendelian randomization study.Eur. J. Epidemiol.202237774775410.1007/s10654‑022‑00842‑z35119566
    [Google Scholar]
  68. NiuC.Y. ZhouY.L. YanR. MuN.L. GaoB.H. WuF.X. LuoJ.Y. Incidence of gastroesophageal reflux disease in uygur and han chinese adults in urumqi.World J. Gastroenterol.201218487333734010.3748/wjg.v18.i48.733323326142
    [Google Scholar]
  69. FilibertiR.A. FontanaV. De CeglieA. BlanchiS. GrossiE. Della CasaD. LacchinT. De MatthaeisM. IgnomirelliO. CappielloR. RosaA. FotiM. LaterzaF. D’OnofrioV. IaquintoG. ConioM. Association between coffee or tea drinking and Barrett’s esophagus or esophagitis: An Italian study.Eur. J. Clin. Nutr.201771898098610.1038/ejcn.2017.6428488688
    [Google Scholar]
  70. CaoH. HuangX. ZhiX. HanC. LiL. LiY. Association between tea consumption and gastroesophageal reflux disease.Medicine2019984e1417310.1097/MD.000000000001417330681584
    [Google Scholar]
  71. NamS.Y. ParkB.J. ChoY.A. RyuK.H. ChoiI.J. ParkS. KimY.W. Different effects of dietary factors on reflux esophagitis and non-erosive reflux disease in 11,690 Korean subjects.J. Gastroenterol.201752781882910.1007/s00535‑016‑1282‑127848027
    [Google Scholar]
  72. ChangP. FriedenbergF. Obesity and GERD.Gastroenterol. Clin. North Am.201443116117310.1016/j.gtc.2013.11.00924503366
    [Google Scholar]
  73. GuC. OlszewskiT. KingK.L. VaeziM.F. NiswenderK.D. SilverH.J. The effects of modifying amount and type of dietary carbohydrate on esophageal acid exposure time and esophageal reflux symptoms: A randomized controlled trial.Am. J. Gastroenterol.2022117101655166710.14309/ajg.000000000000188935973185
    [Google Scholar]
  74. FujiwaraY. MachidaA. WatanabeY. ShibaM. TominagaK. WatanabeT. OshitaniN. HiguchiK. ArakawaT. Association between dinner-to-bed time and gastro-esophageal reflux disease.Am. J. Gastroenterol.2005100122633263610.1111/j.1572‑0241.2005.00354.x16393212
    [Google Scholar]
  75. SinnD.H. ShinD.H. LimS.W. KimK.M. SonH.J. KimJ.J. RheeJ.C. RheeP.L. The speed of eating and functional dyspepsia in young women.Gut Liver20104217317810.5009/gnl.2010.4.2.17320559518
    [Google Scholar]
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