unexplained weight lossGERD?
An evidence-based approach. 5 kg showed three times significantly higher frequency of new onset GERD (39).
Although a positive and significant correlation between weight loss and GERD scores was noted, it appears that the correlation is not linear and more complex. The change in GERD scores among obese subjects probably occurs secondary to multiple factors such as gender, proportional changes in abdominal vs. peripheral fat weight, hormonal (adiponectin), and genetic factors besides weight loss. In the current study, not all obese subjects with GERD who lost weight had reduction in GERD scores, 13% had no change whereas 7% subjects had worsening of their GERD symptoms. Therefore, weight change is probably one of the factors that affect GERD symptoms. However, a few previous studies including severely obese subjects enrolled in a low calorie diet based weight loss protocol failed to show any significant change in GERD symptoms despite a weight loss of up to 10 kg (23,25) or more (24).
Weight loss has an independent beneficial effect on symptoms of gastro-oesophageal reflux in patients who are over-weight. 5. Sharma P, Wani S, Romero Y, Johnson D, Hamilton F. Racial and geographic issues in gastroesophageal reflux disease. Therefore, a small percentage of overweight and or obese subjects may not have resolution of GERD with weight loss; future trials defining predictors of GERD improvement in overweight/obese subjects are required.
Without enough of this acid working in your stomach, the digestion process can be affected, which leads to feeling bloated or nauseated during or just after meals. You could also feel heartburn or indigestion, which is why many people, including myself, pop an antacid. â€œMany people associate gastric distress with an excess of stomach acid, but low stomach acid is more likely to be the surprising cause behind your digestive issues,â€ she notes, adding that itâ€™s associated with a variety of conditions from constipation and eczema to celiac disease and asthma. Weight loss is one of the best ways to beat GERD. The first step is to reduce your daily calorie intake.
Research, particularly a recent study from Denmark following more than 9, 800 GERD sufferers, has linked proton pump inhibitors with increase risk of esophageal cancer. A growing body of research shows that your weight can have a significant impact on acid reflux and related symptoms. Nevertheless, this small study showed that a multidisciplinary weight loss program aimed at people with GERD could result in weight loss, improved symptoms, and overall satisfaction with the program.
Approximately 40% of adult Americans now suffer from acid reflux. And shockingly, rates of esophageal cancer in the U.S. have increased 500% since the 1970s.
Naturally, losing weight is a great way to reduce the pressure on your LES and give it a better chance at working the way it was intended to – and hopefully minimizing your reflux. A lot of research has been done to find the connection between weight gain and acid reflux, and all the findings point in one direction – weight gain worsens acid reflux symptoms. Scientists have found that excess abdominal fat exerts reverse pressure on the stomach, which pushes the LES open, sloshing acid back up the esophagus. A study done at The Chinese University of Hong Kong discovered abnormal LES function post-eating in overweight and obesity subjects, establishing a direct connection between obesity and GERD. Gastroesophageal Reflux Disease or GERD, also commonly known as Heartburn, is a common digestive disorder.
Gastroesophageal reflux disease and heartburn have nothing to do with the heart, even though it seems like a burning sensation in the chest. The esophagus lies just behind the heart, so heartburn can be confused with a heart problem. One important difference is that heartburn usually does not start or worsen with physical activity, while pain related to the heart often comes on with exertion (angina).