Association between skeletal muscle attenuation and gastroesophageal reflux disease: A health check-up cohort study

Sarcopenia is defined as skeletal muscle attenuation and has an association with metabolic syndrome. Metabolic syndrome, which includes obesity, is one of known predictive factors for gastroesophageal reflux disease (GERD). This study aimed to elucidate the association between sarcopenia and GERD. W...

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Veröffentlicht in:Scientific reports 2019-12, Vol.9 (1), p.20102-8, Article 20102
Hauptverfasser: Kim, Young Min, Kim, Jie-Hyun, Baik, Su Jung, Jung, Da Hyun, Park, Jae Jun, Youn, Young Hoon, Park, Hyojin
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container_title Scientific reports
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Kim, Jie-Hyun
Baik, Su Jung
Jung, Da Hyun
Park, Jae Jun
Youn, Young Hoon
Park, Hyojin
description Sarcopenia is defined as skeletal muscle attenuation and has an association with metabolic syndrome. Metabolic syndrome, which includes obesity, is one of known predictive factors for gastroesophageal reflux disease (GERD). This study aimed to elucidate the association between sarcopenia and GERD. We retrospectively reviewed electronic medical records of 8,218 patients who were performed an upper gastrointestinal endoscopy at check-up center of the Gangnam Severance Hospital. GERD was diagnosed by endoscopic findings. Erosive reflux disease (ERD) included Barrett's esophagus and reflux esophagitis, with the exception of minimal change esophagitis. Sarcopenia was defined by appendicular skeletal muscle (skeletal muscle in the upper and lower limbs). Sarcopenic obesity was defined as the presence of both sarcopenia and obesity. Associations between sarcopenia and GERD, as well as between sarcopenic obesity and ERD, were analyzed. A total of 3,414 patients were diagnosed with GERD, and 574 (16.8%) had sarcopenia. Sarcopenia was independent predictive factor for GERD (odds ratio [OR] = 1.170, 95% confidence interval [CI]: 1.016–1.346, P  = 0.029). In addition, male sex, smoking, alcohol, and diet, including sweets and fatty food, had a significant association with GERD. A total of 1,423 (17.3%) of 8,218 patients were diagnosed with ERD, and 302 (21.2%) had sarcopenia. Male sex, smoking, and fatty food consumption had a significant association with ERD. Moreover, sarcopenia (OR = 1.215, 95% CI: 1.019–1.449, P  = 0.030), obesity (OR = 1.343, 95% CI: 1.163–1.552, P  
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Metabolic syndrome, which includes obesity, is one of known predictive factors for gastroesophageal reflux disease (GERD). This study aimed to elucidate the association between sarcopenia and GERD. We retrospectively reviewed electronic medical records of 8,218 patients who were performed an upper gastrointestinal endoscopy at check-up center of the Gangnam Severance Hospital. GERD was diagnosed by endoscopic findings. Erosive reflux disease (ERD) included Barrett's esophagus and reflux esophagitis, with the exception of minimal change esophagitis. Sarcopenia was defined by appendicular skeletal muscle (skeletal muscle in the upper and lower limbs). Sarcopenic obesity was defined as the presence of both sarcopenia and obesity. Associations between sarcopenia and GERD, as well as between sarcopenic obesity and ERD, were analyzed. A total of 3,414 patients were diagnosed with GERD, and 574 (16.8%) had sarcopenia. Sarcopenia was independent predictive factor for GERD (odds ratio [OR] = 1.170, 95% confidence interval [CI]: 1.016–1.346, P  = 0.029). In addition, male sex, smoking, alcohol, and diet, including sweets and fatty food, had a significant association with GERD. A total of 1,423 (17.3%) of 8,218 patients were diagnosed with ERD, and 302 (21.2%) had sarcopenia. Male sex, smoking, and fatty food consumption had a significant association with ERD. Moreover, sarcopenia (OR = 1.215, 95% CI: 1.019–1.449, P  = 0.030), obesity (OR = 1.343, 95% CI: 1.163–1.552, P  &lt; 0.001), and sarcopenic obesity (OR = 1.406, 95% CI: 1.195–1.654, P  &lt; 0.001) were independent predictive factors for ERD. Sarcopenia is associated with GERD, and sarcopenic obesity may be predictive factor for ERD.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-019-56702-6</identifier><identifier>PMID: 31882910</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/4020/1503/2753/196 ; 692/4020/2741/1479 ; Adult ; Anthropometry ; Barrett's esophagus ; Biomarkers ; Cohort analysis ; Cohort Studies ; Cross-Sectional Studies ; Disease Susceptibility ; Electronic medical records ; Endoscopy ; Esophagitis ; Female ; Food consumption ; Gastroesophageal reflux ; Gastroesophageal Reflux - epidemiology ; Gastroesophageal Reflux - etiology ; Gastroesophageal Reflux - physiopathology ; Humanities and Social Sciences ; Humans ; Male ; Metabolic disorders ; Metabolic syndrome ; Middle Aged ; multidisciplinary ; Muscle, Skeletal - physiopathology ; Musculoskeletal system ; Obesity ; Patients ; Republic of Korea - epidemiology ; Retrospective Studies ; Risk Assessment ; Risk Factors ; Sarcopenia ; Science ; Science (multidisciplinary) ; Skeletal muscle ; Smoking</subject><ispartof>Scientific reports, 2019-12, Vol.9 (1), p.20102-8, Article 20102</ispartof><rights>The Author(s) 2019</rights><rights>2019. 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Metabolic syndrome, which includes obesity, is one of known predictive factors for gastroesophageal reflux disease (GERD). This study aimed to elucidate the association between sarcopenia and GERD. We retrospectively reviewed electronic medical records of 8,218 patients who were performed an upper gastrointestinal endoscopy at check-up center of the Gangnam Severance Hospital. GERD was diagnosed by endoscopic findings. Erosive reflux disease (ERD) included Barrett's esophagus and reflux esophagitis, with the exception of minimal change esophagitis. Sarcopenia was defined by appendicular skeletal muscle (skeletal muscle in the upper and lower limbs). Sarcopenic obesity was defined as the presence of both sarcopenia and obesity. Associations between sarcopenia and GERD, as well as between sarcopenic obesity and ERD, were analyzed. A total of 3,414 patients were diagnosed with GERD, and 574 (16.8%) had sarcopenia. Sarcopenia was independent predictive factor for GERD (odds ratio [OR] = 1.170, 95% confidence interval [CI]: 1.016–1.346, P  = 0.029). In addition, male sex, smoking, alcohol, and diet, including sweets and fatty food, had a significant association with GERD. A total of 1,423 (17.3%) of 8,218 patients were diagnosed with ERD, and 302 (21.2%) had sarcopenia. Male sex, smoking, and fatty food consumption had a significant association with ERD. Moreover, sarcopenia (OR = 1.215, 95% CI: 1.019–1.449, P  = 0.030), obesity (OR = 1.343, 95% CI: 1.163–1.552, P  &lt; 0.001), and sarcopenic obesity (OR = 1.406, 95% CI: 1.195–1.654, P  &lt; 0.001) were independent predictive factors for ERD. 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Metabolic syndrome, which includes obesity, is one of known predictive factors for gastroesophageal reflux disease (GERD). This study aimed to elucidate the association between sarcopenia and GERD. We retrospectively reviewed electronic medical records of 8,218 patients who were performed an upper gastrointestinal endoscopy at check-up center of the Gangnam Severance Hospital. GERD was diagnosed by endoscopic findings. Erosive reflux disease (ERD) included Barrett's esophagus and reflux esophagitis, with the exception of minimal change esophagitis. Sarcopenia was defined by appendicular skeletal muscle (skeletal muscle in the upper and lower limbs). Sarcopenic obesity was defined as the presence of both sarcopenia and obesity. Associations between sarcopenia and GERD, as well as between sarcopenic obesity and ERD, were analyzed. A total of 3,414 patients were diagnosed with GERD, and 574 (16.8%) had sarcopenia. Sarcopenia was independent predictive factor for GERD (odds ratio [OR] = 1.170, 95% confidence interval [CI]: 1.016–1.346, P  = 0.029). In addition, male sex, smoking, alcohol, and diet, including sweets and fatty food, had a significant association with GERD. A total of 1,423 (17.3%) of 8,218 patients were diagnosed with ERD, and 302 (21.2%) had sarcopenia. Male sex, smoking, and fatty food consumption had a significant association with ERD. Moreover, sarcopenia (OR = 1.215, 95% CI: 1.019–1.449, P  = 0.030), obesity (OR = 1.343, 95% CI: 1.163–1.552, P  &lt; 0.001), and sarcopenic obesity (OR = 1.406, 95% CI: 1.195–1.654, P  &lt; 0.001) were independent predictive factors for ERD. Sarcopenia is associated with GERD, and sarcopenic obesity may be predictive factor for ERD.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>31882910</pmid><doi>10.1038/s41598-019-56702-6</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3790-7701</orcidid><orcidid>https://orcid.org/0000-0002-9198-3326</orcidid><oa>free_for_read</oa></addata></record>
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subjects 692/4020/1503/2753/196
692/4020/2741/1479
Adult
Anthropometry
Barrett's esophagus
Biomarkers
Cohort analysis
Cohort Studies
Cross-Sectional Studies
Disease Susceptibility
Electronic medical records
Endoscopy
Esophagitis
Female
Food consumption
Gastroesophageal reflux
Gastroesophageal Reflux - epidemiology
Gastroesophageal Reflux - etiology
Gastroesophageal Reflux - physiopathology
Humanities and Social Sciences
Humans
Male
Metabolic disorders
Metabolic syndrome
Middle Aged
multidisciplinary
Muscle, Skeletal - physiopathology
Musculoskeletal system
Obesity
Patients
Republic of Korea - epidemiology
Retrospective Studies
Risk Assessment
Risk Factors
Sarcopenia
Science
Science (multidisciplinary)
Skeletal muscle
Smoking
title Association between skeletal muscle attenuation and gastroesophageal reflux disease: A health check-up cohort study
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