There was no clear trend in GERD incidence by race. The proportion of patients with GERD in the 60—69 years age group demonstrated a slight decrease —0.
The proportion of patients with GERD in the remaining age groups showed a significant increase 15—19 years: 0. The present study is a large, population-based cohort study that examined if GERD is becoming more common among younger populations when using trend analysis.
In general, the number of patients with GERD in our study has increased over time. However, the observed numerical increase in patients in the dataset represents an increase in the number of registered institutions in Explorys. GERD has been considered to be a disease of middle aged and older subjects. The study demonstrated that the incidence of GERD-related symptoms increased with age.
In our study, however, the greatest rise in the proportion of patients with GERD diagnosis was seen in young adults aged 30—39 years in both datasets during the last decade. These results clearly suggest that younger subjects are more exposed today to risk factors for GERD development as compared with 10 years ago.
In addition, it appears that risk factors for GERD continue to affect a growing number of the adult population—but specifically younger subjects, with resulting in early development of GERD. In a population-based study, more than An important finding of our study was the general characteristic of GERD patients who were primarily obese or severely obese, older women, and Caucasian. In our study, the proportion of GERD patients using PPIs fell significantly in those who were over 70 years old in the universal dataset.
In contrast, the proportion of GERD patients using PPIs has significantly increased in the other age groups, with the greatest increase being in the 30—39 years old group. Both trends closely follow the incidence trends of GERD in the same age groups. While PPI consumption remains high, with Americans spending more than 10 billion dollars per year for the different PPIs, concerns have been raised about the possible development of side effects.
Based on our study results, more GERD patients are starting on chronic PPI treatment at a younger age, which may potentially increase the likelihood of long-term adverse events such as chronic kidney disease, osteoporosis, gastrointestinal infection, pneumonia, and others. Our study has several limitations that need to be discussed. The results are based on the Explorys dataset, which originates from 26 major Healthcare systems and hospitals overall.
This vast dataset is de-identified and thus may not reveal regional or individual hospital trends. Contributions to the dataset originate from many hospitals around the country, but this may not truly represent the diverse Healthcare system in the United States.
Thus, we could not determine the relationship between severity of GERD and age. Consequently, it is assumed that GERD was diagnosed based on endoscopic findings or patient symptoms. In addition, Explorys is susceptible to limited documentation by physicians, which can lead to error in data collection and confound analysis. In conclusion, GERD remains predominantly a disease of the middle aged and elderly with a higher proportion among Caucasians and females.
However, there has been a significant increase in the proportion of patients with GERD in the younger age groups. Our study suggests that physicians should be more aware that the proportion of young adults with GERD has been increasing continuously. The ramifications of the aforementioned trend remain to be elucidated. Financial support: None. Conflicts of interest: None. Author contributions: Ronnie Fass: study design, data analysis, and drafting and finalizing manuscript; Takahisa Yamasaki, Colin Hemond, and Mohamed Eisa: data collection, data analysis, and drafting and finalizing manuscript; and Stephen Ganocy: data analysis, drafting and finalizing manuscript, and statistical analysis.
National Center for Biotechnology Information , U. Journal List J Neurogastroenterol Motil v. J Neurogastroenterol Motil. Published online Oct 1. Author information Article notes Copyright and License information Disclaimer.
Even though a majority of people assume that GERD is caused by certain food, lifestyle habits, or stressful situations, scientist suspect that it is caused by both genetic and environmental factors. With this in mind, one's genes can play a role in causing structural problems in the esophagus which in turn causes GERD. There are several possible tests to diagnose GERD. It is usually diagnosed based on the symptoms and response to treatment. For persons who have shown symptoms of GERD but have no evidence of complication, doctors can recommend a dietary and lifestyle changes as a trial treatment.
When the symptoms are not severe and the diagnosis of GERD is not clear, one of the following tests may be conducted. If you experience excess chest pain, difficulty in swallowing food, bleeding or choking, then it could be an indication of a more serious problem and you should seek treatment immediately. If lifestyle changes do not lead to improvement of symptoms, then doctors will recommend anti-reflux surgical operations.
Generally, surgical treatments involve strengthening the lower esophageal sphincter and repairing the hiatus hernia. These involve a number of surgical procedures which include tightening the sphincter muscles through sewing.
Radiofrequency may also be used to tighten the sphincter muscles. Acid reflux is a common condition that causes discomfort. This article lists easy, inexpensive remedies a person can try at home. This article discusses over-the-counter treatments for GERD, how they work, and their side effects.
It covers H2 blockers, antacids, and more. Written by Catharine Paddock, Ph. Exposure to air pollutants may amplify risk for depression in healthy individuals. Skip to main content. Close close Donate. Close Close. BBC Newsday Value this story?
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