Reducing simple sugars in diet may ameliorate symptoms of GERD – Medical Dialogues

Researchers have found in a new study that dietary carbohydrate modification and substantial reduction in the intake of simple sugars improved pH monitoring outcomes and symptoms of gastroesophageal reflux disease. The study was published in The American Journal of Gastroenterology. Gastroesophageal reflux disease (GERD) is the most frequent, most costly, and most…
Researchers have found in a new study  that dietary carbohydrate modification and substantial reduction in the intake of simple sugars improved pH monitoring outcomes and symptoms of gastroesophageal reflux disease. The study was published in The American Journal of Gastroenterology
Gastroesophageal reflux disease (GERD) is the most frequent, most costly, and most debilitating gastrointestinal disorder which affects the quality of life. Dietary recommendations are given to reduce the symptoms of GERD but no literature studied the effects of both the amount and type of dietary carbohydrate on symptomatic GERD. Hence, researchers conducted a randomized controlled diet intervention trial to investigate both the amount and type of carbohydrates in symptomatic gastroesophageal reflux disease (GERD). 
For nine weeks, a high total/high simple, high total/low simple, low total/high simple, or low total/low simple carbohydrate diet was randomly assigned to 98 veterans with symptomatic GERD. Esophageal acid exposure time (AET) and the total number of reflux episodes derived from 24-hour ambulatory pH monitoring were the primary outcomes. Secondary outcomes were esophageal reflux symptoms rated using the Gastroesophageal Reflux Disease Questionnaire (GERDQ) and GERD Symptom Assessment Scale (GSAS). 
RESULTS:
This is a first-of-its-kind trial to investigate both the amount and type of carbohydrates in symptomatic gastroesophageal reflux disease (GERD). Dietary carbohydrate modification can have much impact on the symptoms of GERD. 
Further reading: Gu C, Olszewski T, King KL, Vaezi MF, Niswender KD, Silver HJ. 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. 2022;117(10):1655-1667. doi:10.14309/ajg.0000000000001889
Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at [email protected]
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