THE ASSOCIATION BETWEEN BODY MASS INDEX (BMI) AND GERDQ SCORES, HIATAL HERNIA, REFLUX ESOPHAGITIS IN GERD PATIENTS
Sisca*, Fardah Akil
Faculty of Medicine, Hasanuddin University, Makassar-Indonesia
*Corresponding Author:siscaamir1204@gmail.com
ABSTRACT
Background: Gastroesophageal reflux disease (GERD) is a condition that develops when there is a retrograde flow of stomach contents back into the esophagus. An increase body mass index (BMI) is risk factor of GERD. Excess body weight will cause several conditions such as increased intra-abdominal pressure, slow gastric emptying, increased frequency of transient lower esophageal sphincter relaxation (TLESR), spontaneous reflux of inadequate lower esophageal sphincter (LES) relaxation, all of these factors will cause a decrease in LES function which continues to become imbalanced. This study aims to determine the association between Body Mass Index and GerdQ scores, Hiatal hernia, Reflux esophagitis in GERD patients.
Material and Method: This cross-sectional study collected data on GERD patients admitted to Wahidin Sudirohusodo Hospital from January 2015 to November 2018. The data taken consisted of 693 subjects who had GERD symptoms which had GerdQ and BMI scores. Data analysis used SPSS version 25. The statistical test used was Chi Square test and the results of the statistical test were significant if the p value < 0.05.
Results: This study included 693 subjects with symptoms of GERD. GerdQ scores that have likelihood GERD (GerdQ ≥ 8) are 363 subjects and not likelihood GERD (GerdQ < 8) are 330 subjects. The results of the analysis found no association between BMI and GerdQ scores with p value is 0.098 (p >0.05), and no association between BMI and complications of GERD (Hiatal Hernia with p value is 0.344 and Reflux Esophagitis with p value is 0.735).
Conclusion: There was no association between BMI and GerdQ scores, Hiatal Hernia, and Reflux Esophagitis in GERD patients.
Keyword: GERD, BMI, Hiatal hernia, Reflux esophagitis