Nutrition Profile of Women with Functional Upper Gastrointestinal Disorders
Giga Sordia1*, Gela Sulaberidze1, Maia Okujava2, Marina Tughushi1 and Konstantine Liluashvili1
1Department of General Internal Medicine, Tbilisi State Medical University, Georgia
2Department of Medical Pharmacology, Tbilisi State Medical University, Georgia
*Corresponding Author: Giga Sordia, Department of General Internal Medicine, Tbilisi State Medical University, Georgia.
March 14, 2023; Published: March 29, 2023
The dietary profile is considered an important trigger causing symptoms of the functional upper gastrointestinal disorders,thus, the optimization of food intake is an important element in the treatment of non-erosive gastroesophageal reflux disease (NERD) and functional dyspepsia(FD).The cohort of 164 patients (mean age 31.4 ± 7.7 years) with NERD (84 patients, 51.2%) and FD (80 patients, 48.8%) was studded to evaluatethe possible links between dietary patterns and upper gastrointestinal functional disorders. The data obtained from one-month nutritional history questionnaires were used to quantify the usual intake of essential nutrients, including dietary fiber, which make up the energy balance. The gained data were reviewed by age of patients and forms of the disease. Comparisons were made between subgroups of patients, and regression models were analyzed. In the entire group of patients involved in the study, as well as ingroups divided by age and symptoms of functional gastrointestinal disorder, an absolute deficiency of intake of dietary fiber was revealed. Dietary fiber was significantly less consumed among patients aged <35 years compared to those aged ≥35 years (19.6 ± 9.3 g/day vs. 27.8 ± 7.9 g/day, p < 0.0001). The results of the regression analysis of the nutrients consumed revealed that in all study groups carbohydrate intake was a significant predictor of dietary fiber intake (coefficient of probability from 6.60 ± 1.27 to 9.65 ± 0.58). Conversely, the predictability of fiber consumption in relation to carbohydrates is very low (coefficient of probability - from 0.06 ± 0.01 to 0.08 ± 0.01). This relationship indicates that fiber is consumed from food forms that are high in simple carbohydrates and low in complex carbohydrates, including fiber. Deficiency of energy obtained from food was detected in 24.4% of patients, excess energy intake - in 43.3%, and recommended intake - in 32.3%. Assessment of consumption of macronutrientsin groups with different energy profiles revealed a relative deficiency of carbohydrate and protein intake and a relative excess of fat intake. In patients with NERD and FD intake of total fiber, as well as fiber from bread and wheat products, is significantly insufficient and it is consumed mainly from products with low fiber content.
Keywords: Non-erosive Gastroesophageal Reflux Disease; Functional Dyspepsia; Nutrients; Carbohydrates; Protein; Fat; Dietary Fiber; Energy Balance
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