Evidence map›Paper›PMID 21229366›Full record

ArticleJournal of gastroenterology2011

Risk factors for erosive esophagitis: a cross-sectional study of a large number of Japanese males.

Toshiaki Gunji, Hajime Sato, Kimiko Iijima, Kazutoshi Fujibayashi, Mitsue Okumura, Noriko Sasabe, Akio Urabe, Nobuyuki Matsuhashi

Abstract read
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In one paragraph

Article in Journal of gastroenterology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
  2. Central adiposity is associated with increased risk of esophageal inflammation, metaplasia, and adenocarcinoma: a systematic review and meta-analysis.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2013
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Disease trends afterWorld journal of gastroenterology · 2023
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  9. Management of Helicobacter pylori infection: The Bhubaneswar Consensus Report of the Indian Society of Gastroenterology.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021
    Article
  10. The relationship betweenTherapeutic advances in gastroenterology · 2021
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  11. Observational
  12. Article
  13. Article
  14. Review
  15. Influence of sex on the association between body mass index and frequency of upper gastrointestinal symptoms.JGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Alcohol accumulation promotes esophagitis via pyroptosis activation.International journal of biological sciences · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Toshiaki GunjiCenter for Preventive Medicine, Kanto Medical Center, NTT East, Tokyo, Japan.
Hajime Sato
Kimiko Iijima
Kazutoshi Fujibayashi
Mitsue Okumura
Noriko Sasabe
Akio Urabe
Nobuyuki Matsuhashi
NTT Medical Center · JPThe University of Tokyo · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe impact of obesity on gastroesophageal reflux disease remains controversial. We undertook this study, with a large sample size, to investigate risk factors for endoscopic erosive esophagitis by multivariate analysis, including visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) as covariates.

methodsJapanese males who visited our institute for a comprehensive medical survey between 2007 and 2010 were enrolled. All subjects voluntarily participated in a self-paid health check-up program including blood test screening, physical examinations, and esophagogastroduodenoscopy. VAT and SAT were measured by computed tomography at the navel level. Independent and significant predictors of erosive esophagitis were determined by multivariate analysis.

resultsOf 9840 eligible subjects, 1831 (18.6%) were diagnosed with erosive esophagitis. Body mass index and triglyceride were predictors of an increased prevalence of erosive esophagitis (odds ratios [ORs] = 1.063 and 1.001; 95% confidence intervals [CIs] = 1.020-1.108 and 1.001-1.002; p = 0.004 and <0.001, respectively). Heavy alcohol consumption, heavy smoking, and hiatal hernia were also associated with an increased prevalence of erosive esophagitis (ORs = 1.276, 1.399, and 2.758; 95% CIs = 1.085-1.501, 1.220-1.605, and 2.474-3.075; p < 0.001 for all). Helicobacter pylori infection significantly and independently decreased the prevalence of erosive esophagitis (OR = 0.346, 95% CI = 0.299-0.401, p < 0.001). Central obesity, as determined by VAT and waist girth, did not confer an increased risk of erosive esophagitis after adjusting for confounders.

conclusionsLifestyle factors including heavy alcohol consumption, heavy smoking, metabolic disorders, and hiatal hernia increased the risk of erosive esophagitis, but central obesity did not.

Indexed as

AdultAlcohol DrinkingCross-Sectional StudiesEndoscopy, Digestive SystemEsophagitisHernia, HiatalHumansIntra-Abdominal FatJapanMaleMetabolic DiseasesMiddle AgedMultivariate AnalysisRisk FactorsSmokingSubcutaneous FatTriglycerides

Identifiers

PMID21229366
OpenAlexW2009680913

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.