ArticlePloS one2014
Determinants of gastroesophageal reflux disease, including hookah smoking and opium use- a cross-sectional analysis of 50,000 individuals.
Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- The waterpipe smoking and human health: a systematic review and meta-analysis of 191 observational studies.Systematic reviews · 2025Pooled it
- Association between body mass index at different levels and risk of gastroesophageal reflux disease: a systematic review with dose-response meta-analysis.Frontiers in physiology · 2025Pooled it
- Association between physical activity and risk of gastroesophageal reflux disease: A systematic review and meta-analysis.Journal of sport and health science · 2024Pooled it
- Epidemiology of gastroesophageal reflux disease in Iran: a systematic review and meta-analysis.BMC gastroenterology · 2020Pooled it
- Systematic review: methodological flaws in racial/ethnic reporting for gastroesophageal reflux disease.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2018Pooled it
- Sweetened beverage intake and incident gastroesophageal reflux disease in a prospective cohort study.European journal of nutrition · 2025Article
- Prevalence and Factors Associated With Proton Pump Inhibitors (PPIs) Use: A Cross-Sectional Study of PERSIAN Guilan Cohort Study.Health science reports · 2025Article
- Peptic ulcer characteristics in oral opium and non-opium user patients with upper gastrointestinal bleeding.BMC gastroenterology · 2024Article
- Analysis of attitudes and practices toward gastroesophageal reflux disease among the general population of Pakistan.Future science OA · 2024Article
- Gastroesophageal reflux disease symptoms and associated factors among university students in Amhara region, Ethiopia, 2021: a cross-sectional study.BMC gastroenterology · 2023Article
- Sex and smoking differences in the association between gastroesophageal reflux and risk of esophageal squamous cell carcinoma in a high-incidence area: Golestan Cohort Study.International journal of cancer · 2023Article
- Assessing the Degree of Gastroesophageal Reflux Disease (GERD) Knowledge Among the Riyadh Population.Cureus · 2021Article
- Why differences between New York and New Delhi matter in approach to gastroesophageal reflux disease.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019Article
- Article
- Prevalence and risk factors of gastroesophageal reflux disease among Shaqra University students, Saudi Arabia.Journal of family medicine and primary care · 2019Article
- Cancer incidence in the East Azerbaijan province of Iran in 2015-2016: results of a population-based cancer registry.BMC public health · 2018Article
- Socioeconomic Inequalities in Gastroesophageal Reflux Disorder: Results from an Iranian Cohort Study.Middle East journal of digestive diseases · 2018Article
- The association between waterpipe smoking and gastroesophageal reflux disease.International journal of epidemiology · 2017Article
- Prevalence and Correlates of Gastroesophageal Reflux Disease in Southern Iran: Pars Cohort Study.Middle East journal of digestive diseases · 2017Article
- Article
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Authors and funding
15 authors.
Funding
Abstract
backgroundGastroesophageal reflux disease (GERD) is a common cause of discomfort and morbidity worldwide. However, information on determinants of GERD from large-scale studies in low- to medium-income countries is limited. We investigated the factors associated with different measures of GERD symptoms, including frequency, patient-perceived severity, and onset time.
methodsWe performed a cross-sectional analysis of the baseline data from a population-based cohort study of ∼ 50,000 individuals in in Golestan Province, Iran. GERD symptoms in this study included regurgitation and/or heartburn.
resultsApproximately 20% of participants reported at least weekly symptoms. Daily symptoms were less commonly reported by men, those of Turkmen ethnicity, and nass chewers. On the other hand, age, body mass index, alcohol drinking, cigarette smoking, opium use, lower socioeconomic status, and lower physical activity were associated with daily symptoms. Most of these factors showed similar associations with severe symptoms. Women with higher BMI and waist to hip ratio were more likely to report frequent and severe GERD symptoms. Hookah smoking (OR 1.34, 95% CI 1.02-1.75) and opium use (OR 1.70, 95% CI 1.55-1.87) were associated with severe symptoms, whereas nass chewing had an inverse association (OR 0.87, 95% CI 0.76-0.99). After exclusion of cigarette smokers, hookah smoking was still positively associated and nass chewing was inversely associated with GERD symptoms (all frequencies combined).
conclusionGERD is common in this population. The associations of hookah and opium use and inverse association of nass use with GERD symptoms are reported for the first time. Further studies are required to investigate the nature of these associations. Other determinants of GERD were mostly comparable to those reported elsewhere.
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