The Prevalence of GERD Among Fishermen in Indonesia is Higher than The Urban Population in Indonesia

The prevalence of GERD (Gastroesophageal reflux disease) varies considerably by region and continues to increase worldwide. In addition to geographical differences, lifestyle and habits are also factors that trigger GERD.

Based on research conducted by Zein et al (2021) on the prevalence and habit-associated risk factors of gastroesophageal reflux disease among fishermen in Indonesia, revealed that habits such as smoking, high-salt intake, herb consumption, poor hand hygiene, and consumption of non-steroidal anti-inflammatory drugs are factors that can trigger GERD.

Consumption of nonsteroidal anti-inflammatory drugs can trigger GERD because it causes mucosal damage to the gastrointestinal tract through the mechanism of inhibiting cyclooxygenase enzymes directly and the secretion of stomach acid indirectly. Both mechanisms reduce the pressure of the lower esophageal sphincter and encourage gastric emptying.

Analgetic herbs can trigger GERD because it is assumed to have a similar mechanism to nonsteroidal anti-inflammatory drugs. However, there is no clear mechanism of analgetic herbs consumption in promoting GERD.

High salt consumption has a dose-response relationship with GERD risk. Meanwhile, poor hand hygiene can increase the risk of stomach and intestinal infections that can cause stomach acid to rise and GERD risk.

Source:

Zein, Ahmad Fariz Malvi Zamzam, et al. “The prevalence and habit-associated risk factors of gastroesophageal reflux disease among fishermen in Indonesia. “The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy 22.3 (2021): 174-179.

DOI: https://doi.org/10.24871/2232021174-179

Image source: Quangpraha from pixabay

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