01-09-2015 | Letter
Short sleep duration of overweight and obese patients with erosive esophagitis and gastritis
Published in: Indian Journal of Gastroenterology | Issue 5/2015
Login to get accessExcerpt
Current knowledge states that there is a strong relationship between sleep disturbances and gastroesophageal reflux either erosive or nonerosive [1]. On the other hand, high body mass index (BMI) is known to cause sleep disorders as well [2]. However, there is not enough data that determine the association of both high BMI and sleep disturbance in patients with erosive esophagitis and nonreflux dyspepsia. In this regard, we asked our patients if they did complain from short sleep duration in February 2015. Consecutive 44 (M 16, F 28) patients with erosive esophagitis and 51 (M 19, F 32) patients with gastritis were recruited for the study. The diagnosis was put via upper gastrointestinal endoscopy. The patients were between 20 and 50 years of age. BMI were calculated with present weight and length at current gastroenterology admission. Patients were asked if they had short sleep duration (6 h/day) in the last month. BMI ≥30 was determined as obesity. BMI ≥25 was accepted as overweight [3]. Distribution of presence of obesity and short sleep duration in patient groups is seen in Table 1. There was a statistically significant relationship between short sleep duration and presence of either gastritis or reflux regardless of BMI (p < 0.05) (Table 1). Accordingly, short sleep duration was more frequent in either overweight or obese patients (Table 2). In conclusion, overall both reflux esophagitis and gastritis were associated with short sleep duration. Also, this association was statistically significant in the presence of high BMI. We suggest that further studies are necessary to clarify the impact of high BMI on the several types of sleep disturbances in patients with reflux esophagitis or gastritis.
All patients
|
Short sleep
|
Normal sleep
|
p
|
|
---|---|---|---|---|
Age (year)
|
44 ± 11
|
46 ± 11
|
43 ± 11
|
0.38
|
Reflux esophagitis n (%)
|
44 (46)
|
24 (61)
|
20 (36)
|
0.01
|
Gastritis n (%)
|
51 (54)
|
15 (39)
|
36 (64)
|
0.01
|
Body mass index
|
28 ± 5
|
28 ± 5
|
27 ± 5
|
0.44
|
All
|
Short sleep
|
Normal sleep
|
p
|
|
---|---|---|---|---|
Reflux esophagitis and BMI <30, n (%)
|
27 (46)
|
12 (54)
|
15 (40)
|
0.42
|
Reflux esophagitis and BMI ≥30, n (%)
|
17 (47)
|
12 (71)
|
5 (26)
|
0.008
|
Gastritis BMI <30, n (%)
|
32 (54)
|
10 (45)
|
22 (60)
|
0.29
|
Gastritis BMI ≥30, n (%)
|
19 (53)
|
5 (29)
|
14 (74)
|
0.008
|
Reflux esophagitis and BMI <25, n (%)
|
11 (42)
|
4 (44)
|
7 (41)
|
0.9
|
Reflux esophagitis and BMI ≥25, n (%)
|
33 (48)
|
20 (67)
|
13 (33)
|
0.006
|
Gastritis BMI <25, n (%)
|
15 (58)
|
5 (56)
|
10 (59)
|
0.9
|
Gastritis BMI ≥25, n (%)
|
36 (52)
|
10 (33)
|
26 (67)
|
0.006
|