Nocturnal Gastroesophageal Reflux Disease (GERD) and Sleep: An Important Relationship That Is Commonly Overlooked
Abstract
Gastroesophageal reflux disease (GERD) is a prevalent, chronic medical condition that affects 13% of the adult population globally at least once a week. Sleep disturbances are frequently encountered in up to 25% of the GERD patients, likely due to nocturnal gastroesophageal reflux (GER). With advance in diagnostic techniques allowing for an improved understanding of involved physiological mechanisms of nocturnal reflux, there is growing evidence of a bidirectional relationship between GERD and sleep disturbances. Furthermore, nocturnal GER is associated with more complicated GERD. Obstructive sleep apnea (OSA) and GERD also have been linked, but to what degree remains controversial. Treatment of nocturnal GER has been shown to improve both subjective and objective sleep measures. The therapeutic approach includes lifestyle modifications and medication individualization and optimization with proton-pump inhibitors serving as the mainstay of treatment. Antireflux surgery and newer endoscopic procedures have been demonstrated to control nocturnal GER.
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From International society of sports nutrition position stand: nutritional concerns of the female athlete (2023) · cites this paper as [263]
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International society of sports nutrition position stand: nutritional concerns of the female athlete
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“higher in fat, however, may also induce heart burn [264] which may be detrimental to”
Background
- Authors
- Shibli, F., Skeans, J., Yamasaki, T., & Fass, R.
- Affiliations
- MetroHealth (US)
- Corresponding author
- Fass, Ronnie
- Venue
- Journal of Clinical Gastroenterology
- Published
- 2020-07-10
- Volume
- 54
- Issue
- 8
- Pages
- 663-674
- ISSN
- 0192-0790 (ISSN-L)
- OpenAlex
- W3042339346
- Cited by
- 43
- References
- 175
- Citations by year
- 2026: 10 · 2025: 6 · 2024: 2 · 2023: 12 · 2022: 8 · 2021: 5
- FWCI
- 5.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Gastroenterology › Gastroesophageal reflux and treatments
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Health Sciences › Medicine › Surgery › Helicobacter pylori-related gastroenterology studies
- Keywords
- gastroesophageal reflux disease, nocturnal reflux, sleep disorders, obstructive sleep apnea, proton pump inhibitors, antireflux surgery, lifestyle modification
- MeSH terms
- Adult, Gastroesophageal Reflux, Humans, Sleep, Sleep Wake Disorders, Polysomnography, Sleep Apnea, Obstructive
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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