Modificações do estilo de vida no controle da doença do refluxo gastroesofágico

Verônica de Camargo  Mendanha; Haila Cristina do Rêgo  Silva; Isabella Victória Silva  Pereira; Nathaly Horany Lopes de  Alencar; Rômulo Freire Gomes  Silva; Lorena da Silva  Morais; Laura Stival  Dias; Letícia Carvalho de  França; João Lucas Brasil  Medeiros; Jonathan Henrique da  Silva

doi:10.5281/zenodo.23780553

Authors

Verônica de Camargo Mendanha Universidade Federal de Goiás Author https://orcid.org/0009-0002-7783-3740
Haila Cristina do Rêgo Silva Universidade Federal de Goiás Author https://orcid.org/0009-0006-5380-0820
Isabella Victória Silva Pereira Universidade Federal de Goiás Author https://orcid.org/0009-0001-0193-3019
Nathaly Horany Lopes de Alencar Universidade Federal de Goiás Author https://orcid.org/0009-0002-2967-0553
Rômulo Freire Gomes Silva Universidade Federal de Goiás Author https://orcid.org/0009-0006-6437-9664
Lorena da Silva Morais Universidade Federal de Goiás Author https://orcid.org/0009-0002-3505-4204
Laura Stival Dias Universidade Federal de Goiás Author https://orcid.org/0009-0003-6405-2715
Letícia Carvalho de França Universidade Federal de Goiás Author https://orcid.org/0009-0007-4418-1092
João Lucas Brasil Medeiros Universidade Federal de Goiás Author https://orcid.org/0009-0004-1147-4663
Jonathan Henrique da Silva Universidade Federal de Goiás Author https://orcid.org/0009-0001-2293-6729

DOI:

https://doi.org/10.5281/zenodo.23780553

Keywords:

gastroesophageal reflux, Healthy lifestyle, risk factors, quality of life

Abstract

Gastroesophageal reflux disease (GERD) impairs quality of life and requires management that addresses clinical and behavioral factors. This review aimed to discuss the contribution of lifestyle modifications to GERD management, distinguishing symptom outcomes from esophageal mucosal changes. This is a literature review with narrative synthesis, based on a bibliographic search originally recorded on August 19, 2023, in MEDLINE via PubMed and LILACS, covering publications from 2018 to 2023. The original report describes 274 records and 15 selected publications, but the available documentation does not allow full reproduction of the selection process. The discussion was supplemented by a definition consensus and a clinical guideline, without a new systematic search. The synthesis highlights weight management in individuals with excess weight, meal timing, positional measures for nocturnal symptoms, and smoking cessation. Dietary restrictions should address individual triggers. Heterogeneity of the evidence prevents equating symptom relief with endoscopic healing or histological regression. Individualized behavioral changes are part of GERD treatment but do not replace pharmacological therapy or specialist assessment when indicated.

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Lifestyle modifications in the management of gastroesophageal reflux disease

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