Association between body positioning and gastroesophageal reflux in paediatric age.
body positioning
children
pH-impedance monitoring
postural measures
reflux
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
05 2020
05 2020
Historique:
received:
01
04
2019
revised:
05
09
2019
accepted:
07
10
2019
pubmed:
12
10
2019
medline:
15
5
2021
entrez:
12
10
2019
Statut:
ppublish
Résumé
Postural measures are frequently recommended for gastroesophageal reflux (GER) symptoms, despite limited evidence. This was the first study to assess the impact of upright and recumbent body positions on GER episodes in children and adolescents, not just infants. We retrospectively assessed the pH-impedance parameters of paediatric patients referred for possible GER-related symptoms to two hospitals in Naples and Rome, Italy, from September 2016 to September 2018. Data were separately obtained for the time that the patients spent in upright and recumbent positions. Data from 187 patients under the age of 18 were collected, at a mean age of just over seven years. We found that the acid exposure time was stable irrespective of changes in body position (P > .05). The mean number of reflux episodes per hour was 2.99 during the upright position and 1.21 during the recumbent position (P < .05), and the mean oesophageal acid clearance time was 44.4 and 93.4 seconds, respectively (P < .05). Most paediatric patients experienced reflux in the upright rather than recumbent position, probably as a result of frequent transient lower oesophageal sphincter relaxations while they were awake. In particular, our findings provide new insights into postural measures for reflux in children and adolescents.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1033-1039Informations de copyright
© 2019 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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