Central Obesity and H. pylori Infection Influence Risk of Barrett’s Esophagus in an Asian PopulationReport as inadecuate




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Background and Aim

The prevalence rates of Barrett’s esophagus BE in western countries are higher than Asian ones, but little is known about their difference among risk factors of BE. The aim of this study is to investigate the associations of various risk factors including central obesity, body mass index BMI, metabolic syndrome and H. pylori infection, with BE.

Methods

A total of 161 subjects with BE were enrolled and compared to age- and gender-matched controls randomly sampled 1:4 from check-up center in same hospital. Central obesity was defined by waist circumference female>80cm; male>90cm, metabolic syndrome by the modified National Cholesterol Education Program Adult Treatment Panel III criteria in Taiwan. Independent risk factors for BE were identified by multiple logistic regression analyses.

Results

The mean age for BE was 53.8±13.7 years and 75.8% was male. H. pylori infection status was detected by the rapid urease test with the prevalence of 28.4% and 44.4% in the BE patients and controls, respectively. The univariate logistic regression analyses showed the risk was associated with higher waist circumference odds ratio OR, 2.53; 95% confidence interval CI, 1.78–3.60, metabolic syndrome OR, 2.02; 95% CI, 1.38–2.96 and negative H. pylori infection OR, 0.50; 95% CI, 0.34–0.74. However, multivariate logistic regression analyses revealed that BE associated with higher waist circumference adjusted OR, 2.79; 95% CI, 1.89–4.12 and negative H. pylori infection adjusted OR, 0.46; 95% CI, 0.30–0.70.

Conclusions

Central obesity is associated with a higher risk of BE whereas H. pylori infection with a lower risk in an ethnic Chinese population.



Author: Chih-Cheng Chen, Yao-Chun Hsu, Ching-Tai Lee, Chia-Chang Hsu, Chi-Ming Tai, Wen-Lun Wang, Cheng-Hao Tseng, Chao-Tien Hsu, Jaw-Tow

Source: http://plos.srce.hr/



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