The Effectiveness of Dietary Intervention in Gastroesophageal Reflux Symptoms: A Prospective Study Managing | [Journal of Pioneering Medical Sciences • 2025]

Author(s):

1. Nasser S. Alqahtani: Community Health Department, Northern Border University,Arar,Saudi Arabia

Abstract:

Objectives: Gastroesophageal Reflux Disease (GERD) is a chronic and prevalent gastrointestinal disorder that significantly impairs quality of life, particularly in Saudi Arabia, where dietary and lifestyle patterns contribute to its high incidence. While pharmacologic therapies are commonly used, concerns about side effects and patient dependence have prompted the need for effective non-pharmacological alternatives. This study aimed to assess the effectiveness of culturally relevant dietary modifications in alleviating GERD symptoms and enhancing overall well-being. Methods: A prospective, pre-post intervention study was conducted involving 47 adult participants with self-reported GERD symptoms. The intervention included avoidance of dietary triggers (e.g., fatty/spicy foods, caffeine), adopting smaller and more frequent meals and avoiding recumbency within 2-3 hours post-meal over a four-week period. Symptom severity, quality of life and lifestyle behaviors were evaluated using structured questionnaires before and after the intervention. Adherence and participant perceptions were also assessed. Data were analyzed using SPSS v25, applying Wilcoxon signed-rank, Chi-square and ordinal regression tests, with significance set at p<0.05. Results: The intervention led to statistically significant improvements in the frequency and severity of key GERD symptoms, including heartburn, regurgitation, chest discomfort and nighttime reflux (p<0.001). Participants also reported marked improvements in quality of life indicators, such as sleep quality, mood and enjoyment of meals. No significant association was found between symptom improvement and demographic or lifestyle variables such as age, BMI, or smoking status. High levels of participant satisfaction and adherence were observed, with over 80% willing to recommend the approach to others. Conclusion: Dietary modification is a safe, effective and culturally adaptable strategy for managing GERD symptoms and improving quality of life. This approach holds promise as a first-line or adjunctive therapy in GERD management, especially in regions with high prevalence and lifestylerelated risk factors. Further large-scale and long-term studies are recommended to reinforce these findings and support integration into national dietary and clinical guidelines.

Page(s): 154-162

DOI: 10.47310/jpms2025140621

Published: Journal: Journal of Pioneering Medical Sciences, Volume: 14, Issue: 6, Year: 2025

Keywords:

GERD , Quality of life , Dietary modification , Heartburn , Reflux Symptoms , Lifestyle Intervention , NonPharmacological Therapy , Managing

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