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European Archives of Oto-Rhino-Laryngology
Article . 2019 . Peer-reviewed
License: Springer TDM
Data sources: Crossref
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Development of scores assessing the refluxogenic potential of diet of patients with laryngopharyngeal reflux

Authors: Virginie Simeone; Camille Finck; Jerome R. Lechien; Karol Zeleník; Vinciane Muls; Maria Rosaria Barillari; Antonio Schindler; +20 Authors

Development of scores assessing the refluxogenic potential of diet of patients with laryngopharyngeal reflux

Abstract

To develop clinical tools assessing the refluxogenic potential of foods and beverages (F&B) consumed by patients with laryngopharyngeal reflux (LPR).European experts of the LPR Study group of the Young-Otolaryngologists of the International Federation of Oto-rhino-laryngological societies were invited to identify the components of Western European F&B that would be associated with the development of LPR. Based on the list generated by experts, four authors conducted a systematic review to identify the F&B involved in the development of esophageal sphincter and motility dysfunctions, both mechanisms involved in the development of gastroesophageal reflux disease and LPR. Regarding the F&B components and the characteristics identified as important in the development of reflux, experts developed three rational scores for the assessment of the refluxogenic potential of F&B, a dish, or the overall diet of the patient.Twenty-six European experts participated to the study and identified the following components of F&B as important in the development of LPR: pH; lipid, carbohydrate, protein composition; fiber composition of vegetables; alcohol degree; caffeine/theine composition; and high osmolality of beverage. A total of 72 relevant studies have contributed to identifying the Western European F&B that are highly susceptible to be involved in the development of reflux. The F&B characteristics were considered for developing a Refluxogenic Diet Score (REDS), allowing a categorization of F&B into five categories ranging from 1 (low refluxogenic F&B) to 5 (high refluxogenic F&B). From REDS, experts developed the Refluxogenic Score of a Dish (RESDI) and the Global Refluxogenic Diet Score (GRES), which allow the assessment of the refluxogenic potential of dish and the overall diet of the LPR patient, respectively.REDS, RESDI and GRES are proposed as objective scores for assessing the refluxogenic potential of F&B composing a dish or the overall diet of LPR patients. Future studies are needed to study the correlation between these scores and the development of LPR according to impedance-pH study.

Keywords

Adult, Male, Oto-rhino-laryngologie, Laryngopharyngeal, Beverage; Diet; Food; Laryngitis; Laryngopharyngeal; Reflux; Score; Symptoms; Adult; Electric Impedance; Esophagitis, Peptic; Female; Humans; Hydrogen-Ion Concentration; Laryngopharyngeal Reflux; Male; Middle Aged; Otolaryngology; Severity of Illness Index; Beverages; Diet; Food; Otolaryngologists, Reflux, Severity of Illness Index, Beverages, Otolaryngology, Laryngitis, Otolaryngologists, Electric Impedance, Laryngopharyngeal Reflux, Humans, Beverage, Esophagitis, Peptic, Score, Beverage; Diet; Food; Laryngitis; Laryngopharyngeal; Reflux; Score; Symptoms, Hydrogen-Ion Concentration, Middle Aged, [SHS.LANGUE] Humanities and Social Sciences/Linguistics, Diet, Food, Symptoms, Female

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
42
Top 10%
Top 10%
Top 10%
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