Risk factors for atrophic gastritis in the Japanese young and middle-aged: a study using double-contrast upper gastrointestinal barium X-ray radiography

Impact of peer support education on health behavior and quality of life in patients with chronic atrophic gastritis

BACKGROUND

Chronic atrophic gastritis (CAG) is a kind of life related disease. Its occurrence and development are obviously related to individuals' disease cognition level, mental state, and healthy behavior pattern. Peer support education is a mutual support system composed of individuals with the same background or experience, and its effect is worthy of affirmation in the management of chronic diseases. But there are few reports on the application of peer support education in CAG as well as the healthy behavior of CAG patients.

AIM

To investigate the effect of peer support education on health behavior and quality of life in patients with CAG.

METHODS

A total of 107 patients with CAG diagnosed from January 2017 to December 2017 were divided into an intervention group (55 cases) and a control group (52 cases). Both groups were given routine health education, including disease cognition, health behavior, and complication prevention. The intervention group was additionally given peer support education. The patients were followed for 6 mo, and health behavior, quality of life, and degree of satisfaction with health education were compared between the two groups.

RESULTS

The percentages of patients with reasonable diet, movement exercise, emotional control, and smoking and drinking quitting were significantly higher in the intervention group than in the control group (87.27% vs 71.15%, 89.09% vs 73.08%, 85.45% vs 69.23%, and 89.09% vs 71.15%, respectively; χ² = 4.252, 4.510, 4.044, and 5.4582, respectively; P < 0.05). Physiological function, general health, vitality, social function, emotional function, and mental health scores were significantly higher in the intervention group than in the control group (76.62 ± 8.21 vs 70.10 ± 8.32, 67.45 ± 7.26 vs 61.24 ± 7.32, 70.12 ± 8.23 vs 62.45 ± 7.41, 82.45 ± 8.36 vs 76.45 ± 8.45, 73.12 ± 8.42 vs 65.12 ± 7.56, and 72.65 ± 8.22 vs 64.78 ± 8.34, respectively; t = 4.079, 4.405, 5.056, 3.691, 5.161, and 4.915, respectively; P < 0.05). The degree of satisfaction with health was significantly higher in the intervention group than in the control group (96.36% vs 84.62%, χ² = 4.354, P < 0.05).

CONCLUSION

Peer support education is more likely to be accepted by patients with CAG, which is conducive to promoting the development of health behavior and improving quality of life.

Association of dietary patterns and endoscopic gastric mucosal atrophy in an adult Chinese population

Atrophy gastritis harbor a high risk for the development of dysplasia and gastric cancer. The study investigated the relationships of specific dietary patterns and endoscopic gastric mucosal atrophy. In this cross-sectional study, we enrolled 574 consecutive outpatients who were diagnosed as chronic gastritis according to endoscopic examination. Dietary intakes of study individuals was assessed using the semi-quantitative food group frequency questionnaire. Logistic regression analyses were used to evaluate the relationship between dietary patterns and endoscopic gastric mucosal atrophy adjusted for potential confounders. A total of 574 participants were included, 286 with endoscopic gastric mucosal atrophy. Three dietary patterns were identified by factor analysis. “Alcohol and fish” (tertile 1 vs. tertile 3: adjusted odds ratio = 1.85, 95% confidence interval: 1.06–3.22) and “coarse cereals” (tertile 1 vs. tertile 3: adjusted odds ratio = 2.05, 95% confidence interval: 1.24–3.39) were associated with an increased risk for endoscopic gastric mucosal atrophy but a “traditional” pattern was not. Dietary pattern was not associated with gastric mucosal atrophy in women or in participants with H. pylori infection. A high adherence to both “Alcohol and Fish” and “Coarse cereals” dietary patterns seem to be associated with higher odds of endoscopic gastric mucosal atrophy in men and in patients without H. pylori infection. Further prospective cohort studies needed to confirm these findings.