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- Title
Impact of COVID-19 Lockdown on Stress and Diet Adherence in Patients with Laryngopharyngeal Reflux.
- Authors
LECHIEN, Jerome R.; STEFFENS, Younes; CALVO-HENRIQUEZ, Christian; Mayo-YANEZ, Miguel; HOROI, Mihaela; RODRIGUEZ, Alexandra
- Abstract
Objectives: To study the impact of lockdown on diet adherence and stress in patients treated for laryngopharyngeal reflux (LPR). Methods: Patients with a positive LPR diagnosis at the hypopharyngeal-esophageal impedance-pH monitoring were treated from the pre- to lockdown period with diet, behavioral changes and an association of proton pump inhibitors and alginate. The following outcomes were used to assess the clinical features of patients: reflux symptom score-12 (RSS-12) and reflux sign assessment (RSA). At post-treatment time, patients were invited to evaluate the impact of lockdown on diet adherence and stress management with a predefined grid of foods and beverages and perceived stress scale (PSS), respectively. Results: Thirty-two patients completed the evaluations. RSS-12 and RSA significantly improved from baseline to three-month post-treatment. Most patients experienced mild-to-severe stress level at the end of the lockdown. The level of stress substantially increased in 34% of patients due to lockdown, while it did not change in 44%. In 34% of cases, patients reported that adherence to antireflux diet was better than initially presumed thanks to the lockdown period, while 44% believed that the lockdown did not impact their adherence to diet. PSS and RSS-12 were significantly correlated at the end of the pandemic (p<0.001). The increase of stress level was positively associated with the lack of adherence to diet (p=0.039). Conclusion: During the lockdown, diet habits were improved or unchanged in most LPR cases, while stress level was increased in one-third of patients.
- Subjects
PATIENT compliance; STAY-at-home orders; PERCEIVED Stress Scale; DIET; HYPOPHARYNGEAL cancer; PROTON pump inhibitors; CELIAC disease
- Publication
Maedica - a Journal of Clinical Medicine, 2023, Vol 18, Issue 2, p190
- ISSN
1841-9038
- Publication type
Article
- DOI
10.26574/maedica.2023.18.2.190