| Autor: |
Lechien JR; Department of Otolaryngology, Elsan Hospital, Paris, France.; Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium., Steffens Y; Department of Otolaryngology-Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium., Calvo-Henriquez C; Department of Otolaryngology-Head and Neck Surgery, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain., Mayo-Yanez M; Otorhinolaryngology - Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain., Horoi M; Department of Otolaryngology-Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium., Rodriguez A; Department of Otolaryngology-Head and Neck Surgery, CHU Saint-Pierre, Brussels, Belgium. |
| Abstrakt: |
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. |
