New food approaches to reduce and/or eliminate increased gastric acidity related to gastroesophageal pathologies

Nutrition. 2018 Oct:54:26-32. doi: 10.1016/j.nut.2018.03.002. Epub 2018 Mar 22.

Abstract

Objective: Gastroesophageal reflux disease is very common in industrialized countries and rapidly and significantly increasing even in developing countries. The approach in this study is one not commonly found to date in the scientific literature. To assess the ability of reduced-carbohydrate diets and foods that are enriched with acid potential of hydrogen (pH; lemon and tomato) to quickly and exponentially reduce symptoms that are related to conditions such as gastritis and gastroesophageal reflux and unrelated to Helicobacter pylori.

Methods: After the administration of an anamnestic test, 130 patients were selected including 73 women and 57 men, 21 to 67 y, and with a gastritis diagnosis for 92 patients (56 women, 36 men) and reflux gastritis for 38 patients (17 women, 21 men). Study participants followed three dietary treatments in succession. Each treatment lasted 2 wk and treatments were separated by 2 wk of washout. The patients followed a diet that consisted primarily of proteins and fats and included the exponential reduction of glycides (simple and complex). In addition, the treatment provided for the daily intake of the juice of two lemons and approximately 100 g of fresh orange tomato without seeds eaten either raw or cooked and peeled.

Results: During treatment and at the end of 2 wk of treatment, the patients reported significant improvements including an almost total disappearance of symptoms that were related to the disease in question.

Conclusions: This study shows that a carbohydrate-free diet and/or highly hypoglycidal diet that is enriched with acid pH foods appears to lead to a decrease in the pH of the gastric contents, thus inhibiting the further production of hydrochloric acid with a reduction or disappearance of heartburn symptoms that are typical of gastroesophageal diseases.

Keywords: Anamnestic test; Carbohydrate reduction; Diet; Gastroesophageal reflux; Lemon; Tomato.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Citrus / chemistry
  • Diet / methods*
  • Diet, Carbohydrate-Restricted / methods*
  • Epoxy Compounds / analysis
  • Female
  • Fruit and Vegetable Juices / analysis
  • Gastric Acid / chemistry
  • Gastric Acidity Determination
  • Gastritis / diet therapy*
  • Gastroesophageal Reflux / diet therapy*
  • Humans
  • Hydrogen-Ion Concentration
  • Male
  • Middle Aged
  • Propionates / analysis
  • Solanum lycopersicum / chemistry
  • Treatment Outcome
  • Young Adult

Substances

  • Epoxy Compounds
  • Propionates
  • glycidic acid