ROSH Gastrointestinal Practice Exam

In patients presenting with symptoms of gastroesophageal reflux disease (GERD), which weight-related factor should be considered?

1. Increased lean body mass

2. Obesity

3. Age

4. Physical activity

The correct answer is: Obesity

In patients presenting with symptoms of gastroesophageal reflux disease (GERD), obesity is a significant weight-related factor to consider. Obesity can lead to increased abdominal pressure, which in turn can promote the reflux of stomach contents into the esophagus. The accumulation of excess body fat, particularly around the abdomen, can exacerbate GERD symptoms by pushing the stomach upwards against the diaphragm, compromising the lower esophageal sphincter (LES) function, and increasing the likelihood of reflux episodes. Evaluating a patient's weight and overall body composition helps to strategize effective treatment plans and lifestyle modifications that can alleviate GERD symptoms, such as weight reduction, dietary changes, and increased physical activity tailored to the individual's health needs. Other factors mentioned, such as lean body mass, age, and physical activity, can influence health overall but do not have the same direct impact on GERD symptom severity as obesity does.