Optimum Sleep Position to Minimize Gastroesophageal Reflux
The American Journal of Gastroenterology
TAKE-HOME MESSAGE
- In a study evaluating sleep position and nocturnal
gastroesophageal reflux, the sleep positions of 57 individuals referred
for ambulatory pH impedance were measured and analyzed. The left lateral
position was associated with significantly shorter acid exposure time than
the right lateral or supine positions. The median esophageal acid
clearance time was 35 s in the left lateral position compared with 76 s and
90 s in the supine and right lateral positions, respectively.
- Sleep position affects esophageal reflux and resultant acid exposure, which can play a role in lifestyle interventions for patients. The left lateral decubitus position is the most beneficial in this regard.
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INTRODUCTION
The aim of this study was to
investigate the effect of spontaneous sleep positions on the occurrence of
nocturnal gastroesophageal reflux.
METHODS
In patients referred for
ambulatory pH-impedance reflux monitoring, the concurrent sleep position was
measured using a sleep position measurement device (measuring left, right,
supine, and prone positions).
RESULTS
Fifty-seven patients were
included. We observed a significantly shorter acid exposure time in the left,
compared with the right lateral position and the supine position. The
esophageal acid clearance time was significantly shorter in the left lateral
decubitus position, compared with the supine and right lateral positions.
DISCUSSION
The left lateral decubitus
position is associated with significantly shorter nocturnal esophageal acid
exposure time and faster esophageal acid clearance compared with the supine and
right lateral decubitus positions
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