The "Aachen sings" study ("Aachen choir engagement study into GERD symptoms"): moderate singing and breathing exercises in a choir reduce reflux symptoms - a cohort study in non-specialist choristers.
Identifieur interne : 000042 ( Main/Exploration ); précédent : 000041; suivant : 000043The "Aachen sings" study ("Aachen choir engagement study into GERD symptoms"): moderate singing and breathing exercises in a choir reduce reflux symptoms - a cohort study in non-specialist choristers.
Auteurs : Christoph G. Dietrich [Allemagne] ; Tanja Kottmann [Allemagne] ; Joachim Labenz [Allemagne] ; Konrad Streetz [Allemagne] ; Peter Hellebrandt [Allemagne]Source :
- Zeitschrift fur Gastroenterologie [ 1439-7803 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Allemagne (épidémiologie), Chant (MeSH), Enquêtes et questionnaires (MeSH), Exercices respiratoires (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Prévalence (MeSH), Pyrosis (épidémiologie), Reflux gastro-oesophagien (épidémiologie), Sujet âgé (MeSH), Études de cohortes (MeSH).
- MESH :
- Wicri :
- geographic : Allemagne.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Breathing Exercises (MeSH), Cohort Studies (MeSH), Female (MeSH), Gastroesophageal Reflux (epidemiology), Germany (epidemiology), Heartburn (epidemiology), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Prevalence (MeSH), Singing (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
- geographic , epidemiology : Germany.
- epidemiology : Gastroesophageal Reflux, Heartburn.
- Adult, Aged, Breathing Exercises, Cohort Studies, Female, Humans, Male, Middle Aged, Prevalence, Singing, Surveys and Questionnaires.
Abstract
BACKGROUND
The influence of singing activities and breathing exercises on the presence of gastroesophageal reflux disease (GERD) symptoms is not clear. While an Austrian study found symptom reduction, an Italian study showed more symptoms in professional opera choristers. These contradictory results may be due to differential intensity of the singing exercises. We therefore developed a questionnaire to investigate the presence of GERD typical symptoms and defined GERD in nonprofessional choristers with moderate singing activity and breathing exercises and compared the results to those from related non-singing control persons.
METHODS
434 actively engaged lay-choir persons and 310 non-singing friends or relatives answered questions in a questionnaire regarding basic data, singing habits, GERD symptoms, and past or present diagnostic events and medications.
RESULTS
Non-singing control persons experienced more frequently heartburn (1.1 ± 4.1 vs. 0.5 ± 1.2 episodes/week, p = 0.001) and acid regurgitation (0.9 ± 4.1 vs. 0.5 ± 1.3 episodes/week, p < 0.001) and had more often already received the diagnosis of GERD (16.8 % vs. 10.4 %, p = 0.011). From the persons without known GERD, members of the control cohort more often fulfilled the simplified diagnostic criteria of GERD (14.3 % vs. 5.1 %, p < 0.001). A multivariate analysis identified non-singing, high body mass index, and smoking as significant risk factors for the presence of GERD symptoms.
CONCLUSION
The frequency of reflux symptoms and GERD is probably still increasing. Moderate singing activities and breathing exercises seem to be helpful in avoiding reflux symptoms such as heartburn and acid regurgitation.
DOI: 10.1055/a-0855-4339
PubMed: 30965379
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Dietrich</name><affiliation wicri:level="1"><nlm:affiliation>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland</wicri:regionArea><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion></affiliation></author><author><name sortKey="Kottmann, Tanja" sort="Kottmann, Tanja" uniqKey="Kottmann T" first="Tanja" last="Kottmann">Tanja Kottmann</name><affiliation wicri:level="1"><nlm:affiliation>Clinical Research Organization, Hamm/Westphalia, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Clinical Research Organization, Hamm/Westphalia</wicri:regionArea><wicri:noRegion>Hamm/Westphalia</wicri:noRegion><wicri:noRegion>Hamm/Westphalia</wicri:noRegion><wicri:noRegion>Hamm/Westphalia</wicri:noRegion></affiliation></author><author><name sortKey="Labenz, Joachim" sort="Labenz, Joachim" uniqKey="Labenz J" first="Joachim" last="Labenz">Joachim Labenz</name><affiliation wicri:level="1"><nlm:affiliation>Dept. of Internal Medicine, Diakonie-Klinikum Jung-Stilling Siegen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dept. of Internal Medicine, Diakonie-Klinikum Jung-Stilling Siegen</wicri:regionArea><wicri:noRegion>Diakonie-Klinikum Jung-Stilling Siegen</wicri:noRegion><wicri:noRegion>Diakonie-Klinikum Jung-Stilling Siegen</wicri:noRegion><wicri:noRegion>Diakonie-Klinikum Jung-Stilling Siegen</wicri:noRegion></affiliation></author><author><name sortKey="Streetz, Konrad" sort="Streetz, Konrad" uniqKey="Streetz K" first="Konrad" last="Streetz">Konrad Streetz</name><affiliation wicri:level="3"><nlm:affiliation>Medical Clinic III, UK Aachen, Aachen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Medical Clinic III, UK Aachen, Aachen</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Cologne</region><settlement type="city">Aix-la-Chapelle</settlement></placeName></affiliation></author><author><name sortKey="Hellebrandt, Peter" sort="Hellebrandt, Peter" uniqKey="Hellebrandt P" first="Peter" last="Hellebrandt">Peter Hellebrandt</name><affiliation wicri:level="1"><nlm:affiliation>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland</wicri:regionArea><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion><wicri:noRegion>Stolberg/Rhineland</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Medical Center at River Inde, Eschweiler, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Medical Center at River Inde, Eschweiler</wicri:regionArea><wicri:noRegion>Eschweiler</wicri:noRegion><wicri:noRegion>Eschweiler</wicri:noRegion><wicri:noRegion>Eschweiler</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:30965379</idno><idno type="pmid">30965379</idno><idno type="doi">10.1055/a-0855-4339</idno><idno type="wicri:Area/Main/Corpus">000046</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000046</idno><idno type="wicri:Area/Main/Curation">000045</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000045</idno><idno type="wicri:Area/Main/Exploration">000045</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The "Aachen sings" study ("Aachen choir engagement study into GERD symptoms"): moderate singing and breathing exercises in a choir reduce reflux symptoms - a cohort study in non-specialist choristers.</title><author><name sortKey="Dietrich, Christoph G" sort="Dietrich, Christoph G" uniqKey="Dietrich C" first="Christoph G" last="Dietrich">Christoph G. 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type="geographic" xml:lang="fr"><term>Allemagne</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p> The influence of singing activities and breathing exercises on the presence of gastroesophageal reflux disease (GERD) symptoms is not clear. While an Austrian study found symptom reduction, an Italian study showed more symptoms in professional opera choristers. These contradictory results may be due to differential intensity of the singing exercises. We therefore developed a questionnaire to investigate the presence of GERD typical symptoms and defined GERD in nonprofessional choristers with moderate singing activity and breathing exercises and compared the results to those from related non-singing control persons.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p> 434 actively engaged lay-choir persons and 310 non-singing friends or relatives answered questions in a questionnaire regarding basic data, singing habits, GERD symptoms, and past or present diagnostic events and medications.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p> Non-singing control persons experienced more frequently heartburn (1.1 ± 4.1 vs. 0.5 ± 1.2 episodes/week, p = 0.001) and acid regurgitation (0.9 ± 4.1 vs. 0.5 ± 1.3 episodes/week, p < 0.001) and had more often already received the diagnosis of GERD (16.8 % vs. 10.4 %, p = 0.011). From the persons without known GERD, members of the control cohort more often fulfilled the simplified diagnostic criteria of GERD (14.3 % vs. 5.1 %, p < 0.001). A multivariate analysis identified non-singing, high body mass index, and smoking as significant risk factors for the presence of GERD symptoms.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p> The frequency of reflux symptoms and GERD is probably still increasing. Moderate singing activities and breathing exercises seem to be helpful in avoiding reflux symptoms such as heartburn and acid regurgitation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30965379</PMID><DateCompleted><Year>2019</Year><Month>09</Month><Day>11</Day></DateCompleted><DateRevised><Year>2019</Year><Month>09</Month><Day>11</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1439-7803</ISSN><JournalIssue CitedMedium="Internet"><Volume>57</Volume><Issue>4</Issue><PubDate><Year>2019</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Zeitschrift fur Gastroenterologie</Title></Journal><ArticleTitle>The "Aachen sings" study ("Aachen choir engagement study into GERD symptoms"): moderate singing and breathing exercises in a choir reduce reflux symptoms - a cohort study in non-specialist choristers.</ArticleTitle><Pagination><MedlinePgn>491-496</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1055/a-0855-4339</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND"> The influence of singing activities and breathing exercises on the presence of gastroesophageal reflux disease (GERD) symptoms is not clear. While an Austrian study found symptom reduction, an Italian study showed more symptoms in professional opera choristers. These contradictory results may be due to differential intensity of the singing exercises. We therefore developed a questionnaire to investigate the presence of GERD typical symptoms and defined GERD in nonprofessional choristers with moderate singing activity and breathing exercises and compared the results to those from related non-singing control persons.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS"> 434 actively engaged lay-choir persons and 310 non-singing friends or relatives answered questions in a questionnaire regarding basic data, singing habits, GERD symptoms, and past or present diagnostic events and medications.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS"> Non-singing control persons experienced more frequently heartburn (1.1 ± 4.1 vs. 0.5 ± 1.2 episodes/week, p = 0.001) and acid regurgitation (0.9 ± 4.1 vs. 0.5 ± 1.3 episodes/week, p < 0.001) and had more often already received the diagnosis of GERD (16.8 % vs. 10.4 %, p = 0.011). From the persons without known GERD, members of the control cohort more often fulfilled the simplified diagnostic criteria of GERD (14.3 % vs. 5.1 %, p < 0.001). A multivariate analysis identified non-singing, high body mass index, and smoking as significant risk factors for the presence of GERD symptoms.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS"> The frequency of reflux symptoms and GERD is probably still increasing. Moderate singing activities and breathing exercises seem to be helpful in avoiding reflux symptoms such as heartburn and acid regurgitation.</AbstractText><CopyrightInformation>© Georg Thieme Verlag KG Stuttgart · New York.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y" EqualContrib="N"><LastName>Dietrich</LastName><ForeName>Christoph G</ForeName><Initials>CG</Initials><AffiliationInfo><Affiliation>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Kottmann</LastName><ForeName>Tanja</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Clinical Research Organization, Hamm/Westphalia, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Labenz</LastName><ForeName>Joachim</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Dept. of Internal Medicine, Diakonie-Klinikum Jung-Stilling Siegen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Streetz</LastName><ForeName>Konrad</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Medical Clinic III, UK Aachen, Aachen, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y" EqualContrib="N"><LastName>Hellebrandt</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Dept. of Internal Medicine, Bethlehem Health Center, Stolberg/Rhineland, Germany.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Medical Center at River Inde, Eschweiler, Germany.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><VernacularTitle>Die „Aachen singt“-Studie: Moderate Sing- und Atemübungen reduzieren die Häufigkeit von Refluxsymptomen – eine Kohortenstudie bei Laiensängern.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2019</Year><Month>04</Month><Day>09</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Z Gastroenterol</MedlineTA><NlmUniqueID>0033370</NlmUniqueID><ISSNLinking>0044-2771</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001945" MajorTopicYN="Y">Breathing Exercises</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005764" MajorTopicYN="N">Gastroesophageal Reflux</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005858" MajorTopicYN="N" Type="Geographic">Germany</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006356" MajorTopicYN="N">Heartburn</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D063346" MajorTopicYN="Y">Singing</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading></MeshHeadingList><OtherAbstract Type="Publisher" Language="ger"><AbstractText Label="HINTERGRUND" NlmCategory="UNASSIGNED"> Singaktivitäten und Atemübungen können über eine Kräftigung der Zwerchfellschenkel den unteren Ösophagussphinkter stärken und, wie in einer kleinen Grazer Studie gezeigt, auch Refluxsymptome lindern. Andererseits berichten zahlreiche Fallstudien und eine Kohortenstudie über vermehrten Reflux insbesondere bei professionellen Opernsängern, z. T. in Abhängigkeit von der Intensität und zeitlichen Ausdehnung der Singaktivitäten.</AbstractText><AbstractText Label="METHODIK" NlmCategory="UNASSIGNED"> In einer Kohortenstudie befragten wir 434 im Laien-Chor mit Sing- und Atemübungen aktive Personen (Alter 55,1 ± 15 Jahre, 46,7 % männlich, BMI 25 ± 3,8) zu Refluxsymptomen, bekannter Refluxkrankheit (GERD) und Diagnostik und Therapie in diesem Zusammenhang. Eine Kontrollkohorte wurde aus 310 nicht-singenden Freunden und Familienangehörigen dieser Sänger gebildet (Alter 48,2 ± 17,7 Jahre, 47,9 % männlich, BMI 25,5 ± 6,3).</AbstractText><AbstractText Label="ERGEBNISSE" NlmCategory="UNASSIGNED"> Nicht-singende Kontrollpersonen hatten signifikant häufiger Sodbrennen (1,1 ± 4,1 vs. 0,5 ± 1,2 Ereignisse pro Woche) und saures Aufstoßen (0,9 ± 4,1 vs. 0,5 ± 1,3 Ereignisse pro Woche) und hatten häufiger bereits die Diagnose einer Refluxkrankheit erhalten (16,8 vs. 10,4 %) als singende Personen. Auch Personen ohne bekannte GERD erfüllten signifikant häufiger die rein klinisch-epidemiologische Definition der Refluxkrankheit in der Kontrollgruppe (14,3 vs. 5,1 %). Fast ein Drittel der Personen beider Kohorten wurde schon mindestens einmal gastroskopiert, zahlreiche Personen in beiden Gruppen hatten aus verschiedenen Gründen schon phasenweise Säureblocker eingenommen (20,3 % in der Chorgruppe, 29 % bei den Nicht-Sängern). In der multivariaten Analyse wurden ein Nikotinabusus, ein BMI > 25 und das Nicht-Singen als unabhängige Determinanten für das Vorliegen von Sodbrennen identifiziert.</AbstractText><AbstractText Label="SCHLUSSFOLGERUNG" NlmCategory="UNASSIGNED"> Regelmäßiges, nur moderates Chorsingen mit Atemübungen scheint vor Sodbrennen und saurem Aufstoßen und damit vor GERD zu schützen.</AbstractText></OtherAbstract><CoiStatement>Disclosure The authors report no conflicts of interest in this work.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>4</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>9</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30965379</ArticleId><ArticleId IdType="doi">10.1055/a-0855-4339</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li></country><region><li>District de Cologne</li><li>Rhénanie-du-Nord-Westphalie</li></region><settlement><li>Aix-la-Chapelle</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Dietrich, Christoph G" sort="Dietrich, Christoph G" uniqKey="Dietrich C" first="Christoph G" last="Dietrich">Christoph G. Dietrich</name></noRegion><name sortKey="Hellebrandt, Peter" sort="Hellebrandt, Peter" uniqKey="Hellebrandt P" first="Peter" last="Hellebrandt">Peter Hellebrandt</name><name sortKey="Hellebrandt, Peter" sort="Hellebrandt, Peter" uniqKey="Hellebrandt P" first="Peter" last="Hellebrandt">Peter Hellebrandt</name><name sortKey="Kottmann, Tanja" sort="Kottmann, Tanja" uniqKey="Kottmann T" first="Tanja" last="Kottmann">Tanja Kottmann</name><name sortKey="Labenz, Joachim" sort="Labenz, Joachim" uniqKey="Labenz J" first="Joachim" last="Labenz">Joachim Labenz</name><name sortKey="Streetz, Konrad" sort="Streetz, Konrad" uniqKey="Streetz K" first="Konrad" last="Streetz">Konrad Streetz</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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