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Assessment of comprehensive impact of pyloric Helicobacter infection and lifestyle on public health


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The aim of the work Assessment of comprehensive impact of highly spread in Russia Helicobacter pylori in fection and lifestyle on health of able-bodied population. Methods In examinations of working residents of Moscow and its suburbs there was performed screening of gastroduodenal pathology. There were used the minimally invasive diagnostic system GastroPanel (GastroPanel, Biohit, Finland). There was conducted a questionnaire survey, in some cases - esophagogastroduodenoscopy. Results. Peptic ulcer was found in 21 patient (2,1%), duodenal ulcer - in 123 (11.3%), atrophic gastritis - in 89 (9%). With rare exceptions (6 persons) pathology was associated with infection H. pylori. In obesity and overweight serious consequences of infection were registered more often (ulcer 27,5%, atrophic gastritis - 23%) than in normal (respectively 7,9% and 5%) and reduced (respectively 5,9% and 0). There was confirmed the impact of smoking on the incidence of peptic ulcer associated with atrophic gastritis H.pylori. Association between atrophic gastritis and this cacoethes remains to be uncertain. Conclusion. Obesity is associated with unhealthy lifestyle - overeating and lack ofphysical activity is a risk factor for peptic ulcer and atrophic gastritis in patients infected with H. pylori. An additional risk factor for peptic ulcer disease in the presence of H.pylori infection is smoking. The role of smoking in the development of atrophic gastritis needs further research.

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