Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents

Objectives To determine the prevalence of functional gastrointestinal (GI) disorders (FGIDs) in children and adolescents in a representative community sample of the US. Study design The study recruited a general population sample of mothers (n = 949) of children and adolescents aged 4-18 years. Chil...

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Bibliographic Details
Published in:The Journal of pediatrics 2016-10, Vol.177, p.39-43.e3
Main Authors: Lewis, Meredith L., BS, Palsson, Olafur S., PsyD, Whitehead, William E., PhD, van Tilburg, Miranda A.L., PhD
Format: Article
Language:English
Subjects:
abdominal migraine
Adolescent
aerophagia
Child
Child, Preschool
cyclic vomiting syndrome
Female
functional abdominal pain
functional constipation
functional dyspepsia
functional gastrointestinal disorders
Gastrointestinal Diseases - epidemiology
Humans
irritable bowel syndrome
Male
nonretentive fecal incontinence
Parents
Pediatrics
Prevalence
Quality of Life
rumination
Surveys and Questionnaires
United States - epidemiology
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Summary:Objectives To determine the prevalence of functional gastrointestinal (GI) disorders (FGIDs) in children and adolescents in a representative community sample of the US. Study design The study recruited a general population sample of mothers (n = 949) of children and adolescents aged 4-18 years. Child and adolescent GI symptoms were assessed using parental report through online questionnaires, including the Questionnaire on Pediatric Gastrointestinal Symptoms and the PedsQL4.0 Generic Core Scale. Parental GI symptoms, and demographic characteristics were also assessed. The data was used to determine prevalence of FGIDs. Results Using Rome III criteria by parental report, 23.1% of children and adolescents qualified for at least 1 FGID. Functional constipation and abdominal migraine were the most common FGIDs. All 10 child/adolescent FGIDs occurred, except rumination. Significant prevalence differences were not found between sexes, except in functional constipation, which was more prevalent in males than females ( P  = .022). There were no significant prevalence differences between racial or ethnic groups. Children who met criteria for an FGID had lower quality of life (median = 76.4) than children who did not (median = 89.6; P  
ISSN:0022-3476
1097-6833
DOI:10.1016/j.jpeds.2016.04.008