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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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| Published in: | The Journal of pediatrics 2016-10, Vol.177, p.39-43.e3 |
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| container_end_page | 43.e3 |
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| container_title | The Journal of pediatrics |
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| creator | Lewis, Meredith L., BS Palsson, Olafur S., PsyD Whitehead, William E., PhD van Tilburg, Miranda A.L., PhD |
| description | 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 |
| doi_str_mv | 10.1016/j.jpeds.2016.04.008 |
| format | article |
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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 < .001). Children were more likely to qualify for a FGID if their parent also qualified for a FGID ( P < .01). Conclusions FGIDs are common in children and adolescents in the US. There are no significant differences in FGIDs between sex, race, or ethnic groups, except in functional constipation. There is overlap between parental and child FGID symptoms. Children with a FGID report a lower quality of life than healthy children.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2016.04.008</identifier><identifier>PMID: 27156185</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of pediatrics, 2016-10, Vol.177, p.39-43.e3</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-9ff987283b93f414a13ebbd6f5229eb6af601e73f91d0e0368b5c6e48725412c3</citedby><cites>FETCH-LOGICAL-c525t-9ff987283b93f414a13ebbd6f5229eb6af601e73f91d0e0368b5c6e48725412c3</cites><orcidid>0000-0001-5932-936X ; 0000-0002-0504-9829</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27156185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lewis, Meredith L., BS</creatorcontrib><creatorcontrib>Palsson, Olafur S., PsyD</creatorcontrib><creatorcontrib>Whitehead, William E., PhD</creatorcontrib><creatorcontrib>van Tilburg, Miranda A.L., PhD</creatorcontrib><title>Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>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 < .001). Children were more likely to qualify for a FGID if their parent also qualified for a FGID ( P < .01). Conclusions FGIDs are common in children and adolescents in the US. There are no significant differences in FGIDs between sex, race, or ethnic groups, except in functional constipation. There is overlap between parental and child FGID symptoms. Children with a FGID report a lower quality of life than healthy children.</description><subject>abdominal migraine</subject><subject>Adolescent</subject><subject>aerophagia</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>cyclic vomiting syndrome</subject><subject>Female</subject><subject>functional abdominal pain</subject><subject>functional constipation</subject><subject>functional dyspepsia</subject><subject>functional gastrointestinal disorders</subject><subject>Gastrointestinal Diseases - epidemiology</subject><subject>Humans</subject><subject>irritable bowel syndrome</subject><subject>Male</subject><subject>nonretentive fecal incontinence</subject><subject>Parents</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>rumination</subject><subject>Surveys and Questionnaires</subject><subject>United States - epidemiology</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqFkc9u1DAQxi0EotvCEyChHLkkHduJkxxAqhbaIlVqEXC2HHssHLL2YieV-jZ9lj5ZHbZw4MJpNKPvmz-_IeQNhYoCFadjNe7RpIrlpIK6AuiekQ2Fvi1Fx_lzsgFgrOR1K47IcUojAPQ1wEtyxFraCNo1G_LlJuKtmtBrLIItzhevZxe8mooLleYYnJ8xzW4tfHQpRIMxFc4X2x9uMhH9w73y5uH-zIQJk0Y_p1fkhVVTwtdP8YR8P__0bXtZXl1ffN6eXZW6Yc1c9tb2Xcs6PvTc1rRWlOMwGGEbxnochLICKLbc9tQAAhfd0GiBdfY0NWWan5B3h777GH4teUm5c3mDaVIew5Ik7RjvoRO8z1J-kOoYUopo5T66nYp3koJcWcpR_mYpV5YSaplZZtfbpwHLsEPz1_MHXha8Pwgwn3nrMMqk3UrSuIh6lia4_wz48I9fT847raafeIdpDEvM3PMlMjEJ8uv6zvWbVHCARrT8EcM_nMs</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Lewis, Meredith L., BS</creator><creator>Palsson, Olafur S., PsyD</creator><creator>Whitehead, William E., PhD</creator><creator>van Tilburg, Miranda A.L., PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5932-936X</orcidid><orcidid>https://orcid.org/0000-0002-0504-9829</orcidid></search><sort><creationdate>20161001</creationdate><title>Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents</title><author>Lewis, Meredith L., BS ; Palsson, Olafur S., PsyD ; Whitehead, William E., PhD ; van Tilburg, Miranda A.L., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-9ff987283b93f414a13ebbd6f5229eb6af601e73f91d0e0368b5c6e48725412c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>abdominal migraine</topic><topic>Adolescent</topic><topic>aerophagia</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>cyclic vomiting syndrome</topic><topic>Female</topic><topic>functional abdominal pain</topic><topic>functional constipation</topic><topic>functional dyspepsia</topic><topic>functional gastrointestinal disorders</topic><topic>Gastrointestinal Diseases - epidemiology</topic><topic>Humans</topic><topic>irritable bowel syndrome</topic><topic>Male</topic><topic>nonretentive fecal incontinence</topic><topic>Parents</topic><topic>Pediatrics</topic><topic>Prevalence</topic><topic>Quality of Life</topic><topic>rumination</topic><topic>Surveys and Questionnaires</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lewis, Meredith L., BS</creatorcontrib><creatorcontrib>Palsson, Olafur S., PsyD</creatorcontrib><creatorcontrib>Whitehead, William E., PhD</creatorcontrib><creatorcontrib>van Tilburg, Miranda A.L., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lewis, Meredith L., BS</au><au>Palsson, Olafur S., PsyD</au><au>Whitehead, William E., PhD</au><au>van Tilburg, Miranda A.L., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>177</volume><spage>39</spage><epage>43.e3</epage><pages>39-43.e3</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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 < .001). Children were more likely to qualify for a FGID if their parent also qualified for a FGID ( P < .01). Conclusions FGIDs are common in children and adolescents in the US. There are no significant differences in FGIDs between sex, race, or ethnic groups, except in functional constipation. There is overlap between parental and child FGID symptoms. Children with a FGID report a lower quality of life than healthy children.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27156185</pmid><doi>10.1016/j.jpeds.2016.04.008</doi><orcidid>https://orcid.org/0000-0001-5932-936X</orcidid><orcidid>https://orcid.org/0000-0002-0504-9829</orcidid><oa>free_for_read</oa></addata></record> |
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| 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 |
| title | Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents |
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