Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
J Gastroenterol Hepatol. 2013 Feb;28(2):285-90. doi: 10.1111/j.1440-1746.2012.07257.x.
The prevalence of functional gastrointestinal disorders (FGID) in adolescents and their relationship to quality of school life (QOSL) are not fully understood. This study investigated the relationship between FGID and QOSL.
Adolescents (10-17 years) were recruited from 40 schools. FGID diagnoses were based on the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III version (QPGS-RIII). QOSL was evaluated by a questionnaire and calculated as the QOSL score.
Five hundred and fifty-two of the 3976 students (13.9%) met the FGID criteria for one or more diagnoses according to the QPGS-RIII: 12.3% met the criteria for one, 1.5% for two or more. Irritable bowel syndrome (IBS) was the most common diagnosis (5.9%) followed by functional abdominal pain (3.1%). The prevalence of FGID was significantly higher in the female students in comparison to male students (P < 0.01). The prevalence of FGID was 9.5% in elementary school, 15.4% in junior high school, 26.0% in high school students, respectively. The prevalence of FGID was significantly increased with age (P < 0.01). The QOSL score of the patients with FGID was 10.9 ± 4.5 and that without FGID was 8.2 ± 2.8, respectively. The QOSL score of the patients with FGID was significantly worse than those without FGID (P < 0.01). The QOSL scores with IBS, aerophagia, and cyclic vomiting syndrome were significantly worse among the FGID (P < 0.01).
The prevalence of FGID in adolescents was relatively high. The presences of FGID worsen the QOSL score. Medical intervention and/or counseling are needed for such students to improve the QOSL.
青少年功能性胃肠疾病（FGID）的流行及其与学校生活质量（QOSL）的关系尚未完全了解。本研究旨在探讨 FGID 与 QOSL 之间的关系。
从 40 所学校招募青少年（10-17 岁）。FGID 诊断基于小儿胃肠症状罗马 III 版问卷（QPGS-RIII）。QOSL 通过问卷进行评估，并计算为 QOSL 评分。
根据 QPGS-RIII，3976 名学生中有 552 名（13.9%）符合一种或多种 FGID 诊断标准：12.3%符合一种标准，1.5%符合两种或更多标准。最常见的诊断是肠易激综合征（IBS）（5.9%），其次是功能性腹痛（3.1%）。与男性学生相比，女性学生 FGID 的患病率明显更高（P<0.01）。小学、初中和高中生 FGID 的患病率分别为 9.5%、15.4%和 26.0%。FGID 的患病率随年龄增长而显著增加（P<0.01）。有 FGID 的患者的 QOSL 评分为 10.9±4.5，无 FGID 的患者为 8.2±2.8。有 FGID 的患者的 QOSL 评分明显差于无 FGID 的患者（P<0.01）。IBS、吞气症和周期性呕吐综合征患者的 QOSL 评分在 FGID 中明显更差（P<0.01）。
青少年 FGID 的患病率相对较高。FGID 的存在会降低 QOSL 评分。需要对这些学生进行医疗干预和/或咨询，以提高 QOSL。
