Lu Peter L, Saps Miguel, Chanis Ricardo A, Velasco-Benítez Carlos A
Division of Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, USA.
Department of Pediatrics, Hospital del Niño, Panama City, Panama.
Acta Paediatr. 2016 May;105(5):e232-6. doi: 10.1111/apa.13379. Epub 2016 Mar 28.
Functional gastrointestinal disorders (FGIDs) are common in children, but the epidemiology of FGIDs is incompletely understood. Our aim was to perform a population-based study using Rome III criteria to describe the prevalence of FGIDs in children in Panama.
We performed a cross-sectional study of children attending three schools in Panama City, Panama. Children with organic medical diseases were excluded. Subjects provided demographic information and completed the Questionnaire on Pediatric Gastrointestinal Symptoms - Rome III Spanish version.
A total of 321 subjects (61.1% female, median age 10 years, range 8-14 years) completed our study. A total of 92 subjects (28.7%) met criteria for an FGID. Gender, age and school type did not differ significantly between subjects with and without FGIDs. The most common FGIDs included functional constipation (15.9%), irritable bowel syndrome (5.6%), and functional abdominal pain or functional abdominal pain syndrome (4.0%). Abdominal pain-related FGIDs were present in 12.1%.
FGIDs are common in school-aged children in Panama. The prevalence of abdominal pain-related FGIDs in children in Panama is similar to that described in other parts of the world. Further population-based studies utilising Rome III criteria to measure FGID prevalence in children are needed to advance our understanding of the pathogenesis of FGIDs.
功能性胃肠病（FGIDs）在儿童中很常见，但FGIDs的流行病学尚未完全明确。我们的目的是采用罗马III标准进行一项基于人群的研究，以描述巴拿马儿童FGIDs的患病率。
我们对巴拿马城三所学校的儿童进行了一项横断面研究。排除患有器质性疾病的儿童。受试者提供人口统计学信息并完成《儿科胃肠道症状问卷——罗马III西班牙语版》。
共有321名受试者（女性占61.1%，中位年龄10岁，范围8 - 14岁）完成了我们的研究。共有92名受试者（28.7%）符合FGID标准。患有和未患有FGIDs的受试者在性别、年龄和学校类型方面无显著差异。最常见的FGIDs包括功能性便秘（15.9%）、肠易激综合征（5.6%）以及功能性腹痛或功能性腹痛综合征（4.0%）。与腹痛相关的FGIDs占12.1%。
FGIDs在巴拿马学龄儿童中很常见。巴拿马儿童中与腹痛相关的FGIDs患病率与世界其他地区所描述的相似。需要进一步开展基于人群的研究，采用罗马III标准来测量儿童FGID患病率，以增进我们对FGIDs发病机制的理解。
