基于罗马III标准的德里青少年功能性胃肠疾病患病率：一项基于学校的调查。

Prevalence of functional gastrointestinal disorders among adolescents in Delhi based on Rome III criteria: A school-based survey.

作者信息

Bhatia Vidyut, Deswal Shivani, Seth Swati, Kapoor Akshay, Sibal Anupam, Gopalan Sarath

机构信息

Apollo Centre for Advanced Pediatrics, Indraprastha Apollo Hospital, Sarita Vihar, Delhi Mathura Road, New Delhi, 110 076, India.

Department of Pediatrics, PGIMER and Dr. Ram Manohar Lohia Hospital, Baba Kharak Singh Marg, New Delhi, 110 001, India.

出版信息

Indian J Gastroenterol. 2016 Jul;35(4):294-8. doi: 10.1007/s12664-016-0680-x. Epub 2016 Aug 24.

DOI:10.1007/s12664-016-0680-x

PMID:27554498

Abstract

BACKGROUND

Functional gastrointestinal diseases (FGIDs) are emerging as an important cause of morbidity in adolescents globally. The prevalence of FGIDs among Indian children or adolescents is not clear.

METHODS

A cross-sectional school-based survey conducted in 1115 children aged 10-17 years attending four semi urban government schools of National capital territory (NCT) of Delhi. Rome III questionnaire was translated into Hindi and was filled by the students under supervision. Prevalence of FGIDs was calculated.

RESULTS

Ten percent (112) adolescents had FGIDs. Out of 112, 52 % (58) were boys, and 48 % (54) were girls. 2.7 % (30) had functional dyspepsia, 1.3 % (15) had irritable bowel syndrome, 1.4 % (16) had abdominal migraine, 1.5 % (17) had aerophagia, 0.4 % (5) had functional abdominal pain syndrome, and 0.3 % (4) had functional abdominal pain. Prevalence of functional constipation, adolescent rumination syndrome, cyclical vomiting syndrome, and non-retentive fecal incontinence were 0.5 % (6), 0.3 % (4), 0.3 % (3), 0.4 % (5), respectively. Functional abdominal pain-related FGID were present in 6.3 % (70) children (35 boys and 35 girls). Functional constipation (4 vs. 2) and functional abdominal pain syndrome (4 vs. 1, p < 0.05) were significantly more in females.

CONCLUSIONS

The prevalence of functional gastrointestinal disorders in our study was 10 %. The most frequent FGID noted was functional dyspepsia.

摘要

背景

功能性胃肠病（FGIDs）正逐渐成为全球青少年发病的一个重要原因。FGIDs在印度儿童或青少年中的患病率尚不清楚。

方法

对就读于德里国家首都辖区（NCT）四所半城市公立学校的1115名10至17岁儿童进行了一项基于学校的横断面调查。罗马III问卷被翻译成印地语，并由学生在监督下填写。计算FGIDs的患病率。

结果

10%（112名）青少年患有FGIDs。在这112名中，52%（58名）为男孩，48%（54名）为女孩。2.7%（30名）患有功能性消化不良，1.3%（15名）患有肠易激综合征，1.4%（16名）患有腹型偏头痛，1.5%（17名）患有吞气症，0.4%（5名）患有功能性腹痛综合征，0.3%（4名）患有功能性腹痛。功能性便秘、青少年反刍综合征、周期性呕吐综合征和非潴留性大便失禁的患病率分别为0.5%（6名）、0.3%（4名）、0.3%（3名）、0.4%（5名）。6.3%（70名）儿童（35名男孩和35名女孩）患有与功能性腹痛相关的FGID。女性的功能性便秘（4例对2例）和功能性腹痛综合征（4例对1例，p<0.05）明显更多。