Saps Miguel, Velasco-Benitez Carlos A, Blom Puck J J, Benninga Marc A, Nichols-Vinueza Diana X
Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH.
Department of Pediatrics, Universidad del Valle, Cali, Colombia.
J Pediatr Gastroenterol Nutr. 2018 Mar;66(3):391-394. doi: 10.1097/MPG.0000000000001720.
The aim of the study was to establish the prevalence of abdominal pain (AP) in school children in Pasto (Colombia) and determine the effect of AP on their daily activities; and compare the prevalence of AP and other gastrointestinal symptoms between school children from Pasto and Chicago.
Fourth- and fifth-grade students from a public school and a private school in Colombia were invited to participate in a prospective study using the same methods and questionnaires (Spanish version) as a previous study conducted in Chicago schools. Children completed weekly confidential surveys for 8 consecutive weeks.
A total of 332 children participated in the study (40% girls, mean age 9.97 years, median 10, range 8-12 years): public school (288), private school (44). A total of 2425 surveys were analyzed. Out of 2656 possible weekly surveys (332 children × 8 weeks), 91.3% were completed. Overall weekly prevalence of gastrointestinal symptoms: AP (39%), nausea (29.5%), constipation (14%), diarrhea (10.5%), vomiting (9%). Children with AP reported interference with activities: gym (21.9%), school (17.3%), difficulty sleeping (13.7%), and social activities (12.6%). Out of all children, 8.4% sought medical attention for AP during the study period.
Gastrointestinal symptoms are common in school-aged children in Colombia and interfere with both daily activities and school attendance. The prevalence of AP, diarrhea, and vomiting found in the present study was similar to published prevalence of American children using similar methods.
本研究旨在确定哥伦比亚帕斯托市学童腹痛（AP）的患病率，确定AP对其日常活动的影响；并比较帕斯托市和芝加哥市学童中AP及其他胃肠道症状的患病率。
邀请了哥伦比亚一所公立学校和一所私立学校的四、五年级学生参与一项前瞻性研究，采用与之前在芝加哥学校进行的研究相同的方法和问卷（西班牙语版）。孩子们连续8周每周完成一次保密调查。
共有332名儿童参与了研究（40%为女孩，平均年龄9.97岁，中位数10岁，范围8 - 12岁）：公立学校（288名），私立学校（44名）。共分析了2425份调查问卷。在2656份可能的每周调查问卷（332名儿童×8周）中，91.3%被完成。胃肠道症状的总体每周患病率：AP（39%），恶心（29.5%），便秘（14%），腹泻（10.5%），呕吐（9%）。有AP的儿童报告活动受到干扰：体育课（21.9%），学校学习（17.3%）,睡眠困难（13.7%），社交活动（12.6%）。在所有儿童中，8.4%在研究期间因AP寻求医疗帮助。
胃肠道症状在哥伦比亚学龄儿童中很常见，会干扰日常活动和上学出勤。本研究中发现的AP、腹泻和呕吐的患病率与采用类似方法公布的美国儿童患病率相似。
