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阿根廷布宜诺斯艾利斯青少年功能性胃肠疾病的患病率。

Prevalence of functional gastrointestinal disorders among adolescents in Buenos Aires, Argentina.

作者信息

Nelissen L G, Koppen I J N, Follett F R, Boggio-Marzet C, Saps M, Garzon K, Benninga M A

机构信息

Departamento de Gastroenterología Pediátrica y Nutrición, Emma Children's, Hospital, Centro Médico Académico, Ámsterdam, Holanda.

Departamento de Gastroenterología Pediátrica y Nutrición, Emma Children's, Hospital, Centro Médico Académico, Ámsterdam, Holanda.

出版信息

Rev Gastroenterol Mex (Engl Ed). 2018 Oct-Dec;83(4):367-374. doi: 10.1016/j.rgmx.2018.02.014. Epub 2018 Jun 15.

DOI:10.1016/j.rgmx.2018.02.014
PMID:29914714
Abstract

INTRODUCTION AND AIMS

The prevalence of functional gastrointestinal disorders (FGIDs) in Argentinean children and adolescents has not yet been studied. Our aim was to determine the prevalence of FGIDs among children and adolescents in Argentina using the Rome III diagnostic criteria.

MATERIALS AND METHODS

A total of 483 children, 12-18 years of age, from 3 private schools and 3 public schools, were included in the study. Each child completed the Spanish version of the Questionnaire on Pediatric Gastrointestinal Symptoms-Rome III), which is an age-appropriate and previously validated instrument for diagnosing FGIDs according to the Rome III criteria. Sociodemographic data (age, sex, type of school, family structure and size, family history of gastrointestinal disorders) and data on stressful life events were also obtained.

RESULTS

The mean age of the population studied was 15 years (standard deviation 1.74, range 12-18, 52.8% boys). Of the respondents, 229 children (47.4%) attended private school and 254 children (52.6%) attended public school. In total, 82 children (17.0%) were diagnosed with an FGID, according to the Rome III criteria. Abdominal migraine (16.4%) was the most common diagnosis, followed by irritable bowel syndrome (7.0%), functional constipation (6.4%), and aerophagia (5.6%). Girls suffered significantly more from FGIDs than boys (22.4 vs. 12.2%, P=.0032). Children attending private school had significantly more FGIDs than children in public schools (20.5 vs. 13.8%, P=.0499).

CONCLUSION

FGIDs are common among Argentinean children and adolescents.

摘要

引言与目的

阿根廷儿童和青少年功能性胃肠病(FGIDs)的患病率尚未得到研究。我们的目的是使用罗马III诊断标准确定阿根廷儿童和青少年中FGIDs的患病率。

材料与方法

本研究纳入了来自3所私立学校和3所公立学校的共483名12 - 18岁的儿童。每个儿童完成了西班牙语版的《儿科胃肠道症状问卷 - 罗马III》,这是一种适合该年龄段且先前已验证的根据罗马III标准诊断FGIDs的工具。还获取了社会人口统计学数据(年龄、性别、学校类型、家庭结构和规模、胃肠道疾病家族史)以及应激性生活事件的数据。

结果

所研究人群的平均年龄为15岁(标准差1.74,范围12 - 18岁,52.8%为男孩)。在受访者中,229名儿童(47.4%)就读于私立学校,254名儿童(52.6%)就读于公立学校。根据罗马III标准,共有82名儿童(17.0%)被诊断为FGID。腹型偏头痛(16.4%)是最常见的诊断,其次是肠易激综合征(7.0%)、功能性便秘(6.4%)和气吞症(5.6%)。女孩患FGIDs的比例显著高于男孩(22.4%对12.2%,P = 0.0032)。就读私立学校的儿童患FGIDs的比例显著高于公立学校的儿童(20.5%对13.8%,P = 0.0499)。

结论

FGIDs在阿根廷儿童和青少年中很常见。

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