Khatib Mai A, Aljaaly Elham A
Clinical Nutrition Department, Faculty of Applied Medical Sciences, King Abdulaziz University, Jeddah, Saudi Arabia.
Front Pediatr. 2023 Jan 25;10:1055513. doi: 10.3389/fped.2022.1055513. eCollection 2022.
Functional gastrointestinal disorders (FGID) are a worldwide phenomenon described by painful, recurrent or chronic gastrointestinal (GI) symptoms. Variable types of FGID exist in a significant portion of children in Saudi Arabia (SA). While the studies and reports on child FGID are limited, the available ones show a notable significance of FGID in children in SA. The self-report Rome IV Diagnostic Questionnaire (DQ) globally recognizes the selection of symptom criteria and incidence thresholds. Using such a questionnaire would help clinicians provide a provisional diagnosis, serve as a case definition for epidemiological surveys, and identify inclusion criteria for clinical trials. This research aimed to pilot test the collective FGIDs prevalence among preschool children in Jeddah city and its countryside of Saudi Arabia, using Rome IV DQ in Arabic-SA. Of the 59 responses, 11.8% ( = 7), 5% ( = 3), 1 (1.6%), and 1 (1.6%) participants have functional dyspepsia, functional constipation, functional irritable bowel syndrome, and functional aerophagia, respectively according to the Rome IV criteria. The tested translated DQ in this study was the first translated version available in Arabic- SA, which could provide researchers and clinicians in SA with a diagnostic tool for FGIDs. However, because this study is a pilot study in a new field, the conclusions cannot be extrapolated to the demographic of the targeted population of children. The same researchers plan a larger study to use the current results and a larger calculated sample to assess FGIDs prevalence in children 4+ years old in Jeddah and its countryside, Saudi Arabia.
功能性胃肠病(FGID)是一种全球性现象,表现为疼痛、反复发作或慢性胃肠道(GI)症状。沙特阿拉伯(SA)很大一部分儿童存在多种类型的FGID。虽然关于儿童FGID的研究和报告有限,但现有研究表明FGID在沙特阿拉伯儿童中具有显著意义。自我报告的罗马IV诊断问卷(DQ)在全球范围内认可症状标准的选择和发病率阈值。使用这样的问卷将有助于临床医生进行初步诊断,作为流行病学调查的病例定义,并确定临床试验的纳入标准。本研究旨在使用阿拉伯语版的罗马IV DQ对沙特阿拉伯吉达市及其周边农村地区学龄前儿童的FGID总体患病率进行试点测试。在59份回复中,根据罗马IV标准,分别有11.8%(n = 7)、5%(n = 3)、1名(1.6%)和1名(1.6%)参与者患有功能性消化不良、功能性便秘、功能性肠易激综合征和功能性吞气症。本研究中测试的翻译后的DQ是阿拉伯语版沙特阿拉伯首个可用的翻译版本,可为沙特阿拉伯的研究人员和临床医生提供FGID的诊断工具。然而,由于本研究是一个新领域的试点研究,结论不能外推至目标儿童人群。同一批研究人员计划开展一项更大规模的研究,利用当前结果和更大的计算样本,评估沙特阿拉伯吉达市及其周边农村地区4岁及以上儿童的FGID患病率。