一项全国唐氏综合征儿童队列的肠脑相互作用障碍。

IF 3.3 3区 医学 Q2 CLINICAL NEUROLOGY
Steven L Ciciora, Kandamurugu Manickam, Miguel Saps
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引用次数: 2

摘要

背景/目的:脑肠相互作用障碍(DGBIs)存在于世界各地的成人和儿童中。唐氏综合症(DS)是人类最常见的染色体疾病。虽然退行性椎体滑移与许多器质性疾病有关,但在退行性椎体滑移的儿童和青少年中,DGBIs的发生频率尚未得到研究。我们评估儿童和青少年4-18岁的DS在美国使用罗马IV标准看护者报告DGBIs率。方法:这是一项横断面的全国调查研究,在这项研究中,114名儿童退行性痴呆的照顾者完成了一项关于他们孩子胃肠道症状和生活质量(QoL)的在线调查。结果:使用Rome IV父母报告诊断问卷,51.8%的儿童符合至少1项DGBI的症状标准。功能性便秘(36.0%)和肠易激综合征(14.9%)是最常见的疾病。与不符合任何疾病标准的儿童相比,至少有一种疾病的儿童的生活质量较低(平均生活质量= 62.3 vs平均生活质量= 72.9,P < 0.001)。几乎所有DS合并自闭症的儿童(87.5%)至少有1个DGBI。结论:DGBIs在退行性椎体滑移患儿中很常见,并与生活质量降低有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disorders of Gut-Brain Interaction in a National Cohort of Children With Down Syndrome.

Background/aims: Disorders of brain-gut interaction (DGBIs) are present in adults and children around the world. Down syndrome (DS) is the most common chromosomal condition in humans. While DS has associations with many organic medical conditions, the frequency of DGBIs in children and adolescents with DS has not previously been studied. We assess the rate of DGBIs in children and adolescents 4-18 years of age with DS in the United States using the Rome IV criteria by caregiver report.

Methods: This is a cross-sectional national survey study in which caregivers (n = 114) of children with DS completed an online survey about their child's gastrointestinal symptoms and quality of life (QoL).

Results: Using the Rome IV parent-report diagnostic questionnaire, 51.8% of children met symptom-based criteria for at least 1 DGBI. Functional constipation (36.0%) and irritable bowel syndrome (14.9%) were the most common disorders identified. QoL was lower in children with at least 1 disorder as compared to children who did not meet criteria for any disorders (mean QoL = 62.3 vs mean QoL = 72.9, P < 0.001). Almost all children with DS and concomitant autism (87.5%) had at least 1 DGBI.

Conclusions: DGBIs are common in children with DS and are associated with diminished QoL.

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来源期刊
Journal of Neurogastroenterology and Motility
Journal of Neurogastroenterology and Motility GASTROENTEROLOGY & HEPATOLOGY-CLINICAL NEUROLOGY
CiteScore
6.30
自引率
8.80%
发文量
96
期刊介绍: Journal of Neurogastroenterology and Motility (J Neurogastroenterol Motil) is a joint official journal of the Korean Society of Neurogastroenterology and Motility, the Thai Neurogastroenterology and Motility Society, the Japanese Society of Neurogastroenterology and Motility, the Indian Motility and Functional Disease Association, the Chinese Society of Gastrointestinal Motility, the South East Asia Gastro-Neuro Motility Association, the Taiwan Neurogastroenterology and Motility Society and the Asian Neurogastroenterology and Motility Association, launched in January 2010 after the title change from the Korean Journal of Neurogastroenterology and Motility, published from 1994 to 2009.
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