新西兰儿童队列中功能性胃肠疾病的患病率(罗马IV标准

IF 0.9 Q4 GASTROENTEROLOGY & HEPATOLOGY
A. Vernon-Roberts, India Alexander, A. Day
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引用次数: 0

摘要

功能性胃肠道疾病(FGID)的特点是反复出现胃肠道症状,而不是继发于器质性疾病。女性生殖器切割可能导致生活质量下降,约22%的儿童至少经历过一次女性生殖器切割。本研究旨在评估在新西兰一家三级护理医院就诊的儿童中女性生殖器切割的患病率。方法:从新西兰基督城医院前瞻性招募年龄≥4岁的儿童。收集人口统计学、病史、胃肠道症状(罗马IV)和生活质量(EQ-5D-Y)的数据。使用方差分析和独立性卡方检验进行分析。结果:该队列包括156名儿童,平均年龄9.5岁(SD 3.3),56%为男性。根据罗马IV标准,29%的患者至少经历过一次FGID,最常见的是功能性便秘和功能性消化不良。FGID症状与毛利族(p=0.012)和父母FGID(p<0.001)有关。FGID组的生活质量在“感到担忧、悲伤或不快乐”(p=0.002)方面较低。结论:FGID与较差的生活质量有关,特别是与担忧和悲伤有关,应强调为出现女性生殖器切割症状的学龄儿童提供支持的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of Functional Gastrointestinal Disorders (Rome IV Criteria) among a Cohort of New Zealand Children
Functional gastrointestinal disorders (FGIDs) are characterised by recurring gastrointestinal symptoms that are not secondary to organic disease. FGIDs may cause reduced quality of life, with approximately 22% of children experiencing at least one FGID. This study aimed to assess FGID prevalence among children attending a tertiary care hospital in New Zealand (NZ). Methods: Children aged ≥ four years were prospectively recruited from Christchurch Hospital, NZ. Data were collected on demographics, medical history, gastrointestinal symptoms (Rome IV), and quality of life (EQ-5D-Y). An analysis was carried out using analysis of variance and the chi-squared test of independence. Results: The cohort included 156 children, with a mean age of 9.5 years (SD 3.3), 56% male. According to the Rome IV criteria, 29% experienced at least one FGID, most commonly functional constipation and functional dyspepsia. FGID symptoms were associated with Māori ethnicity (p = 0.012) and parental FGID (p < 0.001). Quality of life was lower in the FGID group in the domain ‘Feeling worried, sad, or unhappy’ (p = 0.002). Conclusion: the association of FGIDs with worse quality of life, in particular relating to worry and sadness, should highlight the importance of providing support to school age children experiencing FGID symptoms.
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CiteScore
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