Funcional gastrointestinal disorders in adolescents of pre-universitary education

Authors

Keywords:

adolescents, constipation, dyspepsia, functional gastrointestinal disorders.

Abstract

Introduction: Functional gastrointestinal disorders are common entities in children and adolescents worldwide and interfere with patient and family quality of life.
Objective: To determine the frequency of functional gastrointestinal disorders in pre-university adolescents.
Methods: Observational, descriptive, cross-sectional, descriptive study in 259 adolescents, belonging to the José Martí pre-university. The variables used were age, sex, skin phenotypic trait, personal history of dengue, first-born, separated parents, only child, prematurity and cesarean birth. The Pediatric Digestive Symptom Questionnaire, based on Rome IV criteria, was used. For statistical analysis, percentages, mean, Pearson's chi-square statistic and odds ratio were used. A 95% confidence interval and p< 0.05 were taken into account.
Results: A total of 78 (30.1%) adolescents, met the Rome IV diagnostic criteria for a functional gastrointestinal disorder. There was a predominance of adolescents aged 17 years (38.5%) and female sex (40.3%). Functional constipation was diagnosed in 14.3% of adolescents, followed by functional dyspepsia (12%).
Conclusions: The disorders most frequently found were functional abdominal pain and defecation disorders, including functional constipation and functional dyspepsia as the most diagnosed, with predominance in adolescents of female sex, black skin color and separated parents.

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Author Biography

Judith Plasencia Vital, Hospital Militar Central Dr. Luis Diaz Soto

Especialista de 2do grado de pediatría.

References

1. Blesa Baviera LC. Trastornos digestivos funcionales pediátricos. Criterios Roma IV[Internet]. En: Asociación española de pediatría de atención primaria (ed.). Curso de Actualización Pediatría 2017. Madrid: Lúa Ediciones 3.0; 2017. p.99-114. Disponible en: https://www.aepap.org/sites/default/files/099-114_criterios_roma_iv.pdf

2.Baaleman DF, Di Lorenzo C, Benninga MA, Saps M. The Effects of the Rome IV Criteria on Pediatric Gastrointestinal Practice [Internet]. Current Gastroenterology Reports. 2020; 22(21):2-7. DOI: 10.1007/s11894-020-00760-8

3. Ignorosa Arellano KR, Toro Monjaraz EM, Montijo Barrios E, Zárate Mondragón FE, Cadena León JF, Cervantes Bustamente R, et al. Diagnóstico y tratamiento de los trastornos gastrointestinales del eje cerebro-intestino en niños menores de 2 años [Internet]. Acta Pediatr Mex. 2018 [acceso: 28/12/2022]; 39(6):376-84. Disponible en: https://www.medigraphic.com/pdfs/actpedmex/apm-2018/apm186g.pdf

4. Kee Seang CA, Jun Min EA, Zhong Lin K, Muhammad YJ, Ruey Terng NG, Lucy Chai SL, et al. Low prevalence of infantile functional gastrointestinal disorders (FGIDs) in a multiethnic Asian population [Internet]. Pediatrics and Neonatology. 2021; 62(1):49-54. DOI: 10.1016/j.pedneo.2020.08.009

5. Steutel N, Zeevenhooven J, Scarpato E, Vandenplas Y, Tabbers M, Staiano A, et al . Prevalence of Functional Gastrointestinal Disorders in European Infants and Toddlers [Internet]. The Journal of Pediatrics . 2020; 221:107-14. Disponible en: 10.1016/j.jpeds.2020.02.076

6. Nelissen LG,Koppen JN, Follett FR, Boggio C, Saps M, Garzon K , et al. Prevalencia de los trastornos funcionales digestivos entre los adolescentes de Buenos Aires, Argentina [Internet]. Rev Gastroenterol Mex. 2018 [acceso: 28/12/2022]; 83(4):367-74. Disponible en: https://www.sciencedirect.com/science/article/pii/S037509061830096X

7. Alonso C, Barrios J, Fernández B, García E, Santos A, Herreros M. Frecuencia de trastornos gastrointestinales funcionales según criterios Roma IV [Internet]. Anales de Pediatría. 2021 [acceso: 27/06/ 2021]; 96(5):441-7. Disponible en: https://www.sciencedirect.com/science/article/pii/S1695403321002095

8. Román Riechmann E. Trastornos digestivos funcionales en la adolescencia. Criterios Roma IV [Internet]. Canarias pediátrica. 2021 [acceso: 27/06/2021]; 45(2):122-7. Disponible en: https://scptfe.com/wp-content/uploads/2021/06/45-2-Trastornos-digestivos-funcionales-en-la-adolescencia.pdf

9. Plasencia Vital J, Fragoso Arbelo T, Velasco Benítez CA, Carassou Gutiérrez M, Arias Pompa YI, Ponce Sánchez L. Prevalencia de desórdenes gastrointestinales funcionales en adolescentes [Internet]. Rev Cubana Pediatr. 2022 [acceso: 15/04/2022]; 94(2):e1778. Disponible en: http://www.revpediatria.sld.cu/index.php/ped/article/view/1778/1021

10. Velasco Benítez CA, Ortiz Rivera CA, Sánchez Pérez MP, Játiva Mariño E, Villamarín Betancourt EA, Saps M. Utilidad de los cuestionarios de Roma IV en español para identificar desórdenes gastrointestinales funcionales en pediatría. Grupo de trabajo de la Sociedad Latinoamericana de Gastroenterología, Hepatología y Nutrición Pediátrica (SLAGHNP) [Internet]. Acta Gastroenterol Latinoam. 2019 [acceso: 28/12/2022]; 49(3):260-97.Disponible en: http://actagastro.org/utilidad-de-los-cuestionarios-de-roma-iv-en-espanol-para-identificar-desordenes-gastrointestinales-funcionales-en-pediatria-grupo-de-trabajo-de-la-sociedad-latinoamericana-de-gastroenterologia/

11. Robin SG, Keller C, ZwienerR, Hyman PE , Nurko S, Saps M. Prevalence of Pediatric Functional Gastrointestinal Disorders Utilizing the Rome IV Criteria [Internet]. Journal of Pediatrics. 2018 [acceso: 28/12/2022]; 195:134-9. Disponible en: https://www.clinicalkey.es/#!/content/playContent/1-s2.0-S0022347617316347?returnurl=https:%2F%2Flinkinghub.elsevier.com%2Fre-trieve%2Fpii%2FS0022347617316347%3Fshowall%3Dtrue&referrer=https-:%2F%2Fwww.ncbi.nlm.nih.gov%2F

12. Saps M, Velasco CA, Langshaw AH, Ramírez CR. Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents: Comparison Between Rome III and Rome IV Criteria [Internet]. J Pediatr. 2018; 199:212-6. DOI: 10.1016/j.jpeds.2018.03.037

13. VelascoBenítez CA, Gómez Oliveros LF, Rubio Molina LM, Tovar Cuevas JR, Saps M. Diagnostic Accuracy of the Rome IV Criteria for the Diagnosis of Functional Gastrointestinal Disorders in Children [Internet]. Journal of Pediatric Gastroenterology and Nutrition. 2021; 72(4):538-41. DOI: 10.1097/MPG.0000000000003030

14. Cinquetti M, Biansi M. Functional gastrointestinal disorders and smartphone use in adolescents [Internet]. Clin Exp Pediatr. 2020 [acceso: 05/04/2021]; 64(9):494-6. Disponibleen: https://www.e-cep.org/upload/pdf/cep-2020-01326.pdf

15. JátivaE, RiveraMG, VelascoCA, Saps M. The prevalence of functional constipation in children was unchanged after the Rome IV criteria halved the diagnosis period in Rome III [Internet]. Acta Pædiatrica. 2019; 108(12):2274-7. DOI: 10.1111/apa.14880

16. Koppen I, Vriesman M, Saps M, Rajindrajith S, Shi X, Di Lorenzo C, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-analysis [Internet]. Journal of Pediatrics. 2018; 198:121-130.e6. DOI: 10.1016/j.jpeds.2018.02.029

17. Zeevenhooven J, Devanarayana M, Rajindrajith S, Benninga MA. Epidemiology of Functional Abdominal Pain Disorders and Funcional Defecation Desorders in Adolescents in Curacao [Internet]. Journal of Pediatric Gastroenterology and Nutrition. 2020; 70(4):71-6. DOI: 10.1097/MPG.0000000000002623

18. Ibrahim TA, Hamdy AM, Elhodhod MA. Prevalence of Functional Gastrointestinal Disorders among School-aged Children and adolescents, A Multicenter Study [Internet]. An International Journal of Medicine. 2020; 113(1):216-7. DOI: 10.1093/qjmed/hcaa063.029

19. Peralta J, Guerrero R. Prevalence of Functional Gastrointestinal Disorders in School Children and Adolescents [Internet]. The Korean journal of gastroenterology. 2019; 73(4):207. DOI: 10.4166/kjg.2019.73.4.207

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Published

2024-08-30

How to Cite

1.
Plasencia Vital J, Ponce Sánchez L, Alvarez Cruz J, Fragoso Arbelo T, Arias Pompa YI, Carassou Gutierrez M, et al. Funcional gastrointestinal disorders in adolescents of pre-universitary education. Rev Cubana Med Milit [Internet]. 2024 Aug. 30 [cited 2025 Jan. 8];53(3):e024043955. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/43955

Issue

Vol. 53 No. 3 (2024): July - September

Section

Research Article

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