Prevalence of functional gastrointestinal disorders in Italian children living in different regions: analysis of the difference and the role of diet.

Autor: Cenni S; Department of Experimental Medicine, University of Campania 'Luigi Vanvitelli', Via S. Maria di Costantinopoli 16, 80138 Naples, Italy., Pensabene L; Department of Medical and Surgical Sciences, Pediatric Unit, Magna Graecia University, Catanzaro, Italy., Dolce P; Department of Public Health, University of Naples 'Federico II', Naples, Italy., Campanozzi A; Pediatrics, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy., Salvatore S; Pediatric Department, 'F. Del Ponte' Hospital, University of Insubria, Varese, Italy., Pujia R; Department of Medical and Surgical Sciences, Magna Graecia University, Catanzaro, Italy., Serra MR; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II', Naples, Italy., Scarpato E; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II', Naples, Italy., Miele E; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II', Naples, Italy., Staiano A; Department of Translational Medical Science, Section of Pediatrics, University of Naples 'Federico II', Naples, Italy. Electronic address: staiano@unina.it., Strisciuglio C; Department of Woman, Child and General and Specialized Surgery, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Jazyk: angličtina
Zdroj: Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver [Dig Liver Dis] 2023 Dec; Vol. 55 (12), pp. 1640-1646. Date of Electronic Publication: 2023 May 27.
DOI: 10.1016/j.dld.2023.05.013
Abstrakt: Background: Functional Gastrointestinal Disorders (FGIDs) are common in pediatric age.
Aims: To estimate the prevalence of FGIDs in Italian children and evaluate the impact of diet.
Methods: Healthy children aged 4-18 years were recruited in a multicenter cross-sectional study. We evaluated their eating habits and the presence of FGIDs, using Rome IV criteria, 3-day food diaries and Mediterranean Diet Quality Index (KIDMED) questionnaires.
Results: Seven hundred forty subjects were enrolled:369 children aged 4-9 years (Group A), and 371 adolescents 10-18 years old (Group B). The overall prevalence of FGIDs was 26.4% in Group A and 26.2% in Group B, with a significant higher prevalence in females in both groups. The most frequent disorders were functional constipation, functional dyspepsia, and abdominal migraine. No significant difference in FGIDs prevalence was found between Northern and Southern Italy, despite significant variation in diet. In Group A there was a significant difference in KIDMED between North and South (5.3 ± 1 vs 6 ± 1.2, respectively; p = 0.001). A significant association between FGIDs and KIDMED was found in Group A (OR=0.83, p = 0.034), but not in Group B (OR=0.89, p = 0.166).
Conclusions: FGIDs are common in Italian children, with a higher prevalence in females. Despite significant differences in dietary habits between North and South, FGIDs prevalence does not vary significantly.
Competing Interests: Conflicts of interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: