Dietary Habits and Abdominal Pain-related Functional Gastrointestinal Disorders: A School-based, Cross-sectional Analysis in Greek Children and Adolescents

Giorgos Chouliaras; Christina Kondyli; Ilias Bouzios; Nick Spyropoulos; George P Chrousos; Eleftheria Roma-Giannikou

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저자정보: Giorgos Chouliaras (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr) Christina Kondyli (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr) Ilias Bouzios (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr) Nick Spyropoulos (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr) George P Chrousos (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr) Eleftheria Roma-Giannikou (First Department of Pediatrics University of Athens “Aghia Sophia” Children’s Hospital Athens Gr)

저널정보: 대한소화관운동학회(현 대한소화기능성질환.운동학회) Journal of Neurogastroenterology and Motility (JNM) Journal of Neurogastroenterology and Motility (JNM) Vol.25 No.1

발행연도: 2019.1

수록면: 113 - 122 (10page)

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Background/Aims The abdominal pain-related functional gastrointestinal disorders (AP-FGIDs) affect a significant proportion of the pediatric population and consist 1 of the most frequent causes for seeking medical advice. In this study, we aimed to assess the relation of dietary habits with the likelihood of AP-FGIDs. Methods This was a school-based, cross-sectional study approved by the Greek Government authorities, after obtaining informed consent by the legal representatives of the children. Diagnoses of AP-FGIDs were based on the Greek official translation of the Rome III questionnaire. Demographic, socioeconomic and dietary data were collected through self-reporting or parent-reporting questionnaires. Associations between the probability of AP-FGIDs and dietary practices were assessed after adjusting for known confounders through a multiple logistic regression analysis. Results A total of 1365 children (147 AP-FGIDs and 1218 controls, 52.4% females, mean age: 12.8 ± 2.8 years) were included. Multiple regression analysis identified the following statistically significant confounders: victimization, the presence of a person with a severe health problem at home, female sex, engaging in limited physical exercise, and living in a single adult family. Subsequently, logistic regression, adjusted for the abovementioned confounders, showed that reduced fish and increased junk food consumption were related to a higher likelihood of AP-FGIDs. Conclusions Children with AP-FGIDs report excessive junk-food and reduced fish intake compared to controls. Further studies are needed in order to clarify the nature of this observation.

#Children #Feeding behavior #Gastrointestinal diseases

참고문헌 (38)

참고문헌 신청

Bouzios I / 2017 / Gemou-Engesaeth V. Functional gastrointestinal disorders in Greek children based on Rome III criteria: identifying the child at risk / Neurogastroenterol Motil 29

Lewis ML / 2016 / Prevalence of functional gastrointestinal disorders in children and adolescents / J Pediatr 177:39~43, e33

Korterink JJ / 2015 / Epidemiology of pediatric functional abdominal pain disorders : a meta-analysis / PLoS One 10:e0126982

Park R / 2015 / Inpatient burden of childhood functional GI disorders in the USA : an analysis of national trends in the USA from 1997 to 2009 / Neurogastroenterol Motil 27:684~692

Dhroove G / 2010 / A million-dollar work-up for abdominal pain : is it worth it? / J Pediatr Gastroenterol Nutr 51:579~583

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