Reduced quality of life in children with gastro-oesophageal reflux disease
Related Experiment Video
Updated: Jun 18, 2026

Simultaneous Laryngopharyngeal and Conventional Esophageal pH Monitoring
Published on: December 14, 2020
M Marlais1, J R Fishman, J Köglmeier
1Department of Paediatric Gastroenterology, Chelsea and Westminster Hospital, London, UK. mm1305@ic.ac.uk
Insights
Quality of life (QoL) is significantly reduced in children with Gastro-oesophageal reflux disease (GORD) compared to healthy peers and those with Inflammatory Bowel Disease (IBD). This study assessed QoL in pediatric patients with GORD.
Area of Science:
- Pediatric Gastroenterology
- Quality of Life Research
- Clinical Pediatrics
Background:
- Gastro-oesophageal reflux disease (GORD) is a common condition in children.
- Assessing the impact of chronic pediatric conditions on Quality of Life (QoL) is crucial for comprehensive patient care.
- Limited data exists on self-reported QoL specifically for children diagnosed with GORD.
Purpose of the Study:
- To evaluate the self-reported Quality of Life (QoL) in children aged 5-18 diagnosed with Gastro-oesophageal reflux disease (GORD).
- To compare the QoL of children with GORD against disease-matched controls (Inflammatory Bowel Disease, chronic constipation) and healthy children.
- To provide insights into the patient-reported outcomes for pediatric GORD.
Main Methods:
- A prospective study involving 184 children (aged 5-18) attending a tertiary pediatric gastroenterology clinic.
- Participants included children with GORD, chronic constipation, Inflammatory Bowel Disease (IBD), and healthy controls.
- The validated Pediatric Quality of Life Inventory (PedsQL) generic assessment (self-report) was administered, measuring physical, emotional, social, and school domains.
Main Results:
- Children with GORD (n=40) reported significantly lower QoL (mean score 74) compared to healthy children (n=41, mean score 84) and children with IBD (n=59, mean score 82).
- QoL in the GORD group was comparable to children with chronic constipation (n=44, mean score 74).
- The PedsQL scores ranged from 0 to 100, assessing multiple domains of daily functioning.
Conclusions:
- Self-reported Quality of Life (QoL) is significantly diminished in pediatric patients with Gastro-oesophageal reflux disease (GORD) attending specialist clinics.
- Children with GORD experience a lower QoL than both healthy children and those with Inflammatory Bowel Disease (IBD).
- These findings highlight the substantial impact of GORD on the well-being of affected children.
Aim:
To assess self-reported Quality of life (QoL) in children with Gastro-oesophageal reflux disease (GORD) aged 5-18 and compare this with both disease and healthy control children in a prospective consecutive sample.
Methods:
All children attending a tertiary paediatric gastroenterology clinic from February 2009 to May 2009 with GORD, chronic constipation and inflammatory bowel disease (IBD) were asked to complete the validated PedsQL generic QoL assessment (self-report) at their clinic appointment. The PedsQL considers physical, emotional, social and school domains and is scored from 0 to 100. Healthy children were also recruited from the same site. Groups were compared using the independent samples Student's t-test.
Results:
A total of 184 children completed the assessment [103 (56%) male, mean age 10.7 years +/- 3.3] including 40 children with GORD, 44 with chronic constipation, 59 with IBD and 41 healthy children. QoL was significantly lower in the GORD group compared with both children with IBD (74 vs. 82) and healthy children (74 vs. 84), and was comparable to that of children with chronic constipation (74 vs. 74).
Conclusions:
Self-reported QoL in children with GORD attending a tertiary paediatric gastroenterology clinic is significantly reduced compared with both healthy children and children with IBD.
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