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Rising incidence of inflammatory bowel disease among children: a 12-year study

Hoda M Malaty1, Xiaolin Fan, Antone R Opekun

  • 1Department of Medicine, Baylor College of Medicine, Houston, TX, USA. Hmalaty@bcm.tmc.edu

Journal of Pediatric Gastroenterology and Nutrition
|November 26, 2009
PubMed

Insights

The incidence of pediatric inflammatory bowel disease (IBD) has doubled between 1991 and 2002, with Crohn disease (CD) showing a significant increase. These findings highlight the growing prevalence of IBD in children.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Inflammatory Bowel Disease Research

Background:

  • Growing concerns regarding the increasing incidence of pediatric inflammatory bowel disease (IBD).
  • Need to understand trends in IBD diagnosis among children.

Purpose of the Study:

  • To investigate the trend in the incidence of pediatric inflammatory bowel disease (IBD).
  • To analyze the changes in IBD diagnosis rates in children over time.

Main Methods:

  • Retrospective cohort study of children diagnosed with IBD between 1991-2002.
  • Diagnosis confirmed via clinical, radiological, endoscopic, and histological evaluations.
  • Data collected from the IBD center at Texas Children's Hospital.

Main Results:

  • The incidence of pediatric IBD doubled from 1.1 to 2.4 per 100,000 person-years between 1991 and 2002.
  • Crohn disease (CD) incidence increased, while ulcerative colitis (UC) incidence remained stable.
  • White children exhibited a higher IBD incidence rate compared to African Americans and Hispanics.

Conclusions:

  • The study confirms a rising trend in pediatric IBD, predominantly driven by Crohn disease.
  • These epidemiological shifts have significant implications for the diagnosis and management of IBD in pediatric populations.
  • Understanding demographic variations in IBD incidence is crucial for targeted healthcare strategies.
Abstract

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