Functional gastrointestinal disorders in children from low socio-economic status and Helicobacter pylori infection

F Jaime1, A Villagrán1, C Hernández1

  • 1Department of Pediatric Gastroenterology and Nutrition, School of Medicine, Pontificia Universidad Católica de Chile, Santiago, Chile.

Insights

Functional gastrointestinal disorders (FGIDs) are common in low-SES Chilean school children, with female sex and low parental education being risk factors. Helicobacter pylori infection was not associated with FGIDs in this population.

Area of Science:

  • Pediatric Gastroenterology
  • Public Health
  • Infectious Diseases

Background:

  • Limited data exists on functional gastrointestinal disorders (FGIDs) in low socio-economic status (SES) children, particularly in South America.
  • Helicobacter pylori (H. pylori) infection is endemic in many low-SES populations, yet its link to FGIDs in children remains understudied.
  • This study addresses the knowledge gap by investigating FGID prevalence and H. pylori association in Chilean school children from low-SES backgrounds.

Purpose of the Study:

  • To determine the prevalence of functional gastrointestinal disorders (FGIDs) among school children in low socio-economic status (SES) communities in Santiago, Chile.
  • To explore the relationship between FGIDs and Helicobacter pylori (H. pylori) infection in this specific pediatric population.
  • To identify demographic and familial factors associated with FGID development in low-SES children.

Main Methods:

  • A cross-sectional study involving 506 school children from three public schools in low-SES areas of Santiago, Chile.
  • Utilized the Rome III Questionnaire and an additional symptom survey to diagnose FGIDs.
  • Employed the 13C urea breath test to detect Helicobacter pylori infection.

Main Results:

  • Forty-two percent of the children experienced FGIDs, with aerophagia and functional constipation being most prevalent.
  • Factors associated with FGIDs included being female (adjusted OR 1.5), having parents with the lowest education level (adjusted OR 1.6), and a family history of gastric cancer (adjusted OR 1.9).
  • The prevalence of H. pylori infection was 55.9%, and while abdominal pain showed a marginal association (OR 1.55), FGIDs overall were not significantly related to H. pylori infection.

Conclusions:

  • Functional gastrointestinal disorders (FGIDs) are highly prevalent in low-SES school children in Santiago, Chile.
  • Female gender, lower parental education, and family history of gastric cancer are significant risk factors for FGIDs in this population.
  • Despite a high prevalence of H. pylori infection, this study found no direct association between H. pylori and FGIDs in the studied children.
Abstract

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