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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.
Background:
Most studies on functional gastrointestinal disorders (FGIDs) in children are based on data from the northern hemisphere. Scientific reports are arising in South American population, but little is still known about children from low socio-economic status (SES), where Helicobacter pylori infection is endemic. Our objective was to evaluate the prevalence of FGIDs in school children from low SES and its relationship with H. pylori infection.
Methods:
Children from 3 public schools of low SES from Santiago de Chile were included. Students completed the Rome III Questionnaire and a survey about other symptoms. Also, the 13 C urea breath test determined the presence of H. pylori infection.
Results:
Five hundred six children were included, where 48% were male, with a median age of 15.7 years (range 7.1-19.6). Forty-two percent had some FGID, aerophagia and functional constipation being the most frequent. Females (adjusted OR 1.5, 95% CI [1.1, 2.2]), those children with parents within the lowest level of education (adjusted OR 1.6, 95% CI: 1.1-2.4), and family history of gastric cancer (adjusted OR 1.9, 95% CI: 1.2-3.1) were related to FGIDs. The prevalence of H. pylori infection was 55.9% (95% CI [50.7, 60.9]). In multivariable analysis, the presence of abdominal pain (OR 1.55, 95% CI [1.02, 2.36]), but not FGIDs, was related to H. pylori infection.
Conclusions:
FGIDs are common in low SES students. A low educational level of the household head, family history of gastric cancer. and being female are related to the development of FGIDs. In this study, no relationship between the presence of H. pylori and FGIDs was found.
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