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Prevalence of Pediatric Functional Gastrointestinal Disorders Utilizing the Rome IV Criteria

Samantha G Robin1, Catherine Keller1, Russell Zwiener2

  • 1Department of Medicine, Division of Gastroenterology and Hepatology, Center for Functional GI and Motility Disorders, University of North Carolina, Chapel Hill, NC.

The Journal of Pediatrics
|February 6, 2018
PubMed

Insights

Functional gastrointestinal (GI) disorders are common in children, affecting nearly 25% of both infants and older children. These conditions significantly impact quality of life and may be linked to parental GI health.

Area of Science:

  • Pediatric Gastroenterology
  • Epidemiology
  • Public Health

Background:

  • Functional gastrointestinal (GI) disorders are prevalent in children, impacting their well-being.
  • The Rome IV criteria provide updated diagnostic guidelines for these conditions.
  • Understanding the prevalence and impact of pediatric GI disorders is crucial for effective management.

Purpose of the Study:

  • To determine the prevalence of functional GI disorders in children aged 0-18 years using the Rome IV criteria.
  • To assess the impact of these disorders on children's quality of life (QoL).
  • To explore potential associations between parental and child functional GI disorders.

Main Methods:

  • A cross-sectional study involving 1255 mothers of children aged 0-18 years in the US.
  • Online surveys were used to collect data on children's GI symptoms, QoL, and other health conditions.
  • Diagnosis of functional GI disorders was based on the Rome IV criteria.

Main Results:

  • Functional GI disorders were diagnosed in 24.7% of infants/toddlers (0-3 years) and 25.0% of children/adolescents (4-18 years).
  • Infant regurgitation and functional constipation were the most common diagnoses.
  • Children with functional GI disorders experienced significantly lower QoL compared to those without.

Conclusions:

  • Functional GI disorders are common across all pediatric age groups based on Rome IV criteria.
  • These disorders are associated with a significant reduction in pediatric quality of life.
  • A higher likelihood of functional GI disorders in children was observed when parents also had these conditions.
Abstract

Keywords:
Rome IVfunctional GI disorderpediatricquality of life

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