[Comparative characteristic of functional gastrocerebral disorders in donors and premature infants]
Luydmila V Ignatko1, Andriiana O Yankovska1, Gabriela G Kavulya1
1Faculty Of Postgraduate Education And Pre-University Training, Uzhhorod National University, Uzhhorod, Ukraine.
Insights
Functional gastrointestinal disorders (FGCD) are more common in preterm infants, often presenting as colic. Feeding type influences FGCD onset and symptoms in both preterm and full-term infants.
Area of Science:
- Pediatrics
- Gastroenterology
- Neonatology
Background:
- Functional gastrocerebral disorders (FGCD) are prevalent in young children, characterized by persistent gastrointestinal symptoms without identifiable structural or biochemical abnormalities.
- These disorders can be influenced by autonomic dysfunction, psycho-emotional factors, and humoral imbalances.
- Understanding FGCD incidence in relation to prematurity and feeding is crucial for early intervention.
Purpose of the Study:
- To analyze the incidence of functional gastrocerebral abnormalities in premature and full-term infants.
- To investigate the influence of age and feeding type on FGCD prevalence.
- To compare FGCD patterns between full-term and preterm infants.
Main Methods:
- A study involving 100 children, divided into 59 full-term and 41 preterm infants.
- Examination conducted at the Department of Younger Children of Vinogradiv RH.
- Statistical analysis using Student's parametric criterion to determine probability (p-value).
Main Results:
- Functional gastrointestinal disorders were significantly more prevalent in preterm infants (p <0.05).
- Colic was the most common FGCD manifestation in preterm infants (29.27%), while constipation was more frequent in full-term infants (23.73%).
- FGCD incidence peaked at 3-4 months in full-term infants and at 6 months in preterm infants (p <0.05).
Conclusions:
- The type of infant feeding significantly impacts the timing and characteristics of FGCD.
- These effects are observed irrespective of the infant's gestational age (prematurity or full-term).
- Feeding strategies may play a role in managing FGCD in early childhood.
Objective:
Introduction: Functional gastrocerebral disorders (FGCD) occupy one of the leading places in the structure of diseases of digestive organs in young children. Functional gastrointestinal disorders are accompanied by various combinations of persistent or recurrent gastrointestinal symptoms without structural or biochemical disorders. They can accompany the normal development of the child and depend on organ's disorders on the background of autonomic dysfunction, psycho-emotional and humoral factors. The aim: The aim of the work was to analyze the incidence of functional gastrocerebral abnormalities in premature and full-term children, depending on age and type of feeding.
Patients And Methods:
Materials and methods: 100 children were selected and examined on the basis of the Department of Younger Children of Vinogradiv RH. Children were divided into groups according to the degree of premature birth: the first group - 59 full-term children, the second - 41 premature infants. The analysis and statistical processing of data using Student's parametric criterion were conducted, and the probability of the difference P was determined.
Results:
Results: It was found that functional gastrointestinal disorders were significantly more prevalent in preterm infants (t = 2.09; p <0.05), and more often in the form of colic (29.27%). Full-term children were more likely to have constipation (23.73%). In full-term children FGCD was significantly more common in the 3rd and 4th month of age (30.3% and 33.3% respectively), and in preterm ones at 6 months of age (38.71%) (p <0.05).
Conclusion:
Conclusions: The type of feeding affects the time and nature of FGCD, regardless of the degree of childhood premature birth.
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