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Gastrointestinal Symptoms in Healthy, Full-Term Infants Under 7 Months of Age
Britt Frisk Pados1, Audrey Basler2
1Boston College William F. Connell School of Nursing, MA, United States of America.
Insights
Infant gastrointestinal distress symptoms decrease with age. The Infant Gastrointestinal Symptoms Questionnaire (IGSQ) shows reliable and valid psychometric properties for assessing these common infant issues.
Area of Science:
- Pediatric Gastroenterology
- Infant Health and Development
- Clinical Psychology
Background:
- Gastrointestinal (GI) distress is common in infants.
- Understanding symptom evolution is crucial for infant care.
- Validated tools are needed to assess infant GI symptoms.
Purpose of the Study:
- To characterize GI symptoms in healthy infants up to 7 months.
- To evaluate the psychometric properties of the Infant Gastrointestinal Symptoms Questionnaire (IGSQ).
Main Methods:
- Parents of 320 infants (<7 months) completed the IGSQ, I-GERQ-R, and NeoEAT.
- IGSQ scores were analyzed by age group (0-2, 2-4, 4-6, 6-7 months).
- Reliability (Cronbach's alpha) and validity (Spearman's rho) were assessed.
Main Results:
- IGSQ scores significantly decreased with infant age (median 28 at 0-2 months to 23 at 6-7 months).
- The IGSQ demonstrated acceptable internal consistency reliability (Cronbach's alpha = 0.74).
- IGSQ scores correlated significantly with I-GERQ-R and NeoEAT subscales.
Conclusions:
- Infant GI symptoms diminish as infants mature within the first 7 months.
- The IGSQ is a reliable and valid tool for assessing infant GI symptoms.
- Normative data support IGSQ score interpretation for clinical guidance.
Purpose:
To describe symptoms of gastrointestinal distress experienced by healthy, full-term infants in the first 7 months of life and test the psychometric properties of the Infant Gastrointestinal Symptoms Questionnaire (IGSQ).
Design And Methods:
Parents of infants <7 months (n = 320) completed the IGSQ, the Infant Gastroesophageal Reflux Questionnaire - Revised (I-GERQ-R), and the Neonatal Eating Assessment Tool (NeoEAT) - Breastfeeding and/or Bottle-feeding. Median and percentile scores were calculated for the IGSQ scores for each age group: 0-2, 2-4, 4-6, and 6-7 months. Change in IGSQ scores with age were evaluated using the Kruskal-Wallis test with Mann-Whitney U tests for post-hoc comparisons. Internal consistency reliability was assessed using Cronbach's alpha. Concurrent validity was tested using Spearman's rho between the IGSQ and the I-GERQ-R and NeoEAT.
Results:
IGSQ scores decreased significantly with increased infant age, from a median of 28 at 0-2 months to 23 at 6-7 months old. The IGSQ had acceptable internal consistency reliability (Cronbach's alpha = 0.74). IGSQ total score was significantly correlated with I-GERQ-R total score (Spearman's rho (rs) = 0.69, p < .001), NeoEAT - Breastfeeding: Gastrointestinal Function subscale score (rs = 0.46, p < .001), and NeoEAT - Bottle-feeding: Gastrointestinal Tract Function subscale score (rs = 0.47, p < .001).
Conclusions:
Gastrointestinal symptoms decrease with increasing age in the first 7 months of life. The IGSQ has evidence of acceptable internal consistency reliability and concurrent validity.
Practice Implications:
These data can be used to guide IGSQ score interpretation.
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