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Prevalence of Functional Gastrointestinal Disorders in Brazilian Infants Seen in Private Pediatric Practices and

Mauro Batista de Morais1, Mauro Sergio Toporovski2, Marise Helena Cardoso Tofoli3

  • 1From the Division of Pediatric Gastroenterology, Department of Pediatrics, Escola Paulista de Medicina, Universidade Federal de São Paulo.

Journal of Pediatric Gastroenterology and Nutrition
|May 27, 2022
PubMed

Insights

Functional gastrointestinal disorders (FGIDs) are common in Brazilian infants. Prematurity significantly increases the risk for infant regurgitation, colic, dyschezia, and constipation.

Area of Science:

  • Pediatrics
  • Gastroenterology
  • Public Health

Background:

  • Functional gastrointestinal disorders (FGIDs) are prevalent in infants.
  • Understanding FGID prevalence and risk factors is crucial for early intervention.

Purpose of the Study:

  • To determine the frequency of common FGIDs in Brazilian infants.
  • To investigate the association between FGIDs and factors like cesarean delivery, breastfeeding, and prematurity.

Main Methods:

  • Cross-sectional study of 5080 infants under 12 months in Brazilian private pediatric clinics.
  • Mothers completed questionnaires on delivery, feeding, prematurity, and infant GI symptoms.
  • Rome IV criteria were used for FGID diagnosis.

Main Results:

  • Prevalence: infant regurgitation (10.7%), colic (6.1%), dyschezia (4.0%), constipation (7.6%), diarrhea (0.09%).
  • Prematurity was linked to increased odds of regurgitation, colic, dyschezia, and constipation.
  • Prematurity was associated with a higher likelihood of multiple FGIDs in early infancy.

Conclusions:

  • FGIDs are frequently observed in infants attending private pediatric practices in Brazil.
  • A history of prematurity is a significant risk factor for several FGIDs in infants.
Abstract

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