János Major, Szilvia Ádám
Institute of Behavioural Sciences, Budapest
Introduction: Abdominal pain-related functional gastrointestinal disorders (AP-FGIDs) are common in adolescence affecting 6.3-25.7% of children. AP-FGIDs have significant adverse impact on quality of life and daily functioning, may lead to severe psychological co-morbidities and increased health-care costs. However, little is known about AP-FGIDs in Hungary.
Aims: The aim of this study was to explore the prevalence of AP-FGIDs and quality of life among Hungarian adolescents suffering from these disorders.
Method: Children and adolescents (N=657) aged 10 years and over were recruited nationwide from schools to develop a sample representative for school year, gender, and region. Subjects completed the Questionnaire for Pediatric Gastrointestinal Symptoms Rome ΙΙΙ Edition, the Pediatric Quality of Life Inventory™ and a study-specific questionnaire about age, sex, marital status of the parents, and residency. The schools returned 527/ 657 questionnaires, from that 522 questionnaires (79.5%) were eligible for data analysis (255 males, 48.9 %, mean age 14.76, SD 2.4 years). Statistical analysis included descriptive analysis an χ2, Mann-Whitney U and Fisher exact tests where appropriate.
Results: Sixty-two children had at least one AP-FGID (11.9%). We confirmed significant female predominance (χ2 test (1)=25.1, p=0.000) and significantly less AP-FGID among children living the county capital (2-sided Fisher's exact test, 0.049). The most prevalent FGID was abdominal migraine (AM) affecting 32 children (6.1%). The quality of life was significantly lower in the AP-FGID group (Mann-Whitney U test, 1962.5 , significance p=0.00).
Conclusion: Whilst the overall prevalence and epidemiology of AP-FGIDs in Hungary appears to be similar to that in other countries, we confirmed female predominance, lower prevalence in children living in the chief town of a county and significantly higher quality of life in the non AP-FGID group. AM was the most prevalent subtype which is different from other countries. Further investigation and prospective studies are needed to answer these latter emerging research questions.
Doctoral School: Mental Health Sciences
Program: Mental Health Sciences
Supervisor: dr. Szilvia Ádám
Email address: firstname.lastname@example.org