PhD Scientific Days 2018

Budapest, April 19–20, 2018

Abdominal pain-related functional gastrointestinal disorders among Hungarian adolescents

Major, János

János Major, Szilvia Ádám
Institute of Behavioural Sciences, Budapest

Language of the presentation

Hungarian

Text of the abstract

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.

Data of the presenter

Doctoral School: Mental Health Sciences
Program: Mental Health Sciences
Supervisor: dr. Szilvia Ádám
Email address: major.janos@phd.semmelweis-univ.hu