The prevalence of functional gastrointestinal disorders in children in Panama: a school-based study

Acta Paediatr. 2016 May;105(5):e232-6. doi: 10.1111/apa.13379. Epub 2016 Mar 28.

Abstract

Aim: Functional gastrointestinal disorders (FGIDs) are common in children, but the epidemiology of FGIDs is incompletely understood. Our aim was to perform a population-based study using Rome III criteria to describe the prevalence of FGIDs in children in Panama.

Methods: We performed a cross-sectional study of children attending three schools in Panama City, Panama. Children with organic medical diseases were excluded. Subjects provided demographic information and completed the Questionnaire on Pediatric Gastrointestinal Symptoms - Rome III Spanish version.

Results: A total of 321 subjects (61.1% female, median age 10 years, range 8-14 years) completed our study. A total of 92 subjects (28.7%) met criteria for an FGID. Gender, age and school type did not differ significantly between subjects with and without FGIDs. The most common FGIDs included functional constipation (15.9%), irritable bowel syndrome (5.6%), and functional abdominal pain or functional abdominal pain syndrome (4.0%). Abdominal pain-related FGIDs were present in 12.1%.

Conclusion: FGIDs are common in school-aged children in Panama. The prevalence of abdominal pain-related FGIDs in children in Panama is similar to that described in other parts of the world. Further population-based studies utilising Rome III criteria to measure FGID prevalence in children are needed to advance our understanding of the pathogenesis of FGIDs.

Keywords: Abdominal pain; Constipation; Developing countries; Epidemiology; Functional abdominal pain.

MeSH terms

  • Adolescent
  • Child
  • Cross-Sectional Studies
  • Female
  • Gastrointestinal Diseases / diagnosis
  • Gastrointestinal Diseases / epidemiology*
  • Humans
  • Male
  • Panama / epidemiology
  • Prevalence
  • Schools