[Case-Control Study On Generalised Joint Hypermobility In Schoolchildren With Functional Gastrointestinal Disorders According To Rome IV Criteria In Spanish]

An Pediatr (Engl Ed). 2019 Dec;91(6):401-407. doi: 10.1016/j.anpedi.2019.04.006. Epub 2019 May 17.
[Article in Spanish]

Abstract

Introduction: Although results show an association between the presence of generalised joint hypermobility (GJH) and functional gastrointestinal disorders (FGIDs) in children, they are limited and controversial.

Objective: To determine the association between GJH and FGIDs and the search for risk factors for GJH in girls from a Public Educational Institution of Tuluá, Colombia.

Patients and methods: The students completed the Rome IV Questionnaire to identify FGIDs. Each girl with a diagnosis of some FGIDs was matched with a healthy control of the same age. Joint laxity was assessed according to the Beighton score and was considered as GJH when it was ≥ 4. The prevalence of GJH was compared in girls with and without FGIDs.

Results: Out of a total of 921 girls between 10 and 18 years of age that participated in the study, 219 (23.8%) of them had some FGIDs. The analysis was performed on a total of 169 girls with FGIDs and 169 healthy control girls. There were no significant differences in GJH between girls with and without a diagnosis of some FGIDs (OR=1.12: 95% CI; 0.71-1.77, P=.5838), nor were there any risk factors.

Conclusion: In this study, no relationship or any risk factor was found between GJH and the presence of FGIDs.

Keywords: Children; Functional gastrointestinal disorders; Generalised joint hypermobility; Hiperlaxitud articular generalizada; Niños; Trastornos digestivos funcionales.

MeSH terms

  • Adolescent
  • Case-Control Studies
  • Child
  • Colombia
  • Female
  • Gastrointestinal Diseases / epidemiology*
  • Humans
  • Joint Instability / epidemiology*
  • Joint Instability / etiology
  • Prevalence
  • Risk Factors
  • Surveys and Questionnaires