Development of stomach‐ache and headache during middle childhood: co‐occurrence and psychosocial risk factors

Borge, Anne I. H.; Nordhagen, Rannveig

doi:10.1111/j.1651-2227.1995.tb13759.x

Cited by 26 publications

(12 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A possible explanation to our findings is the theory of fear of failure that was found in children with chronic headaches, and as a result an over achievement approach to school work. Greater motivation to achieve has been reported in adolescents with headaches, with a positive interaction between desire for successes and achievements [33]. …”

Section: Discussionmentioning

confidence: 99%

Primary headaches, attention deficit disorder and learning disabilities in children and adolescents

et al. 2013

View full text Add to dashboard Cite

BackgroundPrimary headaches and Learning difficulties are both common in the pediatric population. The goal of our study was to assess the prevalence of learning disabilities and attention deficit disorder in children and adolescents with migraine and tension type headaches.MethodsRetrospective review of medical records of children and adolescents who presented with headache to the outpatient pediatric neurology clinics of Bnai-Zion Medical Center and Meyer Children’s Hospital, Haifa, during the years 2009–2010. Demographics, Headache type, attention deficit disorder (ADHD), learning disabilities and academic achievements were assessed.Results243 patients met the inclusion criteria and were assessed: 135 (55.6%) females and 108 (44.4%) males. 44% were diagnosed with migraine (35.8% of the males, 64.2% of the females, p = 0.04), 47.7% were diagnosed with tension type headache (50.4% of the males, 49.6% of the females). Among patients presenting with headache for the first time, 24% were formerly diagnosed with learning disabilities and 28% were diagnosed with attention deficit disorder (ADHD). ADHD was more prevalent among patients with tension type headache when compared with patients with migraine (36.5% vs. 19.8%, p = 0.006). Poor to average school academic performance was more prevalent among children with tension type headache, whereas good to excellent academic performance was more prevalent among those with migraine.ConclusionsLearning disabilities and ADHD are more common in children and adolescents who are referred for neurological assessment due to primary headaches than is described in the general pediatric population. There is an association between headache diagnosis and school achievements.

show abstract

Section: Discussionmentioning

confidence: 99%

Primary headaches, attention deficit disorder and learning disabilities in children and adolescents

et al. 2013

View full text Add to dashboard Cite

show abstract

“…It is also likely that GERD symptoms could cause children to withdraw from common childhood activities and responsibilities, including sports and outdoor play. GERD symptoms could be accompanied by a fear, of developing stomach ache every day that could be associated with decreasing physical activity which is related to weight gain 27–29…”

Section: Discussionmentioning

confidence: 99%

Obesity and gastroesophageal reflux disease and gastroesophageal reflux symptoms in children

Malaty¹,

Fraley²,

Abudayyeh³

et al. 2009

CEG

View full text Add to dashboard Cite

Background:The association between body mass index (BMI) and gastroesophageal reflux disease (GERD) has been extensively studied among adults but few studies have examined such association in children. Aims: 1) to determine the relationship between BMI in children and GERD, and 2) to use the National Center for Health Statistics (NCHS) values for BMI as a valid source for comparison.Methods:We identified two cohorts of children aged between two and 17 years who were seen at Texas Children’s Hospital (TCH). The first cohort consisted of children diagnosed with GERD based on upper gastrointestinal endoscopic and histologic evaluation, which was recorded in the Pediatric Endoscopic Database System-Clinical Outcomes Research Initiative (PEDS-CORI) at TCH. A diagnosis of GERD was based on the presence of erosive esophagitis or esophageal ulcers. Endoscopic reports that were incomplete or did not include demographic features, indications for endoscopy, or endoscopic findings were excluded. The second cohort consisted of all children with symptoms due to gastroesophageal reflux (GER) who received outpatient gastrointestinal (GI) consultation at TCH for any 9th revision of the International Statistical Classification of Diseases (ICD-9) code suggestive of GER. There was no overlap between the two cohorts as each child was indexed only once. Children with any comorbid illnesses were excluded.Measurements:The records for each child namely, age, gender, height, and weight were obtained on the same date as that of the diagnosis. Using the growth curves published by the NCHS, the gender/age specific weight-for-age Z-score (WAZ), and height-for-age Z-score (HAZ) were calculated. BMI was calculated as the weight in kilograms divided by height in meters squared. Children having values greater than the 95th percentile for their age/gender-specific BMI were defined as obese.Results:In a one-year period (January 2006 to December 2006), a total of 627 children who attended the GI clinic at TCH were identified with GERD symptoms of whom 131 underwent endoscopic examination. The mean age was 9.7 years; 42% were females; 57% were Caucasians; 15% were African Americans, and 28% were Hispanics. Using National Health and Nutrition Examination Survey (NHANES) data obtained from the same period as the the current data as a baseline for comparison, the BMI of children diagnosed with GERD was higher than the BMI reported by NHANES data. The final analysis of test proportion showed an overall proportion of 0.207 for the current study versus NHANES data (0.174). The current study also showed that more boys than girls have BMI greater than 95th percentile (24.7% vs 16.5%, respectively, OR = 1.7, 95% CI = 1.2–2.6, p = 0.04).Conclusions:Children diagnosed with GERD or those who presented with symptoms of GERD are more likely to be obese. The findings of this study show a possible association between obesity and GERD in children. Further understanding about the co-morbidity between GERD and obesity in children may have important implications on GER...

show abstract

“…They include psychological stress (Borge and Nordhagen 1995;Garber et al 1998;Mortimer et al 1992;Poole 1984;Sanders et al 1994;Smith and Womack 1987;Whitehead 1996;Wood et al 1989), physiological or biological (DiPalma andDiPalma 1997;Feldman et al 1985;Feuerstein et al 1982;Smith and Womack 1987), and social or behavioral models (Edwards and Bonner 1991;Hyams et al 1996;Sanders et al 1994;Schrof 1997;Whitehead 1996). While research evidence over the past 10-15 years suggests that FAP is associated with family illness behavior, increased somatic and emotional distress, and increased anxiety and depression in parents and children (Fritz et al 1997), the supporting evidence remains inadequate and inconsistent for any particular etiological and persistence model.…”

Section: Introductionmentioning

confidence: 99%

Restoration of Vagal Tone: A Possible Mechanism for Functional Abdominal Pain

Sowder

Gevirtz

Shapiro

et al. 2010

Appl Psychophysiol Biofeedback

View full text Add to dashboard Cite

Functional abdominal pain (FAP) causes disruption of daily activities/missed school days, over utilization of healthcare, unnecessary surgeries, and anxiety in 10-15% of children. Its etiology is not clearly understood, however the success of several clinical protocols suggests that autonomic dysregulation is a factor. In this study autonomic activity, including heart rate variability (HRV), was compared between children with FAP and a comparison group. Twenty children with FAP and 10 children without FAP between the ages of 5 and 17 years old were compared on autonomic regulation using an ambulatory system at baseline and 8 weeks later. Children with FAP participated in 6 sessions of HRV biofeedback aimed at normalizing autonomic balance. At baseline, children with FAP appear to have more autonomic dysregulation than children without FAP. After completing HRV biofeedback, the FAP group was able to significantly reduce their symptoms in relation to significantly increasing their autonomic balance. In a sample of children with FAP, it appears that HRV biofeedback treatment improved their symptoms and that a change in vagal tone was a potential mediator for this improvement. The present study appears to point to excessive vagal withdrawal as an underlying mechanism of FAP.

show abstract

Development of stomach‐ache and headache during middle childhood: co‐occurrence and psychosocial risk factors

Cited by 26 publications

References 18 publications

Primary headaches, attention deficit disorder and learning disabilities in children and adolescents

Primary headaches, attention deficit disorder and learning disabilities in children and adolescents

Obesity and gastroesophageal reflux disease and gastroesophageal reflux symptoms in children

Restoration of Vagal Tone: A Possible Mechanism for Functional Abdominal Pain

Contact Info

Product

Resources

About