Epidemiology of functional gastrointestinal disorders in infants and toddlers: A systematic review

Ferreira-Maia, Ana Paula; Matijasevich, Alícia; Wang, Yuan‐Pang

doi:10.3748/wjg.v22.i28.6547

Cited by 48 publications

(71 citation statements)

References 49 publications

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“…Rates of infantile colic have been previously reported to be between 1 and 28% worldwide . We found a 23% prevalence rate, which was higher than the 11% found in our previous study from three Colombian cities.…”

Section: Discussioncontrasting

confidence: 82%

“…We found that 40% of the infants fulfilled the Rome III criteria for at least one FGID diagnosis with 8% qualifying for more than one FGID diagnosis. Wide‐ranging rates of FGID (1–25%) have been reported by studies on infant regurgitation . For example, a population‐based study from Italy that relied on paediatricians to report child symptoms found a prevalence of 12% for infant regurgitation, which was slightly higher than our data , and van Tilburg et al found an even higher prevalence of regurgitation (26%) in American infants .…”

Section: Discussioncontrasting

confidence: 74%

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Multicountry cross‐sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants

et al. 2018

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Section: Discussioncontrasting

confidence: 82%

Section: Discussioncontrasting

confidence: 74%

Multicountry cross‐sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants

et al. 2018

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“…Reported prevalence rates of FGIDs in neonates and toddlers vary between 27.1% and 38.0%, with the most prevalent disorders being infant regurgitation and functional constipation (1-25.9% and 1-31%, respectively) [7]. Infants and toddlers with an FGID display a reduced quality of life and visit medical professionals more often compared to healthy controls [8].…”

Section: Impactmentioning

confidence: 99%

The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers

Zeevenhooven

Koppen

Benninga

2017

Pediatr Gastroenterol Hepatol Nutr

211

189

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Functional gastrointestinal disorders (FGIDs) are common worldwide and cover a wide range of disorders attributable to the gastrointestinal tract that cannot be explained by structural or biochemical abnormalities. The diagnosis of these disorders relies on the symptom-based Rome criteria. In 2016 the Rome criteria were revised for infants/toddlers and for children and adolescents. In this review, we discuss the novel Rome IV criteria for infants and toddlers. The criteria for infant colic were drastically changed, whereas only minor changes were made for regurgitation, cyclic vomiting syndrome, functional diarrhea, infant dyschezia and functional constipation. In addition to this, the new Rome IV discusses underlying mechanisms of pain in infants and toddlers, including the neuro-development of nociceptive and pain pathways, the various factors that are involved in pain experience, and methods of pain assessment in infants and toddlers is essential for the clinician who encounters functional pain in this age group. Overall, the Rome IV criteria have become more distinctive for all disorders in order to improve the process of diagnosing pediatric FGIDs.

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“…1,2 The prevalence of constipation varies depending on the diagnostic criteria used, and it is considered to be a public health problem. 3 The Rome criteria are currently adopted to standardize the diagnosis of constipation in the pediatric population. 4,5 An important role of retention behavior has been evidenced in the pathophysiology of functional constipation, due to unpleasant experiences with bowel movements.…”

Section: Introductionmentioning

confidence: 99%

Gut Microbiota and the Use of Probiotics in Constipation in Children and Adolescents: Systematic Review

Gomes

Morais

2020

Rev. paul. pediatr.

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Objective: To perform a systematic review of literature data on gut microbiota and the efficacy of probiotics for the treatment of constipation in children and adolescents. Data source: The research was performed in the PubMed, the Scientific Electronic Library Online (SciELO) and the Latin American and Caribbean Health Sciences Literature (LILACS) databases in English, Portuguese and Spanish. All original articles that mentioned the evaluation of the gut microbiota or the use of probiotics in children with constipation in their title and abstract were selected. Data synthesis: 559 articles were found, 47 of which were selected for reading. From these, 12 articles were included; they studied children and adolescents divided into two categories: a gut microbiota evaluation (n=4) and an evaluation of the use of probiotics in constipation therapy (n=8). The four papers that analyzed fecal microbiota used different laboratory methodologies. No typical pattern of gut microbiota was found. Regarding treatment, eight clinical trials with heterogeneous methodologies were found. Fifteen strains of probiotics were evaluated and only one was analyzed in more than one article. Irregular beneficial effects of probiotics have been demonstrated in some manifestations of constipation (bowel frequency or consistency of stool or abdominal pain or pain during a bowel movement or flatulence). In one clinical trial, a complete control of constipation without the use of laxatives was obtained. Conclusions: There is no specific pattern of fecal microbiota abnormalities in constipation. Despite the probiotics’ positive effects on certain characteristics of the intestinal habitat, there is still no evidence to recommend it in the treatment of constipation in pediatrics.

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Epidemiology of functional gastrointestinal disorders in infants and toddlers: A systematic review

Abstract: The scarcity and heterogeneity of FGID data call for the necessity of well-designed epidemiological research in different levels of pediatric practice and refinement of diagnostic.

Cited by 48 publications

References 49 publications

Multicountry cross‐sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants

Multicountry cross‐sectional study found that functional gastrointestinal disorders such as colic and functional dyschezia were common in South American infants

The New Rome IV Criteria for Functional Gastrointestinal Disorders in Infants and Toddlers

Gut Microbiota and the Use of Probiotics in Constipation in Children and Adolescents: Systematic Review

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