Obesity predicts persistence of pain in children with functional gastrointestinal disorders

Bonilla, Silvana; D, Wang; Saps, Miguel

doi:10.1038/ijo.2010.245

Cited by 32 publications

(35 citation statements)

References 29 publications

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“…Known factors influencing persistence of symptoms: patients who struggle to effectively employ coping strategies;42hospitalisation due to pain or reports of very high pain scores;27non-GI symptoms;26obese children (p<0.0017, over 12–15 months follow-up) 43…”

Section: ‘Is There Anything Else We Can Do To Help?’mentioning

confidence: 99%

Practical management of functional abdominal pain in children

2015

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Functional abdominal pain (FAP) is common in childhood, but is not often caused by disease. It is often the impact of the pain rather than the pain itself that results in referral to the clinician. In this review, we will summarise the currently available evidence and discuss the functional dimensions of the presentation, within the framework of commonly expressed parental questions. Using the Rome III criteria, we discuss how to classify the functional symptoms, investigate appropriately, provide reassurance regarding parental worries of chronic disease. We outline how to explain the functional symptoms to parents and an individualised strategy to help restore function.

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Section: ‘Is There Anything Else We Can Do To Help?’mentioning

confidence: 99%

Practical management of functional abdominal pain in children

2015

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“…Obesity has also been associated with poor outcome and disability at long-term follow-up of standard medical treatment for these symptoms (16). Obese children are more likely to report higher intensity and frequency of symptoms, school absenteeism, and lower levels of daily functioning.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have suggested a higher prevalence of FGIDs (including functional abdominal pain) in obese and overweight children (13, 14), and data have shown relationships between obesity and AP in children with FGIDs (16), however, these studies did not include an evaluation of QOL. Studies that do investigate QOL in children and adolescents with AP have shown global impairments (48, 50), although BMI/weight status was not known in those populations.…”

Section: Discussionmentioning

confidence: 99%

Eating Behaviors and Quality of Life in Preadolescents at Risk for Obesity With and Without Abdominal Pain

Crowell

Murphy

Levy

et al. 2015

J. pediatr. gastroenterol. nutr.

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Objectives We evaluated eating behaviors and quality of life (QOL) in pre-adolescent children at risk for obesity with and without abdominal pain (AP). Methods Participants were parent-child dyads enrolled in a randomized, controlled obesity prevention trial. The children were between 5 and 10 years of age and at risk for obesity (70th–95th%ile of BMI; n = 420). Parents completed measures of their child’s eating behaviors, quality of life, abdominal pain, and bowel function and their own depression status, concern about child weight, and feeding practices. Children’s height and weight were also measured. Results Children with frequent AP (≥ 2 per month; n=103) were compared to children reporting infrequent AP (< 2 per month; n=312). Age and BMI did not differ between groups, but AP was more prevalent in females. Child emotional overeating and parental depression scores were higher in the frequent AP group (P<0.01), and child QOL was lower (P < 0.01). In multivariable analysis, female gender (OR 2.18; 95% CI 1.20 – 3.97), emotional overeating (OR 2.28; 95% CI 1.37 – 3.81), and parental depression (OR 1.23; 95% CI 1.12 – 1.35) were associated with more frequent AP. Secondary analyses were completed for children who met Rome III criteria for irritable bowel syndrome (IBS). Conclusions Clinicians working with children with AP at risk for obesity should consider assessing for and, when appropriate, addressing parent and child factors that could potentially exacerbate AP.

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“…3 In addition to above mentioned life threatening problems, several investigators have noted FGIDs are significantly more common in children with obesity. In a prospective study of children with FGIDs, Bonilla et al 4 found obese patients complain more pain intensity, higher pain frequency, more school absenteeism and more disruption of daily activities. Another study assessed children referred to a paediatric gastroenterology clinic and compared them with local population.…”

Section: Commentmentioning

confidence: 99%