1
|
Hasosah M, Al Sarkhy A, AlQuiar K, AlMuslami I, AlAhmadi N, Almehaidib A, AlShahrani A, Alanazi A, Khan M, Aljohani A, Alanazi S, Alhassan T, AlNaqeeb A, Hameedaldeen M, Albalawi S, Abdulmenem S, Almehaidib I, Qurashi M. Prevalence of functional gastrointestinal disorders in Saudi infants and toddlers: A cross-sectional multicenter study. Saudi J Gastroenterol 2024; 30:145-153. [PMID: 38059377 PMCID: PMC11198919 DOI: 10.4103/sjg.sjg_259_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 11/07/2023] [Accepted: 11/08/2023] [Indexed: 12/08/2023] Open
Abstract
BACKGROUND Functional gastrointestinal disorders (FGIDs) are common pediatric problems, but their prevalence in Saudi Arabia is unknown. We aimed to assess the prevalence of FGIDs and risk factors among children in six regions of Saudi Arabia. METHODS This was a cross-sectional multicenter study enrolling children aged 0-48 months, attending pediatric clinics. Questionnaires evaluated the clinical history, symptoms, and sociodemographic information. FGIDs were defined according to Rome IV criteria. RESULTS The study involved 1011 infants and toddlers (mean [standard deviation (SD)] aged, 21.7 [19.4] months; FGIDs and mean [SD] age 17.4 [16.4] months; controls). FGIDs were diagnosed in 483 (47.7%) of all infants and toddlers. The prevalence of FGIDs was significantly higher in children aged 0-12 months than in those aged 13-48 months ( P < 0.001). The most common disorders were functional regurgitation (13.8%) in infants and functional constipation (9.6%) in toddlers. Univariate regression analysis confirmed that the rate of FGIDs was higher in term gestational age infants (odds ratio (OR) 2.7; 95% confidence interval (CI), 1.76-4.17, P < 0.001), in partial breastfeeding (OR 0.58; 95% CI, 0.40-0.84, P = 0.003), in formula feeding (OR 2.25; 95% CI, 1.51-3.35, P < 0.001), and in subjects with no history of food allergy (OR 2.40; 95% CI, 1.58-3.64, P < 0.001). CONCLUSIONS FGIDs are common in Saudi infants and toddlers (47.7%). Regurgitation is most prevalent in infants, and functional constipation is most common in toddlers. Term gestational age infant, partial breastfeeding, formula feeding, and subjects with no history of food allergy are associated with the prevalence of FGIDs.
Collapse
Affiliation(s)
- Mohammed Hasosah
- Pediatric Gastroenterology Department, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Jeddah, KSA
| | - Ahmed Al Sarkhy
- Pediatric Gastroenterology Unit, King Saud University Medical City, King Saud University, Riyadh, KSA
| | - Khalid AlQuiar
- Pediatric Gastroenterology, King Salman Armed Forces Hospital, Tabouk, KSA
| | | | - Najat AlAhmadi
- Pediatric Gastroenterology, Maternal Children Hospital, Almadinah Almonawarah, KSA
| | - Ali Almehaidib
- Pediatric Gastroenterology, King Faisal Specialist Hospital and Research Center, Riyadh, KSA
| | - Adel AlShahrani
- Pediatric Gastroenterology, Maternal Children Hospital, Khamis Mushait, KSA
| | - Aziz Alanazi
- Pediatric Gastroenterology, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Riyadh, KSA
| | - Muhammad Khan
- Pediatric Gastroenterology Department, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Jeddah, KSA
| | - Abrar Aljohani
- Pediatric Gastroenterology Department, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Jeddah, KSA
| | - Saqqar Alanazi
- Pediatric Gastroenterology, King Salman Armed Forces Hospital, Tabouk, KSA
| | - Tariq Alhassan
- Pediatric Gastroenterology Unit, King Saud University Medical City, King Saud University, Riyadh, KSA
| | - Ahlam AlNaqeeb
- Pediatric Gastroenterology Unit, King Saud University Medical City, King Saud University, Riyadh, KSA
| | - Marwah Hameedaldeen
- Pediatric Gastroenterology Department, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Jeddah, KSA
| | - Sanabil Albalawi
- Pediatric Gastroenterology, King Salman Armed Forces Hospital, Tabouk, KSA
| | - Safa Abdulmenem
- Pediatric Gastroenterology, Maternal Children Hospital, Dammam, KSA
| | - Ibrahim Almehaidib
- Department of Internal Medicine, Imam Mohammed Ibn Saud Islamic University, Riyadh, KSA
| | - Mansour Qurashi
- Neonatology Department, King Saud bin Abdulaziz University for Health Sciences, King Abdullah International Medical Research Center (KAIMRC), National Guard Hospital, Jeddah, KSA
| |
Collapse
|