Su1093: DISORDERS OF GUT-BRAIN INTERACTION ON THE US-MEXICO BORDER: A CROSS-SECTIONAL STUDY USING ROME IV CRITERIA

Bashashati, Mohammad; Espino, Karina; Sarosiek, Irene; Wasserman, Max J. Schmulson; Zuckerman, Marc J.

doi:10.1016/s0016-5085(22)61182-x

Cited by 2 publications

(6 citation statements)

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“…There was moderate heterogeneity. The pooled prevalence of rumination syndrome in adults according to Rome IV criteria was 3.7% (95% CI 2.3–5.1; I 2 = 91.4%) from four studies 9,18,30,36 . There was significant heterogeneity.…”

Section: Resultsmentioning

confidence: 96%

“…All retrieved articles were in English, bar one in Spanish. After screening full articles, 30 studies were included with a total of 114,228 participants 7–36 . 61,534 of these were adults from five studies, and 52,694 were children from 25 studies (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…The pooled prevalence of rumination syndrome in adults according to Rome IV criteria was 3.7% (95% CI 2.3-5.1; I 2 = 91.4%) from four studies. 9,18,30,36 There was significant heterogeneity. No studies were included in adults using Rome III criteria.…”

Section: Re Sultsmentioning

confidence: 99%

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The prevalence of rumination syndrome and rumination disorder: A systematic review and meta‐analysis

Haworth,

Treadway,

Hobson

2024

Neurogastroenterology Motil

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BackgroundRumination is characterized by the repeated regurgitation of food. Rumination syndrome is a disorder of gut‐brain interaction diagnosed by Rome criteria, whereas rumination disorder is a feeding and eating disorder diagnosed by DSM‐5 criteria. We aimed to determine the global prevalence of rumination according to these criteria across all age groups.MethodsWe performed a systematic review and meta‐analysis of studies reporting the prevalence of rumination syndrome according to Rome III and Rome IV and rumination disorder according to the following validated DSM‐5 assessments: PARDI, EDA‐5, EDY‐Q, STEP, and STEP‐CHILD. We searched MEDLINE, EMBASE, and PsychINFO (from January 1, 2006, to June 1, 2023) to identify studies reporting the prevalence of rumination in community settings in participants of any age. We did a meta‐analysis to estimate the pooled prevalence and odds ratio (OR) of rumination according to diagnostic criteria, country, and characteristics such as age and sex.Key ResultsThe search strategy generated 1243 studies, of which 147 studies appeared to be relevant. Thirty studies were included, with a total of 114,228 participants, of whom 61,534 of these were adults and 52,694 were children. The pooled prevalence of rumination syndrome in children of all ages according to Rome III criteria was 1.0% (95% CI 0.3–1.6; I2 91.1%), but no data were available for adults. According to Rome IV criteria, the pooled prevalence of rumination syndrome in children of all ages was 0.4% (95% CI 0.2–0.6; I2 56.4%) and 3.7% in adults (95% CI 2.3–5.1; I2 91.4%). The pooled prevalence of rumination disorder in children of all ages according to EDY‐Q was 2.1% (95% CI 0.9–3.4; I2 = 78.1%), but only one study utilizing EDY‐Q in adults was included (0.7% [95% CI 0.4–1.0]). No data were available for children or adults using any other validated DSM‐5 assessments for rumination disorder. Irrespective of diagnostic criteria, the pooled prevalence of rumination was higher in adults compared to children and adolescents (3.0% [95% CI 1.4–4.7; I2 = 98.1%] vs. 0.8% [95% CI 0.4–1.3; I2 = 90.8%]), but higher in adolescents than in children (1.1% [95% CI 0.3–2.0; I2 = 92.8%] vs. 0.1% [95% CI 0.0–0.2; I2 = 24.5%]). In adults, factors independently associated with rumination were female gender (OR 1.4 [95% CI 1.0–2.0]), anxiety (OR 2.3 [95% CI 2.1–2.6]), and depression (OR 1.8 [95% CI 1.2–2.9]). No association between gender and rumination was seen in children.Conclusions and InferencesThe prevalence of rumination is more common in adults than in children. In adults, rumination is associated with female gender, anxiety, and depression. Future population studies should aim to better understand why this behavior is more common in adults and also compare validated DSM‐5 assessments for rumination disorder with Rome criteria for rumination syndrome as prevalence may differ.

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Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

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The prevalence of rumination syndrome and rumination disorder: A systematic review and meta‐analysis

Haworth,

Treadway,

Hobson

2024

Neurogastroenterology Motil

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“…Using the Rome IV questionnaire in Spanish or English based on subject preferences, we found that bloating and/or distension was reported by pictograms in 30% of those not reporting them by the Rome IV Questionnaire, without any differences between Hispanics and Non‐Hispanics, or the rate of acculturation. Also, reporting bloating and/or distension with the pictograms was more frequent among individuals reporting bloating/distension at least once a week compared to less frequently by the Rome IV questionnaire 17 . Another limitation is the lack of a comparison group that includes VDs added to the bloating/distension pictograms as in the Bristol Stool Scale 18 .…”

Section: Discussionmentioning

confidence: 99%

“…Also, reporting bloating and/or distension with the pictograms was more frequent among individuals reporting bloating/distension at least once a week compared to less frequently by the Rome IV questionnaire. 17 Another limitation is the lack of a comparison group that includes VDs added to the bloating/distension pictograms as in the Bristol Stool Scale. 18 Our bloating/distension…”

Section: Discussionmentioning

confidence: 99%

Pictograms to assess bloating and distension symptoms in the general population in Mexico: Results of The Rome Foundation Global Epidemiology Study

Schmulson

López‐Colombo

Montiel-Jarquín

et al. 2023

Neurogastroenterology Motil

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Background: There is no term for bloating in Spanish and distension is a very technical word. "Inflammation"/"swelling" are the most frequently used expressions for bloating/distension in Mexico, and pictograms are more effective than verbal descriptors (VDs) for bloating/distension in general GI and Rome III-IBS patients. However, their effectiveness in the general population and in subjects with Rome IV-DGBI is unknown. We analyzed the use of pictograms for assessing bloating/distension in the general population in Mexico. Methods: The Rome Foundation Global Epidemiology Study (RFGES) in Mexico(n = 2001) included questions about the presence of VDs "inflammation"/"swelling" and abdominal distension, their comprehension, and pictograms (normal, bloating, distension, both). We compared the pictograms with the Rome IV question about the frequency of experiencing bloating/distension, and with the VDs. Key Results: "Inflammation"/"swelling" was reported by 51.5% and distension by 23.8% of the entire study population; while 1.2% and 25.3% did not comprehend "Inflammation"/"swelling" or distension, respectively. Subjects without (31.8%) or not comprehending "inflammation"/"swelling"/distension (68.4%) reported bloating/distension by pictograms. Bloating and/or distension by the pictograms were much more frequent in those with DGBI: 38.3% (95%CI: 31.7-44.9) vs. without: 14.5% (12.0-17.0); and in subjects with distension by VDs: 29.4% (25.4-33.3) vs. without: 17.2% (14.9-19.5). Among subjects with bowel disorders, those with IBS reported bloating/ distension by pictograms the most (93.8%) and those with functional diarrhea the least (71.4%). Conclusions & Inferences:Pictograms are more effective than VDs for assessing the presence of bloating/distension in Spanish Mexico. Therefore, they should be used to study these symptoms in epidemiological research.

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Su1093: DISORDERS OF GUT-BRAIN INTERACTION ON THE US-MEXICO BORDER: A CROSS-SECTIONAL STUDY USING ROME IV CRITERIA

Cited by 2 publications

References 0 publications

The prevalence of rumination syndrome and rumination disorder: A systematic review and meta‐analysis

The prevalence of rumination syndrome and rumination disorder: A systematic review and meta‐analysis

Pictograms to assess bloating and distension symptoms in the general population in Mexico: Results of The Rome Foundation Global Epidemiology Study

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