Subtypes of Irritable Bowel Syndrome in Children and Adolescents

Self, Mariella M.; Czyzewski, Danita I.; Chumpitazi, Bruno P.; Weidler, Erica M.; Shulman, Robert J.

doi:10.1016/j.cgh.2014.01.031

Cited by 40 publications

(48 citation statements)

References 31 publications

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“…Our findings are supported by those of Giannetti et al 34 and our previous work reporting girls as more likely to have hard (type 1 or 2) stools compared with boys with IBS who had a higher prevalence of loose (type 6 or 7) stools. 19 This is similar to the adult literature, which notes men reporting more diarrhea symptoms than women. 14,28,29 New is our observation that pubertal status did not relate to stooling characteristics.…”

Section: Discussionsupporting

confidence: 84%

“…19 Ovarian hormones have been found to affect gastrointestinal motor function in both healthy and IBS populations with both estrogen and progesterone having effects on colonic motility. 35,36 Our findings that girls, irrespective of pubertal status, have harder stools suggests that even prepubertal related levels of these sex hormones may have an influence on colonic function, or other nonpubertal related mechanisms that remain to be elucidated may be playing a role.…”

Section: Discussionmentioning

confidence: 99%

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Childhood Irritable Bowel Syndrome Characteristics Are Related to Both Sex and Pubertal Development

Chumpitazi

Weidler

Czyzewski

et al. 2017

The Journal of Pediatrics

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Objective To determine the relationship of both pubertal development and sex to childhood irritable bowel syndrome (IBS) clinical characteristics including gastrointestinal symptoms (eg, abdominal pain) and psychological factors. Study design Cross-sectional study with children ages 7–17 years (n = 143) with a pediatric Rome III IBS diagnosis recruited from both primary and tertiary clinics between January 2009 and January 2014. Subjects completed 14-day prospective pain and stool diaries, as well as validated questionnaires assessing several psychological factors (somatization, depression, anxiety) and Tanner stage. Stool form ratings were completed using the Bristol Stool Form Scale. Results Girls with higher Tanner scores (more mature pubertal development) had both decreased pain severity and pain interference; in contrast, boys with higher Tanner scores had both increasing pain severity (β = 0.40, P = .02) and pain interference (β = 0.16, P = .02). Girls (vs boys), irrespective of pubertal status, had both increased somatic complaints (P = .005) and a higher percentage (P = .01) of hard (Bristol Stool Form Scale type 1 or 2) stools. Pubertal status and sex did not significantly relate to IBS subtype, pain frequency, stooling frequency, anxiety, or depression. Conclusions In children with IBS, both pubertal development and/or sex are associated with abdominal pain severity, stool form, and somatization. These differences provide insight into the role of pubertal maturation during the transition from childhood to adult IBS.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Childhood Irritable Bowel Syndrome Characteristics Are Related to Both Sex and Pubertal Development

Chumpitazi

Weidler

Czyzewski

et al. 2017

The Journal of Pediatrics

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“…15, 16 Parents were asked to remind children to complete the diaries daily and to allow children to independently rate abdominal pain without influencing their responses. 17 Responses for each day were called in to a telephone data entry system. Research coordinators ensured compliance with completion of the Pain Diary by monitoring the phone call data entry and contacting families (at least once) when needed to ensure completion.…”

Section: Methodsmentioning

confidence: 99%

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Chumpitazi¹,

Weidler²,

Lu³

et al. 2016

Journal of the Academy of Nutrition and Dietetics

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Background Adults with irritable bowel syndrome (IBS) frequently identify foods as exacerbating their gastrointestinal (GI) symptoms. In children with IBS the prevalence of perceived food intolerances and their impact are unknown. Objectives To determine the prevalence of self-perceived food intolerances and the relationship of these intolerances to abdominal pain, psychosocial distress, and quality of life in children with IBS. Design Cross-sectional; questionnaire and prospective diary data were collected from 2008–2014 by trained research coordinators. Participants/Setting Children 7–18 years (pediatric Rome III IBS, n=154; age-sex matched healthy children (HC), n=32) in Houston, Texas. Measures Perceived food intolerances and avoided foods were captured using the Childhood Food and Symptom Association Questionnaire. IBS severity was assessed by a ≥7-day Pain Diary and validated psychosocial questionnaires assessing quality of life, somatization, functional disability, depression, and anxiety. Statistical Analyses Performed Descriptive, Spearman bivariate correlation, chi-square, Poisson log-linear generalized model with Wald chi-square statistics. Results A greater proportion of children with IBS (143/154, 92.9%) vs HC (20/32, 62.5%) identified at least one self-perceived food intolerance (χ2=22.5, P<0.001). Children with IBS identified a greater number (median [25=75%]=4[2–6]) of perceived symptom-inducing foods than HC (median=2[0–4]; χ2=28.6,P<0.001). Children with IBS avoided more foods (median=2[1–4]) than HC (median=0 [0–2.75]; χ2=20.8, P<0.001). The number of self-perceived food intolerances was weakly associated (r-value range of −0.17 to 0.21) with pain frequency, pain severity, somatization, anxiety, functional disability, and decreased quality of life. Conclusions Children with IBS have a high prevalence of self-perceived food intolerances; the number of these intolerances is weakly associated with measures of IBS severity.

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“…Hubungan pendidikan orangtua yang rendah berbanding terbalik dengan faktor risiko terjadinya IBS berkaitan dengan ketersediaan nutrisi dan pelayanan kesehatan, serta kualitas lingkungan sehat. [17][18][19][20][21][22] Status ekonomi tidak mempunyai hubungan dengan IBS. Sementara di Korea didapatkan bahwa status ekonomi berhubungan dengan IBS.…”

Section: Metodeunclassified

Hubungan Masalah Perilaku pada Remaja dengan Irritable Bowel Syndrome

Kesuma¹

2017

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Latar belakang. Irritable bowel syndrome (IBS) merupakan nyeri perut berulang pada remaja yang paling banyak terjadi. Oleh karena itu, IBS akan menimbulkan gangguan perilaku yang serius pada remaja. Tujuan. Menganalisis hubungan antara masalah perilaku dengan IBS pada remaja. Metode. Penelitian potong lintang semua siswa SMA Nurul Iman. Pencatatan dilakukan meliputi karakteristik umum dan pemeriksaan fisis. Selanjutnya dilakukan uji Rome III (irritable bowel syndrome) dan PSC-17 (masalah perilaku). Analisis statistik digunakan analisis bivariat dengan uji chi-square. Hasil. Dari siswa SMA Nurul Iman didapatkan 180 subyek yang memenuhi kriteria inklusi dan tidak memenuhi kriteria eksklusi. Prevalensi IBS 58 (32,2%) subyek, terdiri atas 22 subtipe konstipasi, 23 subtipe diare, dan 13 subtipe campuran. Prevalensi masalah perilaku 40,6%, terdiri atas 28,9% masalah perilaku internalisasi, 2,8% masalah eksternalisasi, 0,6% masalah perilaku perhatian, dan 8,4% variasi dari 3 gangguan. Faktor risiko terjadinya IBS, antara lain, mengonsumsi daging olahan, teh, makan terburu-buru, serta di-bully. Terdapat hubungan yang bermakna antara IBS dengan masalah perilaku (p=0,001). Nilai Odds Ratio yang diberikan 3,015 (IK95%=1,580-5,754) Kesimpulan. Remaja yang mengalami IBS mempunyai risiko yang meningkat untuk terjadinya masalah perilaku. Sari Pediatri 2017;18(6):492-7Kata kunci: masalah perilaku, irritable bowel syndrome, remaja Association between Behavioral Problems among Irritable Bowel Syndrome Adolescents Yudianita KesumaBackground. Irritable bowel syndrome (IBS) is the most common recurrent abdominal pain in adolescence, causing serious impairments on behavioral problems. Objective. To assess for an association between IBS and behavioral problems in adolescences. Methods. Subjects in this cross-sectional study were adolescences who attended Nurul Iman high school. Their general characteristics and physical examination results were recorded. We administered the Criteria Rome III for IBS and the Pediatric Symptom Checklist 17 (PSC 17) for behavioral problems. Data was analyzed by Chi-square test. Results. We enrolled 180 adolescences as student in Nurul Iman high school. Prevalences of IBS was 32,2%, consisting of subtype IBS constipation (37,9%), subtype IBS Diarrhea (39,7%), and subtype IBS Mixed (22,4%). The prevalence of behavioral disorders was 40,6%, consisting of internalization (28,9%), externalization (2,8%), attentive problems (0,6%) and various combinations of three problems (8,4%). A significant association was found between IBS and behavioral problems (P=0.001; PR=3.015; 95%CI=1.580-5.754). Conclusion. IBS is significantly associated with behavioral problems. Sari Pediatri 2017;18(6):492-7

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Subtypes of Irritable Bowel Syndrome in Children and Adolescents

Cited by 40 publications

References 31 publications

Childhood Irritable Bowel Syndrome Characteristics Are Related to Both Sex and Pubertal Development

Childhood Irritable Bowel Syndrome Characteristics Are Related to Both Sex and Pubertal Development

Self-Perceived Food Intolerances Are Common and Associated with Clinical Severity in Childhood Irritable Bowel Syndrome

Hubungan Masalah Perilaku pada Remaja dengan Irritable Bowel Syndrome

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