scholarly journals Clinical Utility of LCT Genotyping in Children with Suspected Functional Gastrointestinal Disorder

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3017
Author(s):  
María L. Couce ◽  
Paula Sánchez-Pintos ◽  
Emiliano González-Vioque ◽  
Rosaura Leis
Keyword(s):  
Genetic Testing ◽  
Clinical Utility ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Gastrointestinal Disorder ◽  
Clinical Value ◽  
Hydrogen Breath Test ◽  
Cross Sectional ◽  
Lactose Malabsorption ◽  
Dairy Consumption

Genetic testing is a good predictor of lactase persistence (LP) in specific populations but its clinical utility in children is less clear. We assessed the role of lactose malabsorption in functional gastrointestinal disorders (FGID) in children and the correlation between the lactase non-persistence (LNP) genotype and phenotype, based on exhaled hydrogen and gastrointestinal symptoms, during a hydrogen breath test (HBT). We also evaluate dairy consumption in this sample. We conducted a 10-year cross-sectional study in a cohort of 493 children with suspected FGID defined by Roma IV criteria. Distribution of the C/T-13910 genotype was as follows: CC, 46.0%; TT, 14.4% (LP allele frequency, 34.1%). The phenotype frequencies of lactose malabsorption and intolerance were 36.3% and 41.5%, respectively. We observed a strong correlation between genotype and both lactose malabsorption (Cramér’s V, 0.28) and intolerance (Cramér’s V, 0.54). The frequency of the LNP genotype (p = 0.002) and of malabsorption and intolerance increased with age (p = 0.001 and 0.002, respectively). In 61% of children, evaluated dairy consumption was less than recommended. No association was observed between dairy intake and diagnosis. In conclusion, we found a significant correlation between genotype and phenotype, greater in older children, suggesting that the clinical value of genetic testing increases with age.

scholarly journals Prevalence of functional gastrointestinal disorders in infants and young children in China

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ying Huang ◽  
Serene Yaling Tan ◽  
Panam Parikh ◽  
Vanitha Buthmanaban ◽  
Shaman Rajindrajith ◽  
...  
Keyword(s):  
Young Children ◽  
Maternal Education ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Functional Constipation ◽  
Gastrointestinal Disorders ◽  
Cross Sectional ◽  
Validated Questionnaire ◽  
Rome Iv ◽  
Infants And Young Children

Abstract Background The prevalence of functional gastrointestinal disorders (FGIDs) in children, particularly from Asia, is largely unknown. There are not many studies done in Asia especially using the Rome IV criteria. The aim of this study is to assess the prevalence of FGIDs in infants and young children in a representative sample in China. Methods A prospective, cross-sectional, community-based survey was conducted among healthy infants and young children between the ages of 0–4 years in Jinhua and Shanghai, China. A total of 2604 subjects (1300 subjects from Jinhua and 1304 subjects from Shanghai) completed a validated questionnaire on pediatric gastrointestinal symptoms. FGIDs in infants and young children were diagnosed using the Rome IV criteria. Results According to the Rome IV criteria, the prevalence of having a FGID in Chinese infants and young children is 27.3%. Infant regurgitation (33.9%) was the most common FGID among the 0–6 months old while functional constipation (7.0%) was the most common among the 1–4 years old. Risk factor analysis revealed that prevalence of infantile colic was higher with better maternal education and low birth weight. Prevalence of infantile regurgitation was significantly greater in males, living in a rural area, being exclusively breast fed at least up to 4 months and starting formula feeds within the first month. The risk of functional constipation was lower for infants who were delivered vaginally. Conclusions Infantile regurgitation was the most common FGID in Chinese infants while functional constipation was most prevalent among young Chinese children. Trial registration Netherlands Trial Registry Identifier: NL6973/NTR7161.

scholarly journals The Digestive Health among Participants of the Woodstock Rock Festival in Poland—A Cross-Sectional Survey

2018 ◽  
Vol 15 (10) ◽  
pp. 2256 ◽  
Author(s):  
Karolina Skonieczna-Żydecka ◽  
Ewa Stachowska ◽  
Dominika Maciejewska ◽  
Karina Ryterska ◽  
Joanna Palma ◽  
...  
Keyword(s):  
Digestive Tract ◽  
Electronic Device ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Intestinal Barrier ◽  
Study Participant ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Paper Version ◽  
Gastrointestinal Complaints

Alterations of gut microbiota, intestinal barrier and the gut-brain axis may be involved in pathophysiology of functional gastrointestinal disorders. Our aim was to assess the prevalence of digestive tract symptoms and identify common variables potentially disrupting the gut-brain axis among participants of the Woodstock Festival Poland, 2017. In total 428 people filled in a questionnaire assessing health of their digestive tract. The investigator collected answers on an electronic device, while the study participant responded using a paper version of the same questionnaire. Liver and gallbladder related symptoms were the most prevalent among our study group (n = 266, 62%), however symptoms related to altered intestinal permeability were found to be the most intensive complaints. In females the intensity of gastrointestinal complaints was higher compared to men (p < 0.05), as well as the incidence of factors with the potential to alter gut-brain axis (p < 0.0001). Chronic psychological distress, intake of non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics, were the most common associations with gastrointestinal symptoms, which were the most prevalent in females. Further attention should be focused on stress as one of the main factors negatively influencing public health.

scholarly journals No Correlation between Positive Fructose Hydrogen Breath Test and Clinical Symptoms in Children with Functional Gastrointestinal Disorders: A Retrospective Single-Centre Study

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2891
Author(s):  
Jarosław Kwiecień ◽  
Weronika Hajzler ◽  
Klaudia Kosek ◽  
Sylwia Balcerowicz ◽  
Dominika Grzanka ◽  
...  
Keyword(s):  
Clinical Features ◽  
Clinical Symptoms ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Clinical Importance ◽  
Recurrent Abdominal Pain ◽  
Clinical Feature ◽  
Gastrointestinal Disorders ◽  
Hydrogen Breath Test ◽  
Fructose Malabsorption

Fructose malabsorption is regarded as one of the most common types of sugar intolerance. However, the correlation between gastrointestinal symptoms and positive results in fructose hydrogen breath tests (HBTs) remains unclear. The aim of this study was to assess the clinical importance of positive fructose HBT by correlating the HBT results with clinical features in children with various gastrointestinal symptoms. Clinical features and fructose HBT results were obtained from 323 consecutive children (2–18 years old, mean 10.7 ± 4.3 years) that were referred to the Tertiary Paediatric Gastroenterology Centre and diagnosed as having functional gastrointestinal disorders. A total of 114 out of 323 children (35.3%) had positive HBT results, of which 61 patients were females (53.5%) and 53 were males (46.5%). Children with positive HBT were significantly younger than children with negative HBT (9.0 vs. 11.6 years old; p < 0.001). The most frequent symptom among children with fructose malabsorption was recurrent abdominal pain (89.5%). Other important symptoms were diarrhoea, nausea, vomiting, and flatulence. However, no correlation between positive fructose HBT results and any of the reported symptoms or general clinical features was found. In conclusion, positive fructose HBT in children with functional gastrointestinal disorders can be attributed to their younger age but not to some peculiar clinical feature of the disease.

scholarly journals Acute tonsillitis and pediatric functional gastrointestinal disorders: the first result of a possible association analysis

2020 ◽  
Vol 19 (4) ◽  
pp. 19-29
Author(s):  
E. R. Meskina ◽  
L. A. Galkina ◽  
T. V. Stashko
Keyword(s):  
Clinical Symptoms ◽  
Respiratory Infections ◽  
Pediatric Population ◽  
Functional Gastrointestinal Disorders ◽  
Clinical Manifestations ◽  
Gastrointestinal Symptoms ◽  
Functional Constipation ◽  
Cross Sectional Study ◽  
Acute Tonsillitis ◽  
Cross Sectional

Acute tonsillitis (AT) and functional disorders of the digestive system (FDDS) are widespread among children. There is insufficient information about whether FDDS affects the incidence and course of АT, or whether АT may predispose to the development of АT. The aim is to discover a possible relationship between acute exudative tonsillitis and FDDS in children in the context of clinical and medico-social assessment. Materials and Methods: An observational cross-sectional study was performed using the continuous sampling method. There were 137 patients under observation, aged from one to 18 years, hospitalized in a hospital with АT, proceeding with overlaps on the tonsils, including 44 children younger and 93 older than 4 years. Bacterial АT was diagnosed on the MacIsack scale (≥ 4 points) in combination with the determination of inflammatory markers (leukocytosis, CRP). Epstein-Barr viral etiology of АT was diagnosed based on the detection of anti-EBV-VCA IgM and/or anti-EBV-EA IgG in the absence of anti-EBV-NA IgG. The legal representatives of the children agreed to participate in the study and completed a developed questionnaire containing 41 questions to assess medical and social factors, health status and gastrointestinal symptoms. FDDS diagnosis was carried out according to Rome IV 2016 criteria. Stool character was assessed using the Bristol scale, and clinical symptoms of АT were also analyzed. Results: Bacterial АT was diagnosed in 51.1% (70) of patients and EBV tonsillitis — in 48.9% (67), namely with equal frequency. The incidence of FDDS was 41.6% (95% CI (confidence interval) (33.3, 50.3), including 38.7% in children from 1 to 4 years old (95% CI (24.4, 54.5) and over 4 years 43.0% (95% CI (32.8, 53.7). Functional constipation (25.0%) and functional diarrhea (13.6%) were found in young children, all children over the age of 4 years had abdominal pain (including irritable bowel syndrome with a predominance of constipation — 4.3%). In EBV-RT with FDDS, the incidence of hepatolienal syndrome was 33.3% higher (RR (relative risk) 2.40; 95% CI (1.02, 5.66) and OR (odds ratio) 5.46; 95% CI (1.39, 21.28). Children with FDDS are 22.4% more likely (RR 1.65; 95% CI (1.21, 2.24) and OR 4.1; 95% CI (1.39, 12.07) suffered from recurrent acute respiratory infections; their relatives were more likely to have gastroenterological diseases (RR 1.54; 95% CI (1.12, 2.13) and OR 2.99; 95% CI (1.22, 7.34). Perinatal hypoxic lesions of the central nervous system were more often recorded in patients with FDDS in the anamnesis (RR 1.99; 95% CI (1.25, 3.15) and OR 4.13; 95% CI (1.37, 12.42). Conclusion: The etiological role of EBV among children with exudative АT admitted to the hospital is high. FDDS is more common among children with exudative АT over 4 years of age than in the general pediatric population. The influence of FDDS on the clinical manifestations of EBV-RT is highly probable. It is advisable to continue the study to determine the significance of АT in the development of FDDS in children and adolescents; their results may be useful for clinical practice.

Lactose malabsorption: Genetic testing versus lactose hydrogen breath test

2009 ◽  
Vol 41 (9) ◽  
pp. 691 ◽  
Author(s):  
E. Schirru ◽  
P. Usai-Satta ◽  
R.-D. Jores ◽  
M. Congia
Keyword(s):  
Genetic Testing ◽  
Breath Test ◽  
Hydrogen Breath Test ◽  
Lactose Malabsorption

scholarly journals Functional gastrointestinal disorders, lifestyle habits, and smartphone addiction in adolescents

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Mauro Cinquetti ◽  
Marco Biasin ◽  
Marco Ventimiglia ◽  
Linda Balanzoni ◽  
Denise Signorelli ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dietary Habits ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Well Being ◽  
Cross Sectional Study ◽  
Smartphone Addiction ◽  
Cross Sectional ◽  
Pediatric Populations ◽  
Smartphone Use

We performed a cross-sectional study. In spring 2019, 1,594 students (mean age 12.87 years) completed a questionnaire on gastrointestinal symptoms, smartphone use, Quality of Life (QoL), dietary habits, and physical activity. Based on the Rome IV criteria, 30.9% of participants met the symptom-based criteria for FGIDs and 8.9% experienced ≥2 disorders simultaneously. Well-being was less frequently reported by children with FGIDs than others (29.0% vs. 48.2%; p < 0.001). Participants addicted to smartphones reported low than others well-being (18.0% vs. 25.8%; p < 0.001), they also showed higher prevalence of FGIDs [Odds Ratio (OR), 1.98; 95% Confidence Interval (CI), 1.47–2.68; p < 0.001]. Among dietary habits, skipping breakfast (OR, 1.50; 95% CI, 1.09–2.05; p = 0.01) and low fruit consumption (OR, 1.66; 95% CI, 1.172.36; p = 0.005) were more frequent in participants with FGIDs. FGIDs are common in pediatric populations. FGIDs have an impact on QoL. Some dietary habits and physical activity are associated with these disorders. Smartphone addiction was found to be associated with FGIDs.

scholarly journals The Relationship Between Depression and Constipation: Results From a Large Cross-sectional Study in Adults

2021 ◽  
Author(s):  
Peyman Adibi ◽  
Maryam Abdoli ◽  
Hamed Daghaghzadeh ◽  
Ammar Hassanzadeh Keshteli ◽  
Hamid Afshar ◽  
...  
Keyword(s):  
Psychological Health ◽  
Functional Gastrointestinal Disorders ◽  
Gastrointestinal Symptoms ◽  
Significant Risk ◽  
Depression Scale ◽  
Functional Constipation ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background and objective: accumulating evidence based on scarce studies suggests that the relation between depression and functional constipation is possible. However, more studies in order to provide more reliable evidence are needed. About one-third of depressed people experience constipation and, it has a key role in reducing the perceived quality of life of the affected individuals. In the current study, therefore, we aimed to evaluate whether depression is associated with higher risk of functional constipation and whether it is gender specific.Methods: This cross-sectional study was carried out among 3362 adults aged 18–55 years. In this study, functional gastrointestinal symptoms were determined using a Iranian reliable and valid version of the modified Rome III questionnaire. The Iranian validated version of Hospital Depression Scale (HADS) was used to evaluate psychological health. Scores of 8 or more on depression subscale in the questionnaire were considered to indicate the presence of depression. Self-administered questionnaires have been used to collect information regarding age, sex, marital status, education level, anthropometric measures, smoking, physical activity, antipsychotic medications use, dietary intakes. History of any predisposing chronic diseases including diabetes mellitus and cardiovascular diseases was also asked. Simple and binary logistic regression were used for data analysis. Results: mean ± SD age of participants was 36.29 ± 7.87 years and 58.5% were female. The prevalence of depression and constipation in our study sample was 28.6% and 33.6%, respectively. In crude model, in total sample depressed people showed higher significant risk of constipation OR=1.97 (95%CI:1.66-2.33). Although, we observed a significant association between depression and constipation in both genders, however the association was stronger in men than women (OR: 2.64; 95%CI: 1.91, 3.64 vs. OR: 1.52; 95%CI: 1.24, 1.86).In the full adjusted model, in total sample depressed people showed higher significant risk of constipation Adjusted OR=1.69 (95%CI:1.37-2.09). Although, we observed a significant association between depression and constipation in both genders, however the association was stronger in men than women (AOR: 2.28; 95%CI: 1.50, 3.63 vs. AOR: 1.55; 95%CI: 1.21, 1.99).Conclusion: Our study showed depressed people are at higher significant risk affecting by constipation. Our study findings justify mental health evaluation in all patients with functional gastrointestinal disorders particularly among constipated individuals.

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