Recurrent Abdominal Pain Among Children Attending Government and Private Schools in Delhi (original) (raw)
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Predictors of recurrent abdominal pain among 9 to 15-year-old urban school-children in Malaysia
Acta Paediatrica, 2001
A cross-sectional survey of school-children aged from 9 to 15 y was performed in the city of Petaling Jaya to look for predictors of recurrent abdominal pain. A sample of 1488 children was randomly chosen, of whom 143 (9.6%) had recurrent abdominal pain according to Apley's criteria. Conclusion: The results of the study show that recurrent abdominal pain was associated with a number of demographic variables, a tendency to have other complaints and a family history of chronic abdominal complaints.
Recurrent abdominal pain and consulting behaviour among children in a rural community in Malaysia
Digestive and Liver Disease, 2001
Aim. To look at predictors of consulting behaviour among children with recurrent abdominal pain in a rural community in Malaysia. Subjects and methods. A sample of 1462 school-children aged between 9 and 15 years were randomly selected from all schools in Kuala Langat, a rural district in Malaysia. Those with recurrent abdominal pain, defined according to Apley's criteria, were recruited and divided into consulters and non-consulters. A consulter was defined as a child who had sought the help of a medical practitioner at least once in the past year for recurrent abdominal pain. A detailed clinical, social and family history was obtained in all recruited children. Results. A total of 161 children were recruited: 78 (48.4%) consulters, 83 (51.6%) non-consulters. Of the consulters, 40 were boys, 38 were girls (male:female ratio = 1.1:1). The two sexes did not show a significant difference in prevalence of consulters (p=0.189). Of the ethnic groups, only Indians had a significantly higher likelihood to consult a doctor (Indians, p=0.006; Malays, p=0.742; Chinese, p=0.050). Younger children (under 12 years) had a significantly higher chance of having been brought to see a medical practitioner (p=0.014). Children in whom age of onset of abdominal pain was below ten years were also more likely to have been seen by a doctor (p=0.012). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (p<0.001). Pain severity was not a significant factor (p=0.429). Multiple logistic regression analysis revealed that the only variable that remained significantly associated with health-care consultation was school absence (p=0.001). Conclusions. Children who saw their doctors for recurrent abdominal pain were also more likely to be those who missed school on account of abdominal pain. Following multiple regression analysis, other factors were no longer significant.
Risk factors of recurrent abdominal pain in adolescents
2021
Background Recurrent abdominal pain is 2-4% of all cases encountered by pediatricians. Risk factors vary among countries. There is no data on prevalence and risk factors of recurrent abdominal pain in adolescents in Indonesia. Objective To evaluate prevalence and risk factors of recurrent abdominal pain in junior high school students. Methods A cross-sectional study was performed among junior high school students in South Jakarta who experienced recurrent abdominal pain according to Roma III criteria. Students allowed by their parents to participate to this study were asked to complete a Roma III questionnaire. Data about sociodemographic and history of recurrent abdominal pain among the parents were also collected using a questionnaire. ResultsThree hundred ninety-six adolescents participated in this study, 17.2% among them experiencing recurrentabdominal pain. Irritable bowel syndrome (IBS) was the most common type (42.6%), followed by functional dyspepsia (30.9%), functional abd...
Predictors of abdominal pain in schoolchildren: a 4-year population-based prospective study
Archives of Disease in Childhood, 2007
Background: Chronic abdominal pain (CAP) is common among schoolchildren, but risk factors for its onset are still largely unknown. Aims: To determine the frequency of onset of CAP in schoolchildren and investigate risk factors for its development. Methods: 1411 schoolchildren aged 11-14 years were recruited from schools in North West England. Information was collected on recent pain symptoms and potential risk factors for developing CAP. Participants were followed up 1 and 4 years later and new episodes of CAP were identified. Results: 22% reported new-onset abdominal pain at 1-year follow-up which persisted at 4-year follow-up (CAP). CAP was almost three times higher in girls than boys (34% vs 13%; x 2 : 26.0; p,0.001). In girls, reporting headache at baseline was the only predictive factor for CAP onset: those reporting headaches experienced a doubling in the risk of symptom onset (relative risk: 2.1; 95% confidence interval: 0.95 to 4.7). In contrast, in boys, development of CAP was independently predicted by daytime tiredness (3.0; 1.2 to 7.6), lack of school enjoyment (2.0; 0.95 to 4.2), adverse psychosocial exposures (2.3; 1.2 to 4.5) and taller stature (1.9; 0.8 to 4.5). Conclusion: Our results suggest that over 20% of adolescent schoolchildren experience new-onset non-selflimiting abdominal pain over a 1-year period. Future abdominal pain is predicted by previous somatic symptom reporting in girls and both somatic symptom reporting and psychosocial factors in boys. These risk factors indicate a possible mechanism for understanding the development of CAP, and might have important implications for both primary and secondary preventive strategies.
Journal of Gastroenterology and Hepatology, 2001
Aim: To look at the predictors of health-care consultation for recurrent abdominal pain among urban schoolchildren in Malaysia.Methods: Recurrent abdominal pain was defined as ‘at least three episodes of abdominal pain, severe enough to affect a child's activities over a period longer than 3 months. A health-care consulter was defined as a child who had been brought to see a doctor regarding recurrent abdominal pain at least once in the past year. Children aged between 9 and 15 years were randomly chosen from schools in the city of Petaling Jaya, given questionnaires to fill in and interviewed to determine whether they fulfilled the above criteria for having symptoms of recurrent abdominal pain and for being a consulter. Bivariate analysis and multiple logistic regression analysis were performed on the data obtained.Results: One hundred and forty-three (9.61%) children fulfilled the criteria for recurrent abdominal pain out of a total of 1488 schoolchildren interviewed. There were 65 (45.5%) consulters and 78 (54.5%) non-consulters. Among the consulters, the male to female ratio was 1:1.4, while among the non-consulters, the ratio was 1:1.1. On bivariate analysis, the Chinese had a significantly lower likelihood to consult a doctor (P = 0.02), while the other two races did not show any increase in consultation (Malays, P = 0.08; Indians, P = 0.21). Among those with severe pain, there was a significantly higher prevalence of consulters (P < 0.01). Furthermore, those whose sleep was interrupted by abdominal pain were more likely to consult (P < 0.01). Children who had consulted a doctor were more likely to be missing school because of abdominal pain (P < 0.01). Following multiple logistic regression analysis, ethnicity was no longer a significant predictor.Conclusions: Approximately 45.5% of schoolchildren with recurrent abdominal pain in an urban setting were brought to see a doctor. Predictors of recent health-care consultation were school absence, pain severity and interruption of sleep caused by abdominal pain.
Prevalence and Progression of Recurrent Abdominal Pain, From Early Childhood to Adolescence
Clinical Gastroenterology and Hepatology, 2021
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Abdominal Pain–Predominant Functional Gastrointestinal Diseases in Children and Adolescents
Journal of Pediatric Gastroenterology & Nutrition, 2011
Background and Objective: Functional gastrointestinal disorders (FGD) are common among children, but little is known regarding their prevalence in developing countries. We assessed the prevalence of abdominal painpredominant FGD, in addition to the predisposing factors and symptomatology, in Sri Lankan children. Patients and Methods: A cross-sectional survey was conducted among a randomly selected group of 10-to 16-year-olds in 8 randomly selected schools in 4 provinces in Sri Lanka. A validated, self-administered questionnaire was completed by children independently in an examination setting. FGD were diagnosed using Rome III criteria. Results: A total of 2180 questionnaires were distributed and 2163 (99.2%) were included in the analysis (1189 [55%] boys, mean age 13.4 years, standard deviation 1.8 years). Of them, 270 (12.5%) had at least 1 abdominal pain-predominant FGD. Irritable bowel syndrome (IBS) was seen in 107 (4.9%), functional dyspepsia in 54 (2.5%), functional abdominal pain in 96 (4.4%), and abdominal migraine (AM) in 21 (1.0%) (2 had AM and functional dyspepsia, 6 had AM and IBS). Extraintestinal symptoms were more common among affected children (P < 0.05). Abdominal pain-predominant FGD were higher in girls and those exposed to stressful events (P < 0.05). Prevalence negatively correlated with age (r ¼ À0.05, P ¼ 0.02). Conclusions: Abdominal pain-predominant FGD affects 12.5% of children ages 10 to 16 years and constitutes a significant health problem in Sri Lanka. IBS is the most common FGD subtype present. Abdominal painpredominant FGD are higher in girls and those exposed to emotional stress. Prevalence of FGD decreased with age. Extraintestinal symptoms are more frequent in affected children.
Chronic abdominal pain in children aged 5 - 15 years
International Journal of Health Sciences (IJHS), 2022
Background: Mostly, chronic abdominal pain (CAP) is detected with no abnormality. Therefore, focuses on psychosocial issues of children with CAP may throw light on etiology of this disorder and inputs for management. Objective: To study the psychosocial factors related with CAP and association between them in children. Methodology: In a prospective, hospital-based case control study, 199 children (aged 5-15 years) were enrolled. Children were split into cases (n=50, with CAP) and controls (n-149, without CAP). Cases were further divided into organic and nonorganic groups based on their symptoms. Baseline investigations like urine and stool routine, ultrasound (abdomen and pelvis) was done for cases. Psychosocial assessment was done in all patients. Results: Around 88% children in cases group had nonorganic pain and 12% had organic pain. Most children with nonorganic pain were females (52%). A significant association noted between type of stool, USG abdomen results, and characteristic of pain with type of abdominal pain (organic and nonorganic) (P<0.001). A significant difference noted between cases and controls in term of birth order, school refusal, distribution of scores of all psychosocial assessment scales (P <0.05); and in the score distribution for all the psychosocial assessment scales between control group and nonorganic and organic pain cases separately (P <0.001). A significant difference noted in the distribution of scores of (pediatric symptom checklist) psc-i, psc-t and separation anxiety between organic pain and nonorganic pain cases (P <0.001) with higher score in nonorganic pain group. Conclusion: Different psychosocial and clinical factors are linked with an increased chance of CAP in children. Understanding of individual CAP risk factors would be helpful in evaluation and further management of CAP.
ABDOMINAL PAIN IN SIX-YEAR-OLDS: AN EPIDEMIOLOGICAL STUDY IN A NEW TOWN
Journal of Child Psychology and Psychiatry, 1986
Abstract— This study investigated recurrent abdominal pain in all 494 second-year infant children in a new town using a postal questionnaire followed by sampling and detailed interview. A prevalence of between 24.5 and 26.9% was found and there were associations with psychiatric deviance both at home and at school. There were also associations with social support of the mother, difficulties in settling into school and status of house ownership. Details of parental management of their children's symptoms are described.