Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis

Numerous adolescents diagnosed with adolescent idiopathic scoliosis (AIS) often manifest symptoms indicative of functional gastrointestinal disorders (FGIDs). However, the precise connection between FGIDs and AIS remains unclear. The study involved adolescents drawn from sample datasets provided by...

Full description

Bibliographic Details
Main Authors: Soo-Bin Lee, Hyun-Wook Chae, Ji-Won Kwon, Sahyun Sung, Seong-Hwan Moon, Kyung-Soo Suk, Hak-Sun Kim, Si-Young Park, Byung Ho Lee
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/11/1/118
_version_ 1797344324618289152
author Soo-Bin Lee
Hyun-Wook Chae
Ji-Won Kwon
Sahyun Sung
Seong-Hwan Moon
Kyung-Soo Suk
Hak-Sun Kim
Si-Young Park
Byung Ho Lee
author_facet Soo-Bin Lee
Hyun-Wook Chae
Ji-Won Kwon
Sahyun Sung
Seong-Hwan Moon
Kyung-Soo Suk
Hak-Sun Kim
Si-Young Park
Byung Ho Lee
author_sort Soo-Bin Lee
collection DOAJ
description Numerous adolescents diagnosed with adolescent idiopathic scoliosis (AIS) often manifest symptoms indicative of functional gastrointestinal disorders (FGIDs). However, the precise connection between FGIDs and AIS remains unclear. The study involved adolescents drawn from sample datasets provided by the Korean Health Insurance Review and Assessment Service spanning from 2012 to 2016, with a median dataset size of 1,446,632 patients. The AIS group consisted of individuals aged 10 to 19 with diagnostic codes for AIS, while the control group consisted of those without AIS diagnostic codes. The median prevalence of FGIDs in adolescents with AIS from 2012 to 2016 was 24%. When accounting for confounding factors, the analysis revealed that adolescents with AIS were consistently more prone to experiencing FGIDs each year (2012: adjusted odds ratio (aOR), 1.21 [95% confidence interval (CI), 1.10–1.35], <i>p</i> < 0.001; 2013: aOR, 1.31 [95% CI, 1.18–1.46], <i>p</i> < 0.001; 2014: aOR, 1.24 [95% CI, 1.12–1.38], <i>p</i> < 0.001; 2015: aOR, 1.34 [95% CI, 1.21–1.49], <i>p</i> < 0.001; and 2016: aOR, 1.35 [95% CI, 1.21–1.50], <i>p</i> < 0.001). These findings suggest that AIS is correlated with an elevated likelihood of FGIDs, indicating that AIS may function as a potential risk factor for these gastrointestinal issues. Consequently, it is recommended to provide counseling to adolescents with AIS, alerting them to the heightened probability of experiencing chronic gastrointestinal symptoms.
first_indexed 2024-03-08T11:00:44Z
format Article
id doaj.art-013e6fa1c1d948f68ea2c6fc02d37836
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-08T11:00:44Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-013e6fa1c1d948f68ea2c6fc02d378362024-01-26T15:49:34ZengMDPI AGChildren2227-90672024-01-0111111810.3390/children11010118Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic ScoliosisSoo-Bin Lee0Hyun-Wook Chae1Ji-Won Kwon2Sahyun Sung3Seong-Hwan Moon4Kyung-Soo Suk5Hak-Sun Kim6Si-Young Park7Byung Ho Lee8Department of Orthopedic Surgery, Catholic Kwandong University International St. Mary’s Hospital, Incheon 22711, Republic of KoreaDepartment of Pediatrics, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Ewha Womans University Seoul Hospital, Seoul 07804, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul 03722, Republic of KoreaNumerous adolescents diagnosed with adolescent idiopathic scoliosis (AIS) often manifest symptoms indicative of functional gastrointestinal disorders (FGIDs). However, the precise connection between FGIDs and AIS remains unclear. The study involved adolescents drawn from sample datasets provided by the Korean Health Insurance Review and Assessment Service spanning from 2012 to 2016, with a median dataset size of 1,446,632 patients. The AIS group consisted of individuals aged 10 to 19 with diagnostic codes for AIS, while the control group consisted of those without AIS diagnostic codes. The median prevalence of FGIDs in adolescents with AIS from 2012 to 2016 was 24%. When accounting for confounding factors, the analysis revealed that adolescents with AIS were consistently more prone to experiencing FGIDs each year (2012: adjusted odds ratio (aOR), 1.21 [95% confidence interval (CI), 1.10–1.35], <i>p</i> < 0.001; 2013: aOR, 1.31 [95% CI, 1.18–1.46], <i>p</i> < 0.001; 2014: aOR, 1.24 [95% CI, 1.12–1.38], <i>p</i> < 0.001; 2015: aOR, 1.34 [95% CI, 1.21–1.49], <i>p</i> < 0.001; and 2016: aOR, 1.35 [95% CI, 1.21–1.50], <i>p</i> < 0.001). These findings suggest that AIS is correlated with an elevated likelihood of FGIDs, indicating that AIS may function as a potential risk factor for these gastrointestinal issues. Consequently, it is recommended to provide counseling to adolescents with AIS, alerting them to the heightened probability of experiencing chronic gastrointestinal symptoms.https://www.mdpi.com/2227-9067/11/1/118functional gastrointestinal disorderidiopathic scoliosisfunctional dyspepsiairritable bowel syndrome
spellingShingle Soo-Bin Lee
Hyun-Wook Chae
Ji-Won Kwon
Sahyun Sung
Seong-Hwan Moon
Kyung-Soo Suk
Hak-Sun Kim
Si-Young Park
Byung Ho Lee
Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
Children
functional gastrointestinal disorder
idiopathic scoliosis
functional dyspepsia
irritable bowel syndrome
title Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
title_full Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
title_fullStr Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
title_full_unstemmed Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
title_short Association of Functional Gastrointestinal Disorders with Adolescent Idiopathic Scoliosis
title_sort association of functional gastrointestinal disorders with adolescent idiopathic scoliosis
topic functional gastrointestinal disorder
idiopathic scoliosis
functional dyspepsia
irritable bowel syndrome
url https://www.mdpi.com/2227-9067/11/1/118
work_keys_str_mv AT soobinlee associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT hyunwookchae associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT jiwonkwon associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT sahyunsung associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT seonghwanmoon associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT kyungsoosuk associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT haksunkim associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT siyoungpark associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis
AT byungholee associationoffunctionalgastrointestinaldisorderswithadolescentidiopathicscoliosis