Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study

Abdulaziz A Alahmari,1 Sarah H AlShawaf,2 Huda A Meshikhes,2 Bedour A Aleid,2 Raghad M Aldossari,2 Marwa M Shafey,3 Ahmed A Aladsani,1 Abdulazeem A Al-ibraheem,4 Nawal M AlRubia,5 Saleh A AlQahtani1 1Department of Pediatrics, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal Universi...

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Main Authors: Alahmari AA, AlShawaf SH, Meshikhes HA, Aleid BA, Aldossari RM, Shafey MM, Aladsani AA, Al-ibraheem AA, AlRubia NM, AlQahtani SA
Format: Article
Language:English
Published: Dove Medical Press 2022-12-01
Series:International Journal of General Medicine
Subjects:
Online Access:https://www.dovepress.com/quality-of-life-among-children-with-inflammatory-bowel-disease-in-saud-peer-reviewed-fulltext-article-IJGM
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author Alahmari AA
AlShawaf SH
Meshikhes HA
Aleid BA
Aldossari RM
Shafey MM
Aladsani AA
Al-ibraheem AA
AlRubia NM
AlQahtani SA
author_facet Alahmari AA
AlShawaf SH
Meshikhes HA
Aleid BA
Aldossari RM
Shafey MM
Aladsani AA
Al-ibraheem AA
AlRubia NM
AlQahtani SA
author_sort Alahmari AA
collection DOAJ
description Abdulaziz A Alahmari,1 Sarah H AlShawaf,2 Huda A Meshikhes,2 Bedour A Aleid,2 Raghad M Aldossari,2 Marwa M Shafey,3 Ahmed A Aladsani,1 Abdulazeem A Al-ibraheem,4 Nawal M AlRubia,5 Saleh A AlQahtani1 1Department of Pediatrics, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 2College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 3Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 4Department of Pediatrics, Maternal and Children’s Hospital, Ministry of Health, Alhassa, Kingdom of Saudi Arabia; 5Department of Pediatrics, Maternal and Children’s Hospital, Ministry of Health, Dammam, Kingdom of Saudi ArabiaCorrespondence: Abdulaziz A Alahmari, Department of Pediatrics, King Fahd Hospital of the University, Imam Abdulrahman bin Faisal University, Dammam, 34212, Kingdom of Saudi Arabia, Tel +966 59 884 0373, Email aahmari@iau.edu.saPurpose: The aim of this study was to investigate the quality of life in children and adolescents aged 7– 18 years with inflammatory bowel disease and identify the factors that influence it.Patients and Methods: A multi-center cross-sectional study in which participants were recruited from 3 governmental hospitals in the Eastern Province of Saudi Arabia. A total of 61 children with inflammatory bowel disease were approached, 44 participants were included according to their age (7– 18 years), disease duration of at least 6 months, and without any other co-morbidities. A translated Arabic version of the IMPACT-III questionnaire was used to assess the quality of life of the participants with inflammatory bowel disease. In addition, disease-specific indices were used to measure their disease activity; Harvey Bradshaw for patients with Crohn’s disease and Pediatric Ulcerative Colitis Activity Index for ulcerative colitis patients.Results: The mean age of the 44 participants was 13.36 ± 2.85. Crohn’s disease accounted for 56.8% of the sample, while 36.4% had ulcerative colitis and 6.8% had unclassified type. The majority were males and in disease remission. The mean total score of the questionnaire was 74.10 ± 12.21, where the domain of social functioning scored the highest and the domain of emotional functioning scored the lowest. Children who are 11 years or older scored significantly higher in emotional functioning and total mean scores. Statistical significance was also observed between the well-being domain and not having flare-ups in the past year, as well as disease severity with emotional functioning, body image, and total mean scores. It was found that corticosteroid utilization is a predictor of poorer quality of life and was statistically significant with the body image domain.Conclusion: Measuring the quality of life in children with inflammatory bowel disease can aid in reducing its burden and help address its factors.Keywords: quality of life, IMPACT-III, pediatrics, Crohn’s disease, ulcerative colitis
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spelling doaj.art-583109f17ab34941be3d143a8848396c2022-12-29T17:48:03ZengDove Medical PressInternational Journal of General Medicine1178-70742022-12-01Volume 158775878680698Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional StudyAlahmari AAAlShawaf SHMeshikhes HAAleid BAAldossari RMShafey MMAladsani AAAl-ibraheem AAAlRubia NMAlQahtani SAAbdulaziz A Alahmari,1 Sarah H AlShawaf,2 Huda A Meshikhes,2 Bedour A Aleid,2 Raghad M Aldossari,2 Marwa M Shafey,3 Ahmed A Aladsani,1 Abdulazeem A Al-ibraheem,4 Nawal M AlRubia,5 Saleh A AlQahtani1 1Department of Pediatrics, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 2College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 3Department of Family and Community Medicine, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Kingdom of Saudi Arabia; 4Department of Pediatrics, Maternal and Children’s Hospital, Ministry of Health, Alhassa, Kingdom of Saudi Arabia; 5Department of Pediatrics, Maternal and Children’s Hospital, Ministry of Health, Dammam, Kingdom of Saudi ArabiaCorrespondence: Abdulaziz A Alahmari, Department of Pediatrics, King Fahd Hospital of the University, Imam Abdulrahman bin Faisal University, Dammam, 34212, Kingdom of Saudi Arabia, Tel +966 59 884 0373, Email aahmari@iau.edu.saPurpose: The aim of this study was to investigate the quality of life in children and adolescents aged 7– 18 years with inflammatory bowel disease and identify the factors that influence it.Patients and Methods: A multi-center cross-sectional study in which participants were recruited from 3 governmental hospitals in the Eastern Province of Saudi Arabia. A total of 61 children with inflammatory bowel disease were approached, 44 participants were included according to their age (7– 18 years), disease duration of at least 6 months, and without any other co-morbidities. A translated Arabic version of the IMPACT-III questionnaire was used to assess the quality of life of the participants with inflammatory bowel disease. In addition, disease-specific indices were used to measure their disease activity; Harvey Bradshaw for patients with Crohn’s disease and Pediatric Ulcerative Colitis Activity Index for ulcerative colitis patients.Results: The mean age of the 44 participants was 13.36 ± 2.85. Crohn’s disease accounted for 56.8% of the sample, while 36.4% had ulcerative colitis and 6.8% had unclassified type. The majority were males and in disease remission. The mean total score of the questionnaire was 74.10 ± 12.21, where the domain of social functioning scored the highest and the domain of emotional functioning scored the lowest. Children who are 11 years or older scored significantly higher in emotional functioning and total mean scores. Statistical significance was also observed between the well-being domain and not having flare-ups in the past year, as well as disease severity with emotional functioning, body image, and total mean scores. It was found that corticosteroid utilization is a predictor of poorer quality of life and was statistically significant with the body image domain.Conclusion: Measuring the quality of life in children with inflammatory bowel disease can aid in reducing its burden and help address its factors.Keywords: quality of life, IMPACT-III, pediatrics, Crohn’s disease, ulcerative colitishttps://www.dovepress.com/quality-of-life-among-children-with-inflammatory-bowel-disease-in-saud-peer-reviewed-fulltext-article-IJGMquality of lifeimpact-iiipediatricscrohn’s diseaseulcerative colitis 
spellingShingle Alahmari AA
AlShawaf SH
Meshikhes HA
Aleid BA
Aldossari RM
Shafey MM
Aladsani AA
Al-ibraheem AA
AlRubia NM
AlQahtani SA
Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
International Journal of General Medicine
quality of life
impact-iii
pediatrics
crohn’s disease
ulcerative colitis 
title Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
title_full Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
title_fullStr Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
title_full_unstemmed Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
title_short Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
title_sort quality of life among children with inflammatory bowel disease in saudi arabia a cross sectional study
topic quality of life
impact-iii
pediatrics
crohn’s disease
ulcerative colitis 
url https://www.dovepress.com/quality-of-life-among-children-with-inflammatory-bowel-disease-in-saud-peer-reviewed-fulltext-article-IJGM
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