Helicobacter pylori infection is not associated with failure to thrive: a case–control study

Nan-Chang Chiu,1,2,* Chien-Yu Lin,3,* Hsin Chi,1 Chun-Yan Yeung,1,2 Wei-Hsin Ting,1 Wai-Tao Chan,1 Chuen-Bin Jiang,1 Sung-Tse Li,3,4 Chao-Hsu Lin,3 Hung-Chang Lee1,2 1Department of Pediatrics, MacKay Children’s Hospital, 2Department of Medicine, MacKay Junior College of Medicine, Nursing...

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Main Authors: Chiu NC, Lin CY, Chi H, Yeung CY, Ting WH, Chan WT, Jiang CB, Li ST, Lin CH, Lee HC
Format: Article
Language:English
Published: Dove Medical Press 2017-02-01
Series:Therapeutics and Clinical Risk Management
Subjects:
Online Access:https://www.dovepress.com/helicobacter-pylori-infection-is-not-associated-with-failure-to-thrive-peer-reviewed-article-TCRM
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author Chiu NC
Lin CY
Chi H
Yeung CY
Ting WH
Chan WT
Jiang CB
Li ST
Lin CH
Lee HC
author_facet Chiu NC
Lin CY
Chi H
Yeung CY
Ting WH
Chan WT
Jiang CB
Li ST
Lin CH
Lee HC
author_sort Chiu NC
collection DOAJ
description Nan-Chang Chiu,1,2,* Chien-Yu Lin,3,* Hsin Chi,1 Chun-Yan Yeung,1,2 Wei-Hsin Ting,1 Wai-Tao Chan,1 Chuen-Bin Jiang,1 Sung-Tse Li,3,4 Chao-Hsu Lin,3 Hung-Chang Lee1,2 1Department of Pediatrics, MacKay Children’s Hospital, 2Department of Medicine, MacKay Junior College of Medicine, Nursing and Management, Taipei, 3Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu City, 4Department of Statistics and Information Science, Fu Jen Catholic University, New Taipei, Taiwan *These authors contributed equally to this work Purpose: The long-term impact of Helicobacter pylori infection is complex, and concerns about the need for eradication exist. We conducted this case control study to investigate the association between H. pylori infection and failure to thrive (FTT).Patients and methods: From January 2009 to December 2011, 53 children with FTT group and matched children with the same sex and age and similar socioeconomic status without FTT (control group) were enrolled. A questionnaire was administered to the parents/guardian, and a 13C-urea breath test was performed to detect H. pylori infection.Results: We found that the total prevalence of H. pylori infection was 29.2% and that there was no association between FTT and H. pylori infection (FTT group: 32%; control group: 26.4%; P=0.67). Short stature was more common in the FTT group and abdominal pain in the control group (FTT group: 37.7%; control group: 11.3%; P=0.003). In a comparison between the H. pylori-positive and -negative groups, abdominal pain (87.1% vs 64%; P=0.032) and the frequency of endoscopy (74.2% vs 32%; P<0.001) were significantly more common in the H. pylori-positive group.Conclusion: We found that children with H. pylori infection are at an increased risk for abdominal pain and that FTT is not associated with H. pylori infection. The decision for eradication should be evaluated carefully and individualized. Keywords: Helicobacter pylori, 13C-urea breath test, failure to thrive, growth retardation, children
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spelling doaj.art-a7e23732b42344daae2c55c9774220332022-12-21T19:24:24ZengDove Medical PressTherapeutics and Clinical Risk Management1178-203X2017-02-01Volume 1327327831521Helicobacter pylori infection is not associated with failure to thrive: a case–control studyChiu NCLin CYChi HYeung CYTing WHChan WTJiang CBLi STLin CHLee HCNan-Chang Chiu,1,2,* Chien-Yu Lin,3,* Hsin Chi,1 Chun-Yan Yeung,1,2 Wei-Hsin Ting,1 Wai-Tao Chan,1 Chuen-Bin Jiang,1 Sung-Tse Li,3,4 Chao-Hsu Lin,3 Hung-Chang Lee1,2 1Department of Pediatrics, MacKay Children’s Hospital, 2Department of Medicine, MacKay Junior College of Medicine, Nursing and Management, Taipei, 3Department of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu City, 4Department of Statistics and Information Science, Fu Jen Catholic University, New Taipei, Taiwan *These authors contributed equally to this work Purpose: The long-term impact of Helicobacter pylori infection is complex, and concerns about the need for eradication exist. We conducted this case control study to investigate the association between H. pylori infection and failure to thrive (FTT).Patients and methods: From January 2009 to December 2011, 53 children with FTT group and matched children with the same sex and age and similar socioeconomic status without FTT (control group) were enrolled. A questionnaire was administered to the parents/guardian, and a 13C-urea breath test was performed to detect H. pylori infection.Results: We found that the total prevalence of H. pylori infection was 29.2% and that there was no association between FTT and H. pylori infection (FTT group: 32%; control group: 26.4%; P=0.67). Short stature was more common in the FTT group and abdominal pain in the control group (FTT group: 37.7%; control group: 11.3%; P=0.003). In a comparison between the H. pylori-positive and -negative groups, abdominal pain (87.1% vs 64%; P=0.032) and the frequency of endoscopy (74.2% vs 32%; P<0.001) were significantly more common in the H. pylori-positive group.Conclusion: We found that children with H. pylori infection are at an increased risk for abdominal pain and that FTT is not associated with H. pylori infection. The decision for eradication should be evaluated carefully and individualized. Keywords: Helicobacter pylori, 13C-urea breath test, failure to thrive, growth retardation, childrenhttps://www.dovepress.com/helicobacter-pylori-infection-is-not-associated-with-failure-to-thrive-peer-reviewed-article-TCRMHelicobacter pylori13C-urea breath testfailure to thrivegrowth retardationchildren
spellingShingle Chiu NC
Lin CY
Chi H
Yeung CY
Ting WH
Chan WT
Jiang CB
Li ST
Lin CH
Lee HC
Helicobacter pylori infection is not associated with failure to thrive: a case–control study
Therapeutics and Clinical Risk Management
Helicobacter pylori
13C-urea breath test
failure to thrive
growth retardation
children
title Helicobacter pylori infection is not associated with failure to thrive: a case–control study
title_full Helicobacter pylori infection is not associated with failure to thrive: a case–control study
title_fullStr Helicobacter pylori infection is not associated with failure to thrive: a case–control study
title_full_unstemmed Helicobacter pylori infection is not associated with failure to thrive: a case–control study
title_short Helicobacter pylori infection is not associated with failure to thrive: a case–control study
title_sort helicobacter pylori infection is not associated with failure to thrive a case ndash control study
topic Helicobacter pylori
13C-urea breath test
failure to thrive
growth retardation
children
url https://www.dovepress.com/helicobacter-pylori-infection-is-not-associated-with-failure-to-thrive-peer-reviewed-article-TCRM
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