Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children

Abstract Background Functional gastrointestinal disorders (FGIDs) are common early in life. The prevalence of FGIDs varies among countries but is unknown in Vietnam. The aim of this study is to assess the prevalence of FGIDs in healthy Vietnamese infants and young children. Methods This was a cross-...

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Main Authors: Loo Wee Chia, Thi Viet Ha Nguyen, Van Nha Phan, Thi Thao Nguyen Luu, Gia Khanh Nguyen, Serene Yaling Tan, Shaman Rajindrajith, Marc Alexander Benninga
Format: Article
Language:English
Published: BMC 2022-05-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-022-03378-z
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author Loo Wee Chia
Thi Viet Ha Nguyen
Van Nha Phan
Thi Thao Nguyen Luu
Gia Khanh Nguyen
Serene Yaling Tan
Shaman Rajindrajith
Marc Alexander Benninga
author_facet Loo Wee Chia
Thi Viet Ha Nguyen
Van Nha Phan
Thi Thao Nguyen Luu
Gia Khanh Nguyen
Serene Yaling Tan
Shaman Rajindrajith
Marc Alexander Benninga
author_sort Loo Wee Chia
collection DOAJ
description Abstract Background Functional gastrointestinal disorders (FGIDs) are common early in life. The prevalence of FGIDs varies among countries but is unknown in Vietnam. The aim of this study is to assess the prevalence of FGIDs in healthy Vietnamese infants and young children. Methods This was a cross-sectional, observational study involving healthy infants and young children between 0 – 48 months old in Hanoi, Vietnam. A representative total of 1511 subjects completed the validated questionnaire on paediatric FGIDs. Rome IV criteria were used to define FGIDs. Results For Vietnamese infants (0–6 months) and young children (7–48 months), the prevalence of having at least one FGID was 10.0% and only 0.6% was having more than one FGID. Infantile regurgitation (9.3%) was the most prevalent FGID among infants 0—6 months of age while all other FGIDs had a low prevalence between 0—2.5%. For young children between 7 – 48 months old, functional constipation was the most common disorder at the rate of 5.6%. Association analysis revealed that the risk of infant regurgitation was significantly lower among infants with exclusively breastfeeding at 2 – 3 months and 3 – 4 months, formula initiation at 0 – 1 months, and higher paternal education level. The prevalence of functional constipation was significantly higher in male subjects, children in families with annual household income between 273,000,000 – 546,999,999 VND (or estimate around 11,800 – 23,800 USD), families with one child only, and formula feeding initiation at 1 – 2 months. Conclusions The prevalence of FGIDs in Vietnamese infants and young children is relatively low compared to the published literature using Rome IV diagnostic criteria. Infantile regurgitation was the most common FGID in Vietnamese infants while functional constipation was most prevalent among Vietnamese young children. Trial registration Netherlands Trial Registry Identifier: NL7286/NTR7495 .
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spelling doaj.art-d5cbe5f5a08c4b5fbdadea6358628eae2022-12-22T03:21:32ZengBMCBMC Pediatrics1471-24312022-05-012211710.1186/s12887-022-03378-zPrevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young childrenLoo Wee Chia0Thi Viet Ha Nguyen1Van Nha Phan2Thi Thao Nguyen Luu3Gia Khanh Nguyen4Serene Yaling Tan5Shaman Rajindrajith6Marc Alexander Benninga7FrieslandCampinaDepartment of Paediatrics, Hanoi Medical UniversityDepartment of Paediatrics, Hanoi Medical UniversityDepartment of Paediatrics, Hanoi Medical UniversityNational Paediatric Association VietnamFrieslandCampinaDepartment of Paediatrics, Faculty of Medicine, University of ColomboDepartment of Paediatric Gastroenterology, Emma Children’s Hospital, Amsterdam University Medical CentresAbstract Background Functional gastrointestinal disorders (FGIDs) are common early in life. The prevalence of FGIDs varies among countries but is unknown in Vietnam. The aim of this study is to assess the prevalence of FGIDs in healthy Vietnamese infants and young children. Methods This was a cross-sectional, observational study involving healthy infants and young children between 0 – 48 months old in Hanoi, Vietnam. A representative total of 1511 subjects completed the validated questionnaire on paediatric FGIDs. Rome IV criteria were used to define FGIDs. Results For Vietnamese infants (0–6 months) and young children (7–48 months), the prevalence of having at least one FGID was 10.0% and only 0.6% was having more than one FGID. Infantile regurgitation (9.3%) was the most prevalent FGID among infants 0—6 months of age while all other FGIDs had a low prevalence between 0—2.5%. For young children between 7 – 48 months old, functional constipation was the most common disorder at the rate of 5.6%. Association analysis revealed that the risk of infant regurgitation was significantly lower among infants with exclusively breastfeeding at 2 – 3 months and 3 – 4 months, formula initiation at 0 – 1 months, and higher paternal education level. The prevalence of functional constipation was significantly higher in male subjects, children in families with annual household income between 273,000,000 – 546,999,999 VND (or estimate around 11,800 – 23,800 USD), families with one child only, and formula feeding initiation at 1 – 2 months. Conclusions The prevalence of FGIDs in Vietnamese infants and young children is relatively low compared to the published literature using Rome IV diagnostic criteria. Infantile regurgitation was the most common FGID in Vietnamese infants while functional constipation was most prevalent among Vietnamese young children. Trial registration Netherlands Trial Registry Identifier: NL7286/NTR7495 .https://doi.org/10.1186/s12887-022-03378-zColicConstipationDiarrhoeaDyscheziaPaediatricRegurgitation
spellingShingle Loo Wee Chia
Thi Viet Ha Nguyen
Van Nha Phan
Thi Thao Nguyen Luu
Gia Khanh Nguyen
Serene Yaling Tan
Shaman Rajindrajith
Marc Alexander Benninga
Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
BMC Pediatrics
Colic
Constipation
Diarrhoea
Dyschezia
Paediatric
Regurgitation
title Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
title_full Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
title_fullStr Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
title_full_unstemmed Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
title_short Prevalence and risk factors of functional gastrointestinal disorders in Vietnamese infants and young children
title_sort prevalence and risk factors of functional gastrointestinal disorders in vietnamese infants and young children
topic Colic
Constipation
Diarrhoea
Dyschezia
Paediatric
Regurgitation
url https://doi.org/10.1186/s12887-022-03378-z
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