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Abdominal pain predominant functional gastrointestinal disorders in adolescent Nigerians

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dc.contributor.author Udoh, E. en_US
dc.contributor.author Devanarayana, N.M. en_US
dc.contributor.author Rajindrajith, S. en_US
dc.contributor.author Meremikwu, M. en_US
dc.contributor.author Benninga, M.A. en_US
dc.date.accessioned 2015-11-06T09:03:33Z en_US
dc.date.available 2015-11-06T09:03:33Z en_US
dc.date.issued 2016 en_US
dc.identifier.citation Journal of Pediatric Gastroenterology and Nutrition.2016,62(4):588-93 en_US
dc.identifier.issn 0277-2116 (Print) en_US
dc.identifier.issn 1536-4801 (Electronic) en_US
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/10248 en_US
dc.description Indexed in MEDLINE en_US
dc.description.abstract AIMS: To determine the prevalence, pattern and predisposing factors of abdominal painpredominant functional gastrointestinal disorders (AP-FGIDs) in adolescent Nigerians. METHODS: A cross sectional study was conducted in two states in the southern part of Nigeria in June 2014. Adolescents aged 10 - 18 years were recruited from 11 secondary schools using a stratified random sampling technique. A validated self-administered questionnaire on Rome III criteria for diagnosing AP-FGIDs and its determinants were filled by the participants in a class room setting. RESULTS: A total of 874 participants filled the questionnaire. Of this, 818 (93.4%) filled it properly and were included in the final analysis. The mean age of participants was 14.6 ± 2.0 years with 409 (50.0%) being males. AP-FGIDs were present in 81 (9.9%) participants. Among them, 46 (5.6%) had irritable bowel syndrome (IBS), 21 (2.6%) functional abdominal pain, 15 (1.8%) abdominalmigraine while 3 (0.4%) had functional dyspepsia. The difference in AP-FGIDs between adolescents residing in rural and urban areas was not statistically significant (P = 0.22). AP-FGDs was significantly associated with frequent punishment at school (P = 0.03), Intestinal and extra-intestinal symptoms occurred more frequently in those with AP-FGIDs. loss of appetite (56.8% vs. 38.4% in controls), nausea (51.6% vs. 30.0%), headache (76.5% vs. 65.0%), photophobia (56.8% vs. 34.6%) and light-headedness (50.6% vs. 32.6%). Nausea was the only symptom independently associated with AP-FGIDs (p = 0.015). Multiple regression analysis showed no significant association between stressful life events and FGIDs. (P < 0.05). CONCLUSIONS: AP-FGIDs are a significant health problem in Nigerian adolescents. In addition to the intestinal symptoms, most of the affected children had other them also had extra-intestinal symptoms. None of the stressful life events evaluated was significantly associated with FGIDs. Frequent punishment in schools was significantly associated with the condition. en_US
dc.language.iso en_US en_US
dc.publisher Lippincott Williams and Wilkins en_US
dc.subject Abdominal Pain en_US
dc.title Abdominal pain predominant functional gastrointestinal disorders in adolescent Nigerians en_US
dc.type Article en_US


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