A Link between Nutritional and Growth States in Pediatric Patients with Functional Gastrointestinal Disorders

作者：Pawlowska Katarzyna; Umlawska Wioleta^*; Iwanczak Barbara

来源：Journal of Pediatrics, 2018, 199: 171-177.

DOI：10.1016/j.jpeds.2018.02.069

Objective To investigate nutritional status and growth status of pediatric patients with functional gastrointestinal disorders (FGIDs) and to examine the relationship between nutritional status and linear growth in these children.
Study design In total, 102 pediatric patients diagnosed with functional constipation (FC), irritable bowel syndrome (IBS), or functional abdominal pain (FAP) in years 2013-2015 were subjected to anthropometric measurements. Anthropometry comprised body height. leg and trunk lengths, body weight, mid-upper arm circumference, and 3 skinfold thicknesses. Body fat percentage was obtained with bioelectrical impedance analysis. Indices of the nutritional status and body proportions were calculated and adjusted for age and sex.
Results Excessive body weight and excessive fatness were the most common in children with IBS. Being underweight was most common in children with FAR but fat deficiency was similarly frequent in the FAP and in FC groups. Short stature was the most common in children with FC. Children with IBS were the best nourished and the tallest for age and sex due to increased trunk length. Body height and linear body proportions adjusted for age and sex were positively associated with body weight and body fatness in the total sample.
Conclusions Children with FGIDs present various linear growth abnormalities that are associated with body weight and body fatness. Although excessive body weight and body fat are common in children with IBS, pediatricians should be aware of the risk of malnutrition in children with other FGIDs.

• 出版日期2018-8