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Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Carlson, Michelle J., MS, RD, LD ; Moore, Carolyn E., PhD, RD ; Tsai, Cynthia M ; Shulman, Robert J., MD ; Chumpitazi, Bruno P., MD, MPH

Journal of the Academy of Nutrition and Dietetics, 2014-03, Vol.114 (3), p.403-413 [Periódico revisado por pares]

New York, NY: Elsevier

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Título:
Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders
Autor: Carlson, Michelle J., MS, RD, LD ; Moore, Carolyn E., PhD, RD ; Tsai, Cynthia M ; Shulman, Robert J., MD ; Chumpitazi, Bruno P., MD, MPH
Assuntos: Abdominal Pain ; Adaptation, Psychological ; Adolescent ; Animals ; Beliefs, opinions and attitudes ; Biological and medical sciences ; Cattle ; Child ; Chronically ill children ; Diagnosis ; Diet ; Feeding. Feeding behavior ; Female ; Focus Groups ; Food - adverse effects ; Food and nutrition ; Fundamental and applied biological sciences. Psychology ; Gastroenterology and Hepatology ; Gastrointestinal diseases ; Gastrointestinal Diseases - physiopathology ; Health aspects ; Humans ; Internal Medicine ; Irritable Bowel Syndrome ; Male ; Milk - adverse effects ; Nausea ; Parents ; Perception ; Quality of Life ; Social aspects ; Spices - adverse effects ; Surveys and Questionnaires ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Vomiting
É parte de: Journal of the Academy of Nutrition and Dietetics, 2014-03, Vol.114 (3), p.403-413
Notas: Cynthia M. Tsai: Cynthia Man-Wai Tsai, BS; Research Coordinator, Baylor College of Medicine; 6701 Fannin St., CCC 1010.00, Houston, TX, 77030; 832-822-3634; ct2@bcm.edu
Carolyn E. Moore: Carolyn Elizabeth Moore, PhD, RD; Texas Woman’s University, Assistant Professor, Department of Nutrition and Food Sciences; 6700 Fannin, Houston TX 77030; 713-794-2377; cmoore8@twu.edu
Robert J. Shulman: Robert Jay Shulman, MD; Professor of Pediatrics, Baylor College of Medicine; 1100 Bates Ave, Houston, TX, 77030; 713-798-7178; rshulman@bcm.edu
Michelle J. Carlson: Michelle Janette Carlson, MS, RD, LD; At time of study: Texas Woman’s University, Graduate Student. At present: Texas Children’s Hospital, Clinical Pediatric Dietitian; 6621 Fannin St., M/C 2-3521, Houston, TX, 77030; 832-824-1058; mjcarlso@texaschildrens.org
Descrição: Abstract It is unknown whether children with functional gastrointestinal (GI) disorders identify specific foods that exacerbate their GI symptoms. The objectives of this study were to determine the perceived role of food on GI symptoms and to determine the impact of food-induced symptoms on quality of life (QOL) in children with functional GI disorders. Between August and November 2010, 25 children ages 11 to 17 years old with functional GI disorders and a parent completed a food symptom association questionnaire and validated questionnaires assessing FGID symptoms and QOL. In addition, children completed a 24-hour food recall, participated in focus groups to identify problematic foods and any coping strategies, and discussed how their QOL was affected. Statistical analyses were conducted using χ2, t test, Mann-Whitney U test, Wilcoxon signed rank, and Spearman's ρ. Children identified a median of 11 (range=2 to 25) foods as exacerbating a GI symptom, with the most commonly identified foods being spicy foods, cow's milk, and pizza. Several coping strategies were identified, including consuming smaller portions, modifying foods, and avoiding a median of 8 (range=1 to 20) foods. Children reported that food-induced symptoms interfered with school performance, sports, and social activities. Although the parent's assessment of their child's QOL negatively correlated with the number of perceived symptom-inducing foods in their child, this relationship was not found in the children. Findings suggest that specific foods are perceived to exacerbate GI symptoms in children with functional GI disorders. In addition, despite use of several coping strategies, food-induced symptoms can adversely impact children's QOL in several important areas.
Editor: New York, NY: Elsevier
Idioma: Inglês

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Child and Parent Perceived Food-Induced Gastrointestinal Symptoms and Quality of Life in Children with Functional Gastrointestinal Disorders

Carlson, Michelle J., MS, RD, LD ; Moore, Carolyn E., PhD, RD ; Tsai, Cynthia M ; Shulman, Robert J., MD ; Chumpitazi, Bruno P., MD, MPH

New York, NY: Elsevier

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