I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
299
PREVALENCE OF FUNCTIONAL DYSPEPSIA IN SCHOOL CHILDREN
G.K. Koshimbetova, E.A. Shamansurova
Tashkent Pediatric Medical Institute. Tashkent, Uzbekistan
RELEVANCE
The prevalence of functional dyspepsia in children and adults in different
countries varies greatly, which is associated with different diagnostic criteria, and
different interpretations of the severity of symptoms. Among Europeans,
functional dyspepsia occurs in 20% of individuals, in the USA
–
in 29%, and in
Korea
–
in 11%. Numerous studies conducted in Western Europe and North
America have shown that dyspepsia is the most common manifestation of
gastroenterological pathology in older children. The study shows that the trigger
mechanism for the formation of functional disorders of the digestive system in
these age groups is mainly biological factors: heredity burdened by diseases of the
digestive system, past intestinal infections, helminthiases, frequent use of
antibiotics, nutritional deficiencies, and others. There is evidence that shows
peaks in the rise in incidence in children after school entry and during
adolescence.
PURPOSE OF THE RESEARCH
The study of risk factors for the development of functional dyspepsia in
school-age children based on the results of a survey.
MATERIAL AND METHODS
The survey covered 44 schoolchildren aged 10-15 years with a diagnosis of
“
functional dyspepsia
”
. The developed questionnaire for schoolchildren
contained 21 questions, which made it possible to obtain information about past
diseases, the nature of the subject, lifestyle, the level of food culture, and
complaints.
RESEARCH RESULTS
During the examination, the majority of children with functional dyspepsia
were girls
–
72.7%, and boys
–
27.3%. The duration of the disease in the majority
(42.9%) of children ranged from 6 months to 1 year. Clinical pain syndrome,
dyspeptic symptoms, and asthenovegetative manifestations were noted in all
children. The main symptom was pain. When evaluating the socio-economic and
medical-biological conditions of children's lives according to questionnaires, it
was revealed that in 59.1% of cases, the parents of children experience neuro-
emotional stress at work, especially fathers, smoke, the age of the mother is from
30 to 45, the social status of the mother (working, student, housewife), next of kin
have chronic diseases. Start attending preschool before 3 years of age. Diseases
were also noted in the first year of life (77.2%) and artificial feeding (65.9%),
I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
300
eating disorders (90.9%), dry food (97.5%), daily regimen disorders (75%),
irregular walks and restorative gymnastics (95.4%), night sleep disorders
(88.6%).
CONCLUSION
The application of the developed questionnaire is a simple, effective, and
low-cost method, which made it possible to identify risk factors in children with
functional dyspepsia. Prevention of risk factors and their elimination is effective
in functional dyspepsia and correction of identified disorders in the group of
children at risk of developing this pathology. If dyspeptic symptoms persist
during gastroenterological treatment, a thorough reassessment of the available
data and a more in-depth examination are necessary. When confirming the initial
diagnosis of functional dyspepsia, the question of additional consultation with a
psychotherapist/psychiatrist
