The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Study on the Influence of Irritable Bowel Syndrome on Dietary Habits and Fatigue in Children and Adolescents

소아 청소년의 과민성 장증후군이 식습관, 피로감에 미치는 영향에 관한 연구

  • Han, Ye Ji (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Sun Haeng (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Jin Yong (Department of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 한예지 (경희대학교 대학원 임상한의과학과) ;
  • 이선행 (경희대학교 대학원 임상한의과학과) ;
  • 이진용 (경희대학교 대학원 임상한의과학과)
  • Received : 2017.07.06
  • Accepted : 2017.08.10
  • Published : 2017.08.31
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Abstract

Objectives The purpose of this study is to investigate how irritable bowel syndrome (IBS) affects fatigue scales and eating habits in children and adolescents using Rome IV criteria. Methods Questionnaires and The $PedsQL^{TM}$ Multidimensional Fatigue Scale (MFS) have been given to 211 children and adolescents aged 8 to 18 years old who were admitted to ${\bigcirc}{\bigcirc}$ university Korean medicine hospital pediatric departments, from 29th, July, 2016 to 12th, August, 2016 to evaluate their eating habits and fatigue. Additionally, PASW statistics 18.0 were used to analyze influence of irritable bowel syndrome on eating habits and fatigue in children and adolescents by using chi-square test, independent t-test and linear regression. Results In total of 211 subjects, 29 (13.7%) were diagnosed with IBS according to the Rome IV criteria. 1. There was a statistically significant difference (p<0.05) between IBS group and non-IBS group on a specific question in the eating habit questionnaire: the amount of sugar intake and the prevalence of IBS. 2. There was a statistically significant difference in general fatigue and cognitive fatigue categories when comparing the MFS subscores according to the prevalence of IBS. Conclusions Considering patients eating habits and fatigue is a necessary process for the successful treatment of irritable bowel syndrome. Korean medicine that maximizes quality of life while minimizing the potential risks to the patients of gastrointestinal disease should also include administrative interventions that may be helpful in the daily life of IBS patients.

Keywords

References

  1. Rasquin A, Hyman PE, Cucchiara S, Fleisher DR, Hyams JS, Milla PJ, Staiano A. Childhood functional gastrointestinal disorders. Gut. 1999;45(2):60-8.
  2. Hwang JB, Jeong SH. Practical diagnostic approaches to chronic abdominal pain in children and adolescents. J Korean Med Assoc. 2009;52(3):271-84. https://doi.org/10.5124/jkma.2009.52.3.271
  3. Ryu KW, Park DW, Ryu BH, Moon SJ. Korean digestive internal medicine. Seoul: Art dongbang Publishing co. 1998:105, 288.
  4. Jeong KA, Cho YS, Jung JA, Hong GH. A literature study on irritable bowel syndrome. J Herb Formula Sci. 2006;14(2):9-20.
  5. Rasquin A, Di Lorenzo C, Forbes D, Guiraldes E, Hyams JS, Staiano A, Walker LS. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterol. 2006;130(5):1527-37. https://doi.org/10.1053/j.gastro.2005.08.063
  6. Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, Tilburg MV. Functional disorders: child and adolescents. Gastroenterol. 2016;150(6):1456-68. https://doi.org/10.1053/j.gastro.2016.02.015
  7. Talley NJ, Howell S, Poulton R. The irritable bowel syndrome and psychiatric disorders in the community: is there a link?. Am J Gastroenterol. 2001;96(4):1072-9. https://doi.org/10.1111/j.1572-0241.2001.03741.x
  8. Hong JM. A study on relationships among nurses' IBS, quality of the life and mental health. Master's degree of thesis of Ewha Womans University. 2005.
  9. Halpert A, Dalton CB, Palsson O, Morris C, Hu Y, Bangdiwala S, Hankins J, Norton N, Drossman D. What patients know about irritable bowel syndrome (IBS) and what they would like to know. National survey son patient educational needs in IBS and development and validation of the patient educational needs questionnaire (PEQ). Am J Gastroenterol. 2007;102(9):1972-82. https://doi.org/10.1111/j.1572-0241.2007.01254.x
  10. Kim HY. Effects of a brown rice and vegetable diet on the defecation conditions and health status of high school students. J Korean Public Health Nurs. 2013;27(1):179-89. https://doi.org/10.5932/JKPHN.2013.27.1.179
  11. Hickie I, Koschera A, Hadzi-Pavlovic D, Bennett B, Lloyd A. The temporal stability and co-morbidity of prolonged fatigue: a longitudinal study in primary care. Psychol Med. 1999;29(4):855-61. https://doi.org/10.1017/S0033291799008582
  12. Jelsness-Jorgensen LP, Bernklev T, Moum B. Fatigue and disease-related worries among inflammatory bowel disease patients in remission; is it a reflection of coexisting IBS-like symptoms? A short report. J Psychosom Res. 2012;73(6):469-72. https://doi.org/10.1016/j.jpsychores.2012.08.009
  13. Son YJ, Jun EY, Park JH. Prevalence and risk factors of irritable bowel syndrome in Korean adolescent girls: a school-based study. Int J Nurs Stud. 2009;46(1):77-85. https://doi.org/10.1016/j.ijnurstu.2008.07.006
  14. Um YR, Kim EM, Lee SM, Cho MK, Park IY. A study on nutritional diagnosis computerization for health. The Korean Dietetic Association's Congress. 1992.
  15. Varni JW, Burwinkle TM, Katz ER, Meeske K, Dickinson P. The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales, multidimensional fatigue scale, and cancer module. Cancer. 2002;94(7):2090-106. https://doi.org/10.1002/cncr.10428
  16. Zhou H, Li D, Cheng G, Fan J, Lu H. An epidemiologic study of irritable bowel syndrome in adolescents and children in South China: a school-based study. Child Care Health Dev. 2010;36(6):781-6. https://doi.org/10.1111/j.1365-2214.2010.01120.x
  17. Lee OY. Psychosocial factors and visceral hypersensitivity in irritable bowel syndrome. Korean J Gastroenterol. 2006;47(2):111-9.
  18. Di Lorenzo C, Youssef NN, Sigurdsson L, Scharff L, Griffiths J, Wald A. Visceral hyperalgesia in children with functional abdominal pain. J Pediatr. 2001;139(6):838-43. https://doi.org/10.1067/mpd.2001.118883
  19. Van Ginkel R, Voskuijl WP, Benninga MA, Taminiau JA, Boeckxstaens GE. Alterations in rectal sensitivity and motility in childhood irritable bowel syndrome. Gastroenterol. 2001;120(1):31-8. https://doi.org/10.1053/gast.2001.20898
  20. Dunlop SP, Jenkins D, Spiller RC. Distinctive clinical, psychological, and histological features of postinfective irritable bowel syndrome. Am J Gastroenterol. 2003;98(7):1578-83. https://doi.org/10.1111/j.1572-0241.2003.07542.x
  21. Rajindrajith S, Devanarayana NM. Subtypes and symptomatology of irritable bowel syndrome in children and adolescents: a school-based survey using Rome III criteria. J Neurogastroenterol Motil. 2012;18(3):298-304. https://doi.org/10.5056/jnm.2012.18.3.298
  22. Karabulut GS, Beser F, Erginoz E, Kutlu T, Cokugras F, Erkan T. The incidence of irritable bowel syndrome in children using the Rome III criteria and the effect of trimebutine treatment. J Neurogastroenterol Motil. 2013;19(1):90-3. https://doi.org/10.5056/jnm.2013.19.1.90
  23. Kang SH, Jeen YT, Koo JS, Koo YS, Kim KO, Kim YS, Kim SY, Moon JS, Park JJ, Baek IH, Park SC, Lee SJ, Lee JH, Choung RS, Choi SC. Efficacy of fenoverine and trimebutine in the management of irritable bowel syndrome: multicenter randomized double-blind non-inferiority clinical study. Korean J Gastroenterol. 2013;62(5):278-87. https://doi.org/10.4166/kjg.2013.62.5.278
  24. Kumagai H, Yokoyama K, Imagawa T, Yamagata T. Functional dyspepsia and irritable bowel syndrome in teenagers: internet survey. Pediatr Int. 2016;58(8):714-20. https://doi.org/10.1111/ped.12884
  25. Reed-Knight B, Squires M, Chitkara DK, van Tilburg MA. Adolescents with irritable bowel syndrome report increased eating associated symptoms, changes in dietary composition, and altered eating behaviors: a pilot comparison study to healthy adolescents. J Neurogastroenterol Motil. 2016;28(12):1915-20. https://doi.org/10.1111/nmo.12894
  26. Shepherd SJ, Gibson PR. Fructose malabsorption and symptoms of irritable bowel syndrome: guidelines for effective dietary management. J Am Diet Assoc. 2006;106(10):1631-9. https://doi.org/10.1016/j.jada.2006.07.010
  27. Wintermeyer P, Baur M, Pilic D, Schmidt-Choudhury A, Zilbauer M, Wirth S. Fructose malabsorption in children with recurrent abdominal pain: positive effects of dietary treatment. Klin Padiatr. 2012;224(1):17-21. https://doi.org/10.1055/s-0031-1279747
  28. Gibson PR, Muir JG. Non-nutritional effects of food: an underutilized and understudied therapeutic tool in chronic gastrointestinal diseases. J Gastroenterol Hepatol. 2013;28(Suppl4):37-40. https://doi.org/10.1111/jgh.12253
  29. de Roest RH, Dobbs BR, Chapman BA, Batman B, O'Brien LA, Leeper JA, Hebblethwaite CR, Gearry RB. The low FODMAP diet improves gastrointestinal symptoms in patients with irritable bowel syndrome: a prospective study. Int J Clin Pract. 2013;67(9):895-903. https://doi.org/10.1111/ijcp.12128
  30. Mazzawi T, Hausken T, Gundersen D, El-Salhy M. Effects of dietary guidance on the symptoms, quality of life and habitual dietary intake of patients with irritable bowel syndrome. Mol Med Rep. 2013;8(3):845-52. https://doi.org/10.3892/mmr.2013.1565
  31. Winningham ML, Nail LM, Burke MB, Brophy L, Cimprich B, Jones LS, Pickard-Holley S, Rhodes V, St Pierre B, Beck S. Fatigue and the cancer experience: the state of the knowledge. Oncol Nurs Forum. 1994;21(1):23-36.
  32. Frandemark A, Jakobsson Ung E, Tornblom H, Simren M, Jakobsson S. Fatigue: a distressing symptom for patients with irritable bowel syndrome. J Neurogastroenterol Motil. 2017;29(1):e12898. https://doi.org/10.1111/nmo.12898
  33. Department of digestive internal medicine, college of Korean medicine. Korean digestive internal medicine. Seoul: Gunja Publishing co. 2008:414.
  34. Horvath A, Dziechciarz P, Szajewska H. Meta-analysis: Lactobacillus rhamnosus GG for abdominal pain-related functional gastrointestinal disorders in childhood. Aliment Pharmacol Ther. 2011;33(12):1302-10. https://doi.org/10.1111/j.1365-2036.2011.04665.x
  35. Kline RM, Kline JJ, Di Palma J, Barbero GJ. Entericcoated, pH-dependent peppermint oil capsules for the treatment of irritable bowel syndrome in children. J Pediatr. 2001;138(1):125-8. https://doi.org/10.1067/mpd.2001.109606
  36. Department of digestive internal medicine, college of Korean medicine. Korean digestive internal medicine. Seoul: Gunja Publishing co. 2008:415.
  37. Suzuki T, Hara H. Quercetin enhances intestinal barrier function through the assembly of zonula occludens-2, occludin, and claudin-1 and the expression of claudin-4 in Caco-2 cells. J Nutr. 2009;139(5):965-74. https://doi.org/10.3945/jn.108.100867
  38. Suzuki T, Tanabe S, Hara H. Kaempferol enhances intestinal barrier function through the cytoskeletal association and expression of tight junction proteins in Caco-2 cells. J Nutr. 2011;141(1):87-94. https://doi.org/10.3945/jn.110.125633