A narrative review on the update in the prevalence of infantile colic, regurgitation, and constipation in young children: Implications of the ROME IV criteria

Muhardi, Leilani and Aw, Marion M. and Hasosah, Mohammed and Ng, Ruey Terng and Chong, Sze Yee and Hegar, Badriul and Toro-Monjaraz, Erick and Darma, Andy and Cetinkaya, Merih and Chow, Chung Mo and Kudla, Urszula and Vandenplas, Yvan (2022) A narrative review on the update in the prevalence of infantile colic, regurgitation, and constipation in young children: Implications of the ROME IV criteria. Frontiers in Pediatrics, 9. ISSN 2296-2360, DOI https://doi.org/10.3389/fped.2021.778747.

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Abstract

Regurgitation, colic, and constipation are frequently reported Functional Gastrointestinal Disorders (FGIDs) in the first few years of life. In 2016, the diagnostic criteria for FGIDs were changed from ROME III to ROME IV. This review assesses the prevalence of the most frequent FGIDs (colic, regurgitation and constipation) among children aged 0-5 years after the introduction of the later criteria. Articles published from January 1, 2016 to May 1, 2021 were retrieved from PubMed and Google Scholar using relevant keywords. A total of 12 articles were further analyzed based on the inclusion and exclusion criteria. This review consists of two studies (17%) from the Middle East, three (25%) from Asia, two (17%) from the USA, three (25%) from Europe, and one (8%) from Africa. Three studies (25%) were based on data obtained from healthcare professionals, while the rest were parent or caregiver reports. About half of the retrieved studies used the ROME IV criteria. Among infants aged 0-6 months, the reported prevalence of colic ranged between 10-15%, whilst that of regurgitation was 33.9%, and constipation was 1.5%. Among infants aged 0-12 months, the reported prevalence of regurgitation and constipation were 3.4-25.9% and 1.3-17.7%, respectively. The reported prevalence of constipation was 1.3-26% among children aged 13-48 months and 13% among children aged 4-18 years. Despite the large variations due to differences in diagnostic criteria, study respondents and age group, the prevalence of infantile colic was higher, while that for infantile regurgitation and constipation were similar using the ROME IV or III criteria.

Item Type: Article
Funders: None
Uncontrolled Keywords: Prevalence; Colic; Regurgitation; Constipation; Young children; Review
Subjects: R Medicine > RJ Pediatrics
Divisions: Faculty of Medicine
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 21 Aug 2022 04:05
Last Modified: 21 Aug 2022 04:05
URI: http://eprints.um.edu.my/id/eprint/33501

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