Do children with recurrent abdominal pain grow up to become adolescents who control their weight by fasting? Results from a UK population-based cohort.
Do children with recurrent abdominal pain grow up to become adolescents who control their weight by fasting? Results from a UK population-based cohort.
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复发性腹痛的儿童长大后成为通过禁食控制体重的青少年吗？来自英国基于人口的队列的结果。
DOI：
10.1002/eat.23513
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Bould H
中科院分区：
文献类型：
--
作者：
Stein K;Warne N;Heron J;Zucker N;Bould H
胃肠道(GI)问题在饮食失调中很常见，但尚不清楚这些问题是否早于饮食紊乱的开始。复发性腹痛(RAP)是儿童最常见的胃肠道问题，这项研究旨在探索持续RAP(7岁和9岁)与16岁时禁食控制体重之间的纵向联系。雅芳父母和儿童纵向研究(ALSPAC)是英国儿童群体队列。儿童RAP是由母亲报告的，在我们的初步分析中定义为RAP 5+(过去一年中有5次疼痛发作)，在我们的敏感性分析中定义为RAP 3+(3次疼痛发作)。16岁的青少年报告了禁食以控制体重。我们使用Logistic回归模型来检查相关性，并调整了潜在的混杂因素。调整后，我们发现儿童RAP 5+与16岁的青少年禁食体重控制之间没有关联(OR1.3(95%可信区间0.87，1.94)p=0.197)。然而，我们确实发现，在完全调整的模型中(OR1.5(95%CI1.16，1.94)p=0.002)，以及在排除了先前存在焦虑的人之后(OR1.52(95%CI1.17，1.97)p=0.002)，RAP3+与后来的禁食之间确实存在关联。我们的研究结果表明，RAP可能对日后禁食以控制体重的风险有独立的贡献，在评估饮食失调时应询问RAP。然而，儿童腹痛的频率(如ALSPAC所捕捉到的)对长期结果的重要性可能不如功能障碍。
Gastrointestinal (GI) problems are common in eating disorders, but it is unclear whether these problems predate the onset of disordered eating. Recurrent abdominal pain (RAP) is the most prevalent GI problem of childhood, and this study aimed to explore longitudinal associations between persistent RAP (at ages 7 and 9) and fasting for weight control at 16. The Avon Longitudinal Study of Parents and Children (ALSPAC) is a UK population cohort of children. Childhood RAP was reported by mothers and defined as RAP 5+ (5 pain episodes in the past year) in our primary analysis, and RAP 3+ (3 pain episodes) in our sensitivity analysis. Fasting for weight control was reported by adolescents at 16. We used logistic regression models to examine associations, with adjustments for potential confounders. After adjustments, we found no association between childhood RAP 5+ and adolescent fasting for weight control at 16 (OR 1.30 (95% Confidence Intervals (CI) 0.87, 1.94) p= 0.197). However, we did find an association between RAP 3+ and later fasting, in the fully adjusted model (OR 1.50 (95% CI 1.16, 1.94) p= 0.002), and after excluding those with pre-existing anxiety (OR 1.52 (95% CI 1.17, 1.97) p= 0.002). Our findings suggest a possible independent contribution of RAP to later risk of fasting for weight control, and RAP should be enquired about in the assessment of eating disorders. However, frequency of childhood abdominal pain (as captured by ALSPAC) may be less important to long term outcomes than functional impairment.
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影响因子：
4.1
作者：
Carter, JC;Stewart, DA;Fairburn, CG
通讯作者：
Fairburn, CG
DOI：
10.1111/j.2044-8341.1988.tb02787.x
发表时间：
1988-09-01
期刊：
BRITISH JOURNAL OF MEDICAL PSYCHOLOGY
影响因子：
--
作者：
BIRTCHNELL, J;EVANS, C;KENNARD, J
通讯作者：
KENNARD, J
影响因子：
3.3
作者：
Labus, Jennifer S.;Mayer, Emeran A.;Naliboff, Bruce D.
通讯作者：
Naliboff, Bruce D.
DOI：
10.15585/mmwr.ss6708a1
发表时间：
2018-06-15
期刊：
Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C. : 2002)
影响因子：
--
作者：
Kann L;McManus T;Harris WA;Shanklin SL;Flint KH;Queen B;Lowry R;Chyen D;Whittle L;Thornton J;Lim C;Bradford D;Yamakawa Y;Leon M;Brener N;Ethier KA
通讯作者：
Ethier KA
影响因子：
7.6
作者：
Goodman, R;Ford, T;Meltzer, H
通讯作者：
Meltzer, H