Pediatric Nutrition

Dynamics of the quality of life in children and adolescents with chronic diseases of the upper digestive tract

The objective. To determine dynamically the quality of life (QL) in children and adolescents with chronic diseases of the upper digestive tract. Patients  and  methods.  The  questionnaire  PedsQL  4.0  was  used  to  study  QL  in  116  children  and  adolescents  from  12  to 18 years with reflux-esophagitis (RE) with its subsequent dynamic evaluation in 56 patients in remission 6–48 months later. For comparison, QL was determined in 232 respondents without gastroenterological complaints and in 42 patients with chronic gastritis comparable by age and gender. Results. QL was considerably lower in chronic gastritis and lower to a lesser degree in RE than in children and adolescents without  complaints.  During  remission,  QL  of  patients  with  RE  improves,  however  does  not  achieve  the  values  of  healthy respondents. With an increase of the duration of RE the values of QL decrease, the rates of decrease decelerating with the lapse of time. Conclusion.  A  decreased  QL  in  children  and  adolescents  with  chronic  gastritis  and  RE  necessitates  taking  into  account individual perception of disease in therapeutic tactics and dynamic observation.


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