Evidence map›Paper›PMID 42613193›Full record

ArticleGut2026

Multinational prevalence and burden of paediatric disorders of gut-brain interaction: results of the Rome Foundation paediatric global study.

Samuel Nurko, Tiffany Taft, Olafur S Palsson, Marc Benninga, Carlo DiLorenzo, Rachel Rosen, Miguel Saps, Johann P Hreinsson, Xiucai Fang, Mizu Jiang and 3 more

Abstract read
In one paragraph

Article in Gut, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Samuel NurkoGastroenterology, Boston Children's Hospital, Boston, Massachusetts, USA samuel.nurko@childrens.harvard.edu.ORCID http://orcid.org/0000-0003-0936-4807
Tiffany TaftThe Rome Foundation Research Institute, Chapel Hill, NC, North Carolina, USA.ORCID http://orcid.org/0000-0002-4670-2441
Olafur S PalssonMedicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Marc BenningaPediatric Gastroenterology, Amsterdam UMC - Locatie AMC, Amsterdam, The Netherlands.
Carlo DiLorenzoPediatrics, Ohio State University, Columbus, Ohio, USA.
Rachel RosenGastroenterology, Boston Children's Hospital, Boston, Massachusetts, USA.
Miguel SapsPediatric Gastroenterology, Hepatology and Nutrition, University of Miami, Coral Gables, Florida, USA.
Johann P HreinssonDepartment of Medicine, Sahlgrenska University Hospital, Gothenburg, Västra Götaland County, Sweden.ORCID http://orcid.org/0000-0002-0078-3063
Xiucai FangDepartment of Gastroenterology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.ORCID http://orcid.org/0000-0002-5600-8779
Mizu JiangDepartment of Gastroenterology, Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.ORCID http://orcid.org/0000-0003-4829-2041
Caterina StrisciuglioDepartment of Women and Children and General and Specialized Surgery, University of Campania Luigi Vanvitelli, Naples, Italy.
Erick Toro-MonjarazGastroenterology, National Institute of Pediatrics, Mexico City, Mexico.
Ami D SperberFaculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.ORCID http://orcid.org/0000-0002-7634-3689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobal prevalence estimates of paediatric disorders of gut-brain interaction (DGBI) are largely unknown and published studies are hindered by heterogeneous methodology.

objectiveTo determine the multinational prevalence and burden of paediatric DGBI as defined by Rome V.

designCaregivers of 8000 children aged 0-17 years from China, Italy, Mexico and the USA completed an online Rome V survey assessing gastrointestinal symptoms, illness burden and comorbid health conditions. Prevalence was calculated by DGBI category, country, sex and age.

resultsPaediatric DGBI were highly prevalent, affecting 28.0% (95% CI 27.0% to 29.0%) of children. Upper DGBI were present in 8.7% (95% CI 8.2% to 9.5%) and lower DGBI in 23.7% (95% CI 22.8% to 24.7%). The most common lower DGBI were defecation and anorectal disorders (20.2%) followed by abdominal pain disorders (4.4%) and discomfort disorders (1.8%). The most common upper DGBI were gastroduodenal disorders (6.6%), followed by functional feeding disorders (3.4%) and oesophageal disorders (0.6%). Significant geographic differences were observed with the highest prevalence in Mexico and the lowest in China. There was a female predominance in gastroduodenal and discomfort disorders. Overall prevalence declined with age, from approximately 41% in children aged 0-3 years to 22% in adolescents. DGBI were associated with significant anxiety, depression, functional disability and healthcare utilisation, as well as parental time spent in care and coordination particularly when upper and lower DGBI overlapped.

conclusionsThis global Rome V study demonstrates the high multi-national prevalence, burden and heterogeneity of paediatric DGBI, supporting improved recognition, classification, research and clinical care.

Indexed as

Gastrointestinal DiseasesAdolescentChildChild, PreschoolChinaCost of IllnessFemaleHumansInfantInfant, NewbornItalyMaleMexicoPrevalenceSymptom BurdenUnited StatesABDOMINAL PAINBRAIN/GUT INTERACTIONFUNCTIONAL DYSPEPSIAIRRITABLE BOWEL SYNDROMENEUROGASTROENTEROLOGY

Identifiers

PMID42613193
PMCPMC13638314

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.