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Incidence and Associated Factors of Infantile Colic in Thai Infants

  • 투고 : 2021.05.20
  • 심사 : 2021.10.21
  • 발행 : 2022.05.15

초록

Purpose: Infantile colic, a common functional gastrointestinal condition, causes distress and frustration in families. Its prevalence and incidence vary from community to community. The purpose of our study was to demonstrate the incidence of and factors associated with infantile colic in Thai infants. Methods: We conducted a prospective analytic study to explore the incidence and factors associated with infantile colic in 386 Thai infants aged between one month and six months. Caregivers were interviewed using a questionnaire about infants' symptoms of colic based on the definition from the Rome IV criteria. Family background and potential precipitating factors of colic were also evaluated. Results: The incidence of colic in infants younger than 6 months was 6.5%. All infants' colic started within 12 weeks of life and lasted approximately 6 weeks. Sex, gestational age, birth weight, delivery route, birth order, family factors, and parental factors were not correlated with the occurrence of colic. Infants who were exclusively breastfed for the first 2 months of life had a lower incidence of infantile colic than those who were mixed- or formula-fed (odds ratio=3.0; 95% confidence intervals=1.3 to 7.2). Conclusion: The incidence of infantile colic in Thai infants in our study was 6.5%, which is similar to that in other reports. Being exclusively breastfed for the first two months was the only risk factor in our cohort.

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참고문헌

  1. Lucassen PL, Assendelft WJ, van Eijk JT, Gubbels JW, Douwes AC, van Geldrop WJ. Systematic review of the occurrence of infantile colic in the community. Arch Dis Child 2001;84:398-403. https://doi.org/10.1136/adc.84.5.398
  2. Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2016;150:1443-55.e2. https://doi.org/10.1053/j.gastro.2016.02.016
  3. Mai T, Fatheree NY, Gleason W, Liu Y, Rhoads JM. Infantile colic: new insights into an old problem. Gastroenterol Clin North Am 2018;47:829-44. https://doi.org/10.1016/j.gtc.2018.07.008
  4. Hall B, Chesters J, Robinson A. Infantile colic: a systematic review of medical and conventional therapies. J Paediatr Child Health 2012;48:128-37. https://doi.org/10.1111/j.1440-1754.2011.02061.x
  5. Ellwood J, Draper-Rodi J, Carnes D. Comparison of common interventions for the treatment of infantile colic: a systematic review of reviews and guidelines. BMJ Open 2020;10:e035405. https://doi.org/10.1136/bmjopen-2019-035405
  6. Ong TG, Gordon M, Banks SS, Thomas MR, Akobeng AK. Probiotics to prevent infantile colic. Cochrane Database Syst Rev 2019.3:CD012473.
  7. Daelemans S, Peeters L, Hauser B, Vandenplas Y. Recent advances in understanding and managing infantile colic. F1000 Res 2018;7:F1000 Faculty Rev-1426.
  8. Talachian E, Bidari A, Rezaie MH. Incidence and risk factors for infantile colic in Iranian infants. World J Gastroenterol 2008;14:4662-6. https://doi.org/10.3748/wjg.14.4662
  9. Saavedra MA, da Costa JS, Garcias G, Horta BL, Tomasi E, Mendonca R. [Infantile colic incidence and associated risk factors: a cohort study]. J Pediatr (Rio J) 2003;79:115-22. Portuguese. https://doi.org/10.1016/S0022-3476(71)80068-9
  10. National Statistical Office of Thailand. Family expenditure in Bangkok 2020 [Internet]. Bangkok: National Statistical Office of Thailand; [cited 2021 Sep 20]. Available from: http://statbbi.nso.go.th/staticreport/page/sector/th/08.aspx
  11. Vandenplas Y, Abkari A, Bellaiche M, Benninga M, Chouraqui JP, Cokura F, et al. Prevalence and health outcomes of functional gastrointestinal symptoms in infants from birth to 12 months of age. J Pediatr Gastroenterol Nutr 2015;61:531-7. Erratum in: J Pediatr Gastroenterol Nutr 2016;62:516.
  12. Zeevenhooven J, Koppen IJ, Benninga MA. The New Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatr Gastroenterol Hepatol Nutr 2017;20:1-13. https://doi.org/10.5223/pghn.2017.20.1.1
  13. van Tilburg MA, Hyman PE, Walker L, Rouster A, Palsson OS, Kim SM, et al. Prevalence of functional gastrointestinal disorders in infants and toddlers. J Pediatr 2015;166:684-9. https://doi.org/10.1016/j.jpeds.2014.11.039
  14. Wessel MA, Cobb JC, Jackson EB, Harris GS Jr, Detwiler AC. Paroxysmal fussing in infancy, sometimes called colic. Pediatrics 1954;14:421-35. https://doi.org/10.1542/peds.14.5.421
  15. Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology 2006;130:1519-26. https://doi.org/10.1053/j.gastro.2005.11.065
  16. Lam TML, Chan PC, Goh LH. Approach to infantile colic in primary care. Singapore Med J 2019;60:12-6. https://doi.org/10.11622/smedj.2019004
  17. Wolke D, Bilgin A, Samara M. Systematic review and meta-analysis: fussing and crying durations and prevalence of colic in infants. J Pediatr 2017;185:55-61.e4. https://doi.org/10.1016/j.jpeds.2017.02.020
  18. Johnson JD, Cocker K, Chang E. Infantile colic: recognition and treatment. Am Fam Physician 2015.92:577-82.
  19. Rautava P, Helenius H, Lehtonen L. Psychosocial predisposing factors for infantile colic. BMJ 1993;307:600-4. https://doi.org/10.1136/bmj.307.6904.600
  20. Phelan AL, DiBenedetto MR, Paul IM, Zhu J, Kjerulff KH. Psychosocial stress during first pregnancy predicts infant health outcomes in the first postnatal year. Matern Child Health J 2015;19:2587-97. https://doi.org/10.1007/s10995-015-1777-z
  21. Bang KS, Lee I, Kim S, Yi Y, Huh I, Jang SY, et al. Relation between mother's taekyo, prenatal and postpartum depression, and infant's temperament and colic: a longitudinal prospective approach. Int J Environ Res Public Health 2020;17:7691. https://doi.org/10.3390/ijerph17207691
  22. Canivet CA, Ostergren PO, Jakobsson IL, Dejin-Karlsson E, Hagander BM. Infantile colic, maternal smoking and infant feeding at 5 weeks of age. Scand J Public Health 2008;36:284-91. https://doi.org/10.1177/1403494807086981
  23. Shenassa ED, Brown MJ. Maternal smoking and infantile gastrointestinal dysregulation: the case of colic. Pediatrics 2004;114:e497-505. https://doi.org/10.1542/peds.2004-1036
  24. Rhoads JM, Collins J, Fatheree NY, Hashmi SS, Taylor CM, Luo M, et al. Infant colic represents gut inflammation and dysbiosis. J Pediatr 2018;203:55-61.e3. https://doi.org/10.1016/j.jpeds.2018.07.042
  25. Camilleri M, Park SY, Scarpato E, Staiano A. Exploring hypotheses and rationale for causes of infantile colic. Neurogastroenterol Motil 2017;29:10.1111/nmo.12943.
  26. Vandenplas Y, Hauser B, Salvatore S. Functional gastrointestinal disorders in infancy: impact on the health of the infant and family. Pediatr Gastroenterol Hepatol Nutr 2019;22:207-16. https://doi.org/10.5223/pghn.2019.22.3.207