Frequency of Gastro-Esophageal Reflux symptoms in Healthy Children Determined by MM GERD Questionnaire in Mexico: An Exploratory Study

Research Article

Rogelio Ramses Hernandez-Plieg

Abstract

Background: GERD is a common disorder in children representing an important cause of consultation. Questionnaires have been proposed as a useful tool for primary care medicine but also as a cost effective option. However, it ’ s use still controversial in pediatric population. In this exploratory study, we have used the MM GERD Questionnaire in 2 elementary schools. Objective: An exploratory study to evaluate the MM GERD questionnaire in children of 5-17 years old of 2 elementary schools in Mexico City. Methods: A prospective, descriptive exploratory study including male and female children 5-17 years in which parents or tutors accept and sign ICF and willing to answer the 4 scale multi-dimensional GERD scale symptom (10 items), pain intensity scale (3 items); disability scale (3 items) and satisfaction scale (2 items). Results: A total of 223 children were included with 123 male and 99 female with mean age of 8.64 ± 2.7, weight 32.94 ± 14.17 kg, height 1.30 ± 0.17 mt and BMI of 18.67 ± 4.9. There was good construct validity among 4 scales measured with Pearson coefficient. The inter-item consistency (Cronbach’s co-efficient alpha) for the symptoms items, pain intensity items, disability items and satisfaction items were 0.41, 0.78, 0.87 and 0.4, respectively, demonstrating adequate reliability of the measure. Conclusion: MM GERD is a not a reliable questionnaire to explore the presence of upper gastrointestinal symptoms in healthy children from 5-17 years old. Thus several limitations, it is necessary to assess language, methodological and clinical validation of MM GERD to extrapolate these results into clinical practice.

Relevant Publications in Archives of Medicine