Epidemiology of digestive diseases in children in modern conditions: regional data as a reflection of Russian trends

Introduction. Pathology of the digestive organs is one of the factors influencing the health indicators in children.

Purpose of the work: to characterize current trends in the epidemiology of digestive diseases in children in the Udmurt Republic (UR).

Materials and methods. The epidemiological features of digestive diseases in 0–14 and 15–17 years children were studied on the base on official statistics for the period from 2012 to 2022. The polynomial approximation method was used for forecasting.

Results. There is a decrease in the prevalence of pathology of the digestive organs in 0–14 years children from 153.0 in 2012 to 75.0 in 2022 per 1000 children of the corresponding age, the average annual rate of decline was –6.3%. The predicted indicator will be 32.3 per 1000 children of the corresponding age in 2025. Similar trend in the prevalence of gastroenterological pathology were noted in the age group of 15–17 years: since 2012, this indicator has decreased by 1.9 times from 187.4 to 93.8 per 1000 children of the corresponding age with an average annual rate of decline of –6.3%. The predicted prevalence of gastroenterological pathology in 15–17 years children in the region will be 69.8 per 1000 children of the corresponding age in 2025. Since 2012, the trend in morbidity is characterized by a decrease in rates in both age groups with a higher rate of decline in the UR: from –10.6% in 0–14 years (Russia: –5.5%) to –7.7% in 15–17 years old (Russia: –3.0%). The predicted incidence rate in the UR will be 19.2 in 2025 for children 0–14 years old; 18.6 for children 15–17 years old.

Conclusion. The established patterns indicate a decrease in the prevalence and morbidity of digestive organs among the child population of the UR.

Contribution:
Vikhareva E.G., Kovalenko T.V. — concept and design of the study;
Vikhareva E.G. — data collection and processing, statistical processing of the data, writing the text;
Kovalenko T.V.^­ — editing.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: October 22, 2023
Accepted: November 28, 2023
Published: December 27, 2023

1. Boraeva T.T., Remizov O.V. Dynamics of morbidity in children with pathology of the upper digestive tract. Effektivnaya farmakoterapiya. 2019; 15(21): 14–8. https://doi.org/10.33978/2307-3586-2019-15-21-12-16 https://elibrary.ru/ztotch (in Russian)

2. Volkov A.I., Usanova E.P. Regional features, epidemiology and ways to reduce gastroenterological morbidity in children. Rossiyskiy pediatricheskiy zhurnal. 2000; (2): 60–3. (in Russian)

3. Larionova M.A., Kovalenko T.V. Epidemiological features of obesity in children and adolescents in the Udmurt Republic. Ozhirenie i metabolizm. 2019; 16(1): 47–54. https://doi.org/10.14341/omet9612 https://elibrary.ru/wojrhs (in Russian)

4. Petri A., Sabin C. Medical Statistics at a Glance. Chichester, UK: Wiley-Blackwell; 2009.

5. Tapeshkina N.V., Popkova L.V. School-aged children morbidity dynamics of alimentary-dependent diseases in Mezhdurechensk during the 2010–2016 period. Zdorov’e naseleniya i sreda obitaniya – ZNiSO. 2019; (1): 14–7. https://doi.org/10.35627/2219-5238/2019-310-1-14-17 https://elibrary.ru/mwjwfn (in Russian)

6. Antonova A.A., Yamanova G.A., Bogovdenova V.F., Umarova D.N. Main trends in morbidity among child population. Mezhdunarodnyy nauchno-issledovatel’skiy zhurnal. 2021; (1-3): 6–9. https://doi.org/10.23670/IRJ.2021.103.1.054 https://elibrary.ru/qbaaic (in Russian)

7. Burlutskaya A.V., Statova A.V., Gurina E.S. The health status of teenagers in Krasnodar krai. Kubanskiy nauchnyy meditsinskiy vestnik. 2019; 26(2): 130–9. https://doi.org/10.25207/1608-6228-2019-26-2-130-139 https://elibrary.ru/zgxmeh (in Russian)

8. Al’bitskiy V.Yu., Modestov A.A., Bondar’ V.I., Volkov I.M., Kosova S.A. New approaches to studying of morbidity of the children’s population of the country (program SOC/PEDIATRIA-2). Sistemnaya integratsiya v zdravookhranenii. 2010; (2): 53–71. https://elibrary.ru/msstbb (in Russian)

9. Shashel’ V.A., Firsova V.N. Epidemiology of erosive and ulcer diseases of the stomach and duodenum in children and adolescents of Krasnodar region. Eksperimental’naya i klinicheskaya gastroenterologiya. 2019; (1): 64–9. https://doi.org/10.31146/1682-8658-ecg-161-1-64-69 https://elibrary.ru/npfwvb (in Russian)

10. Morozova V.M., Galiakbarova E.A., Vasil’eva O.V. Identification of risk factors for the development of gastroduodenal pathology in children at the hospital stage. Vestnik Bashkirskogo gosudarstvennogo meditsinskogo universiteta. 2019; (S1): 506–10. https://elibrary.ru/mwvejx (in Russian)

11. Shashel’ V.A. Nazaretyan V.G., Naumenko G.V., Firsova V.N., Matalaeva S.Yu., Mazurenko L.I., et al. Clinical features and nature of the course of dysfunctional disorders of the biliar tract for children living in environmentally adverse areas of Krasnodar region. Eksperimental’naya i klinicheskaya gastroenterologiya. 2023; 1(1): 73–81. https://doi.org/0.31146/1682-8658-ecg-209-1-73-81 (in Russian)

12. Ivanova O.N., Ivanova I.S. Epidemiology of pancreatic diseases in children of the Republic of Sakha (Yakutia). Evraziyskiy Soyuz Uchenykh. Seriya: meditsinskie, biologicheskie i khimicheskie nauki. 2023; 1(2): 6–8. https://doi.org/10.31618/ESU.2413-9335.2023.4.103.1769 (in Russian)