One in three European children is either overweight or obese, according to a report that investigated the current state of digestive health in children. The report revealed alarming disease trends in disease incidence and inequalities in the provision of digestive healthcare services for children across Europe.
'Pediatric Digestive Health Across Europe,' commissioned by United European Gastroenterology (UEG), highlights how the current health burden and economic pressure of pediatric digestive health issues, in particular, the increasing levels of childhood obesity, have become a pandemic issue throughout the continent.
‘The incidence of gastrointestinal diseases is increasing in Europe. Nearly 20 to 30 percent of all inflammatory bowel disease begins in childhood.’
AdvertisementThe report canvasses the opinion of a number of pediatric GI specialists, including experts from UEG and current and past presidents of the European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN), who highlight three particular areas of digestive health that show worrying trends and require urgent action. These include:
- In 46 European countries, one in every three children aged 6-9 years is now overweight or obese
- Childhood onset of inflammatory bowel disease now accounts for 20-30% of all IBD case
- Non-alcoholic fatty liver disease has become the most common cause of chronic liver disease among children and adolescents in Western countries, with cases documented in children as young as 3 years old
A Call for Change Across Europe
One of the main findings in the report is that many areas of digestive health follow a 'one size fits all' approach with many children following adult care pathways. Professor Berthold Koletzko, President of ESPGHAN, comments; "It is important for stakeholders and policy makers to appreciate that children have complex physical, psychological and social needs and these must be met by trained pediatric specialists to improve the accessibility of optimal care for children today and in future generations".
The report calls for urgent attention and resource investment in pediatric digestive health treatments and services to improve the prognosis for children who suffer from varying digestive health conditions. A 6 point action plan, targeting key policy makers, stakeholders and health service providers, is outlined within the report to help encourage and deliver change and improve pediatric care across Europe. The 6 key actions are:
- Further development of national strategies and public health campaigns for education, prevention and early intervention
- Improve and harmonize training standards through the development of a pan-European digestive health syllabus
- Enhance pediatric subspecialty training to understand the complex physical, psychological and social needs of children
- Develop transition services as patients move from teenage to adult care
- Encourage further research into childhood digestive diseases and early life programming to enable improved prevention strategies
- Further development of specialized centers for the optimal management of children with digestive diseases
"In spite of 20% of the European population being children and the incidence of gastrointestinal diseases increasing, it is extremely worrying that only 1 out of 58 topics currently receiving EU research funding is focused on pediatric health" explains Professor Koletzko. "Priorities need to change quickly to appreciate the specific issues of pediatric digestive provision and ensure greater investment into prevention, cost-effective diagnostic measures and harmonized training."
Professor Manns adds; "UEG hope this report will encourage policy makers, stakeholders and health service providers to adopt the recommendations and prioritize the development of specific pediatric focused strategies for improving the digestive health of children today and for future generations."