Failure to Thrive

Larson‐Nath, Catherine; Goday, Praveen S.

doi:10.1097/mpg.0000000000001099

Cited by 22 publications

(7 citation statements)

References 21 publications

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“…Although some authors still emphasize the use of the “organic” versus “nonorganic” model to describe FTT etiologies, 4 others have stressed the importance to use a biopsychosocial model to describe the complex interaction between the different factors. 1,9,11,12 Our study supports using the conceptual framework created by Huh et al 16 to obtain a more comprehensive understanding of the different contributing factors to FTT in the different domains (medical, nutritional, feeding skills, and psychosocial).…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have described patient characteristics of children with failure to thrive. 3-8 These studies often made a distinction between “organic” (with an underlying medical pathology) and “nonorganic” (underlying behavioral and psychological) causes. 4,8-10 However, some researchers have advocated to abandon the use of the dichotomous “organic” versus “nonorganic” description of FTT.…”

Section: Introductionmentioning

confidence: 99%

“…3-8 These studies often made a distinction between “organic” (with an underlying medical pathology) and “nonorganic” (underlying behavioral and psychological) causes. 4,8-10 However, some researchers have advocated to abandon the use of the dichotomous “organic” versus “nonorganic” description of FTT. 1,11,12 The dichotomous division is thought to be too simplistic for clinical and research purposes and does not capture the complexity of patients presetting with FTT.…”

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care

Mazze

Cory

Gardner

et al. 2019

Global Pediatric Health

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Failure to thrive (FTT) is a sign of inadequate nutrition for optimal growth and development. FTT has multiple definitions, which include the following: weight-forage below the third percentile; a rate of weight gain that is disproportionate to the rate of length gain; weight-for-length less than 10th percentile (in children <24 months); and a decrease in 2 or more major growth percentile curves. 1,2 FTT more commonly presents in children less than 18 months of age. 2 In the United States, children with FTT account for 5% to 10% of primary care pediatric patients and 3% to 5% of pediatric hospital admissions. 2 Previous studies have described patient characteristics of children with failure to thrive. 3-8 These studies often made a distinction between "organic" (with an underlying medical pathology) and "nonorganic" (underlying behavioral and psychological) causes. 4,8-10 However, some researchers have advocated to abandon the use of the dichotomous "organic" versus "nonorganic" description of FTT. 1,11,12 The dichotomous division is thought to be too simplistic for clinical and research purposes and does not capture the complexity of patients presetting with FTT. Several researchers make the case that FTT is explained by multiple biopsychosocial factors and arises from the interaction between these factors. 9,11 Feeding difficulties are common in children with FTT. 13 The term "feeding difficulties" is commonly used as an umbrella term that refers to a "feeding problem of some sort." 14(p345) These problems can include 858526G PHXXX10.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care

Mazze

Cory

Gardner

et al. 2019

Global Pediatric Health

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“…110 детей с задержкой развития, у 74 детей (67,2 %) диагностирован дефицит массы тела на основании критерия Z-Score МТ к росту/ ИМТ < -1. При оценке фактического питания у 64 пациентов калорийность рациона составила 75 % от рекомендованной нормы потребления [31].…”

Section: список литературы / Referencesunclassified

Undernutrition in children: features of clinical manifestations and food intake

Keleinikova

Taran

Titova

et al. 2022

Medicinskij alfavit

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Undernutrition in children is an important problem of health care due to negative impact on the development of an organism and increase of global morbidity and mortality..Objective. To assess the clinical manifestations and food intake of children with undernutrition.Patients and methods. Four hundred and thirty-one children with undernutrition aged 1 month to 17 years and 11 months (the median of age is 7 [2.5; 13] years), boys – 238 (55.2 %), girls – 193 (44.8 %), were examined. All children underwent anthropometry using Z-Score values by WHO criteria (WHO Anthro and Anthro plus programs). Specialized centile tables were used with subsequent conversion of the obtained indicators into sigma deviations Z-Score in children with genetic syndromes. Undernutrition was registered in children with body mass index (BMI) by age Z-Score ≤ –1, the stunting was diagnosed with growth by age Z-Score ≤-2. Assessment of food intake at home was underwent in 199 children by recording and accounting for weighted food.Results. Mild undernutrition was diagnosed in 175 (40.6 %) children, moderate – in 127 (29.5 %), severe – in 129 (29.9 %) children. Severe undernutrition (43.2 % and 38.9 %) was most often registered in the age groups of 11–14 years and 15–17 years. The stunting was observed in 116 (26.9 %) children. The onset of malnutrition was revealed in three-quarters of children before the age of 1 year. The analysis of food intake revealed hypocaloric diet in 153 (76.9 %) patients, normocaloric diet in 32 (16.1 %) and hypercaloric diet in 14 (7 %) patients. Deficiency of protein, fat and carbohydrate intake was registered in 38.7, 72.4, 78.4 % cases, respectively, by assessment of macronutrient composition of the diet in children with undernutrition.Conclusion. Most children had mild undernutrition. Severe undernutrition was revealed significantly more often in patients of older age groups. Сhildren with undernutrition need early correction of the diet and appointment of nutritional support due to decrease in the energy intake in 76.9 % of children and the imbalance in macronutrients

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“…such as growth retardation, growth restriction, and failure to thrive, 5,6 which can also be described by height, weight, HAZ scores, WAZ scores, BMI, and other measures.…”

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confidence: 99%

Association between Helicobacter pylori infection and growth outcomes in children: A meta‐analysis

2022

Helicobacter

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Background Multiple studies have reported the association between Helicobacter pylori (H. pylori) infection and children's growth. The results of these studies are controversial. Our meta‐analysis aimed to evaluate the association between H. pylori infection and growth outcomes in children. Methods We searched PubMed, Embase, Web of Science, and Cochrane Library, as well as two Chinese databases, Wanfang, and CNKI from inception to September 2019. Odds ratios (ORs) and standardized mean differences (SMDs) with their 95% confidence interval (95% CI) were selected as the effect size. We assessed pooled data using a random‐effects model. Subgroup and sensitivity analyses were conducted. Results In total, 29 studies provided data from 9384 subjects. The meta‐analysis results indicated a significant association of H. pylori infection with ponderal growth disorders (OR: 2.47; 95% CI: 1.13, 5.37; p = 0.02) and linear growth disorders (OR =1.76; 95% CI: 1.15, 2.69, p = 0.01). H. pylori infection has an adverse impact on children's height‐for‐age Z (HAZ) scores (SMD = −0.41; 95% CI: −0.69, −0.13; p < 0.01). Pooling SMDs by other outcomes (height, weight, BMI, weight‐for‐age and BMI‐for‐age Z scores, weight‐for‐age percentile scores, and linear and ponderal growth velocity with/without infection and eradication/non‐eradication) all indicated no significant association. Conclusion The current evidence supports the hypothesis that H. pylori infection is associated with growth outcomes in children, mainly HAZ scores. Clinicians might consider H. pylori infection in investigating linear growth disorders in children.

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Failure to Thrive

Cited by 22 publications

References 21 publications

Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care

Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care

Undernutrition in children: features of clinical manifestations and food intake

Association between Helicobacter pylori infection and growth outcomes in children: A meta‐analysis

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