Feeding behaviour in young children who fail to thrive

Drewett, Robert; Kasese-Hara, Mambwe; Wright, Charlotte

doi:10.1016/s0195-6663(02)00144-7

Cited by 25 publications

(14 citation statements)

References 25 publications

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“…Lower reliability reduces estimates of heritability and common environment and inflates the unique environment effect, which could contribute to the apparent low heritability of weight in early life. However, the first three months of life has also been identified as a critical period when growth is nutrition dependent [37], and because nutrition is primarily an environmental exposure (albeit affected by infant appetite [38]), this could offer an alternative explanation for the low heritability for immediate postnatal growth; consistent with the moderate shared environment effect observed in this analysis.…”

Section: Discussionsupporting

confidence: 72%

Genetic and Environmental Influences on Infant Growth: Prospective Analysis of the Gemini Twin Birth Cohort

et al. 2011

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ObjectiveInfancy is a critical period during which rapid growth potentially programs future disease risk. Identifying the modifiable determinants of growth is therefore important. To capture the complexity of infant growth, we modeled growth trajectories from birth to six months in order to compare the genetic and environmental influences on growth trajectory parameters with single time-point measures at birth, three and six months of age.MethodsData were from Gemini, a population sample of 2402 UK families with twins. An average 10 weight measurements per child made by health professionals were available over the first six months. Weights at birth, three and six months were identified. Longitudinal growth trajectories were modeled using SITAR utilizing all available weight measures for each child. SITAR generates three parameters: size (characterizing mean weight throughout infancy), tempo (indicating age at peak weight velocity (PWV)), and velocity (reflecting the size of PWV). Genetic and environmental influences were estimated using quantitative genetic analysis.ResultsIn line with previous studies, heritability of weight at birth and three months was low (38%), but it was higher at six months (62%). Heritability of the growth trajectory parameters was high for size (69%) and velocity (57%), but low (35%) for tempo. Common environmental influences predominated for tempo (42%).ConclusionModeled growth parameters using SITAR indicated that size and velocity were primarily under genetic influence but tempo was predominantly environmentally determined. These results emphasize the importance of identifying specific modifiable environmental determinants of the timing of peak infant growth.

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Section: Discussionsupporting

confidence: 72%

Genetic and Environmental Influences on Infant Growth: Prospective Analysis of the Gemini Twin Birth Cohort

et al. 2011

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“…To examine case–control differences, we took meal type into account, using the two way analysis of variance summarised in Table 5b. Although no statistically significant differences were found in any measured aspect of feeding behaviour, cases did have a significantly lower energy intake than the controls, supporting the findings of Pollitt and Eichler (1976) and Drewett et al (2002). Although the difference was small, if it was as big at other meals the children who failed to thrive would consume about 10% less energy than controls overall.…”

Section: Discussionsupporting

confidence: 61%

“…This was the only clear behavioural difference found. Other differences in feeding behaviour have been found in two previous observational studies (Pollitt & Eichler, 1976;Drewett et al, 2002), but these were of referred cases, and many biases can be introduced by the referral process. Batchelor and Kerslake (1990) Mealtime energy intake and feeding behaviour in children who fail to thrive found that children whose failure to thrive is detected have three times as many feeding problems as those in whom it is not detected, so groups of referred cases may have a higher probability of feeding problems.…”

Section: Discussionmentioning

confidence: 73%

“…Each meal was coded in real time using all-occurrence sampling with a purpose-written program (Marsh, 1988). The inter-observer reliabilities of the behavioural codes have been established in previous studies in children 12 to 24 months old, and are generally >.8 (Parkinson & Drewett, 2001;Drewett et al, 2002). Meal duration was defined as the time from the first coded feeding act to the last.…”

Section: Discussionmentioning

confidence: 99%

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Mealtime energy intake and feeding behaviour in children who fail to thrive: a population‐based case‐control study

Parkinson

Wright

Drewett

2004

Child Psychology Psychiatry

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“…Similarly, only between 5 and 10% will have any symptoms or signs of underlying disease (14) . Some evidence of differences in maternal feeding behaviour and appetite and eating behaviour as well as decreased energy intake at meals (31) have been found in the infant (27)(28)(29)(30) . Thus, the majority of children showing a weight faltering pattern have no observable disease or evidence of neglect.…”

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

Child undernutrition in affluent societies: what are we talking about?

Wright

García

2012

Proc. Nutr. Soc.

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In this paper we set out to explore the prevalence of child undernutrition found in community studies in affluent societies, but a preliminary literature review revealed that, in the absence of a gold standard method of diagnosis, the prevalence largely depends on the measure, threshold and the growth reference used, as well as age. We thus go on to explore describe the common clinical 'syndromes' of child undernutrition: wasting, stunting and failure to thrive (weight faltering) and how we have used data from two population-based cohort studies, this paper to explore how much these different 'syndromes' overlap and the extent to which they reflect true undernutrition. This analysis revealed that when more than one definition is applied to the same children, a majority are below the lower threshold for only one measure. However, those with both weight faltering and low BMI in infancy, go on in later childhood to show growth and body composition patterns suggestive of previous undernutrition. In older children there is even less overlap and most children with either wasting or low fat seem to be simply growing at one extreme of the normal range. We conclude that in affluent societies the diagnosis of undernutrition is only robust when it relies on a combination of both, that is decline in weight or BMI centile and wasting. Undernutrition is an intrinsic hazard in pre-school children in all cultures because infants have such high-nutrient requirements due to high rates of morbidity, requirements for growth, relatively inefficient metabolism and dependence on adults for all food. Worldwide, undernutrition has been clearly linked to a substantial increased risk of mortality and morbidity (1) as well as long-term stunting (2) and probably also has metabolic effects stretching into adulthood (3,4) . Thus undernutrition in childhood is clearly an important risk factor. However, what is less clear is how common it actually is in more affluent societies and what causes it in those settings. Systematic review of the prevalence of undernutrition in affluent societiesWe undertook a systematic review of the literature on the recent prevalence of undernutrition in developed societies, searching Medline, Ovid and/or Web of Knowledge for studies published between 2000 and 2011. Countries listed as having a very high human development index as defined by the UN (5) were considered as 'developed or affluent societies'. Studies were included if published in English and if they included prevalence rates and data collection methodology.

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Feeding behaviour in young children who fail to thrive

Cited by 25 publications

References 25 publications

Genetic and Environmental Influences on Infant Growth: Prospective Analysis of the Gemini Twin Birth Cohort

Genetic and Environmental Influences on Infant Growth: Prospective Analysis of the Gemini Twin Birth Cohort

Mealtime energy intake and feeding behaviour in children who fail to thrive: a population‐based case‐control study

Child undernutrition in affluent societies: what are we talking about?

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