Identification and management of failure to thrive: a community perspective

Wright, Charlotte

doi:10.1136/adc.82.1.5

Cited by 113 publications

(93 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We have now gathered a substantial body of evidence about the significance of weight faltering identified in this way, with most research done on children in the slowest gaining 5% of various representative populations compared with their birth centile (14)(15)(16) . Although only 5% of children, by definition, will drop below this threshold at any one measurement point, about 10% will make a fall of this size at some time in the first year, but only about 5% will show a fall of this size sustained over a number of measurements (15) .…”

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

“…There is some association with abuse and neglect, but it is important to realise that this is still seen only in a minority of weight faltering children (25,26) . 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) .…”

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

See 1 more Smart Citation

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

Wright

García

2012

Proc. Nutr. Soc.

View full text Add to dashboard Cite

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.

show abstract

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

Section: Failure To Thrive/weight Falteringmentioning

confidence: 99%

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

Wright

García

2012

Proc. Nutr. Soc.

View full text Add to dashboard Cite

show abstract

“…Over the last decades, researchers have worked on finding the causes and appropriate interventional guidelines for malnutrition. So far, it has been shown that the issue of malnutrition is multidimensional and its causes are complicated and interrelated (6,7).…”

Section: Introductionmentioning

confidence: 99%

Factors Affecting Malnutrition and Failure to Thrive in Children Under 2 Years of Age in Shahroud, Iran, in 2015

et al. 2017

View full text Add to dashboard Cite

Background: Malnutrition and failure to thrive (FTT) is a delay or a halt in children's growth, which leads to serious compilations if it is left untreated. Malnutrition due to its prevalence is the most important nutritional disease in developing countries and has the most prevalence among infants and preschool children. This study aimed at rating and determining the effective factors of malnutrition incidence and growth delay among 0 to 24 months children. Methods: To identify children under 2 years of age, we referred to health centers and health stations in the city of Shahroud (Northeast of Iran) in 2015. Using cluster sampling, 706 children were surveyed. Anthropometric indices with international reference standards were compared. The values obtained for less than 2 standard deviations as stunting, underweight, wasting, and FTT were defined. All statistical analyses were performed using SPSS software with significance level set at 0.05. Results:The results indicated the existence of malnutrition in the region. Based on the findings, the percentage of underweight, wasting, stunting and ratio of head circumference with age was determined to be 1.7%, 5.4%, 9.5%, and 8.6%, respectively; and considering the category of growth disorder, Type 1, 2, and 3 were, respectively, 1.7%, 5.2% and 3.1%. Factors affecting malnutrition included age, birth weight, birth spacing, and the mother's BMI at child birth. Conclusions: Tracking the status of children with growth disorder and malnutrition, offering appropriate interventions, considering the nutrition status of mothers during pregnancy, and providing appropriate nutritional counseling are of prime importance to attend to this problem.

show abstract

“…Среди средовых факторов выделяют влияние психические расстройства в раннем возрасте материнской депрессии [51], ненадежные формы привя-занности [54], неадекватное материнское восприятие осо-бенностей пищевого поведения ребенка [55], и как одну из главных причин -пренебрежение потребностями ре-бенка и плохое обращение с ним [56]. Дети с недостаточ-ностью питания по сравнению с контрольной группой в 4 раза чаще происходят из семей с подобным отношением к ребенку [57]. Показано негативное воздействие недоста-точности питания и плохого обращения с ребенком в ран-нем детстве на его дальнейшее общее психическое разви-тие [58,59].…”

Section: расстройства пищевого поведения в раннем детствеunclassified

Mental health disorders in the first years of life: disorders mostly related with psychogenic factors

Skoblo

Trushkina

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

View full text Add to dashboard Cite

Identification and management of failure to thrive: a community perspective

Cited by 113 publications

References 29 publications

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

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

Factors Affecting Malnutrition and Failure to Thrive in Children Under 2 Years of Age in Shahroud, Iran, in 2015

Mental health disorders in the first years of life: disorders mostly related with psychogenic factors

Contact Info

Product

Resources

About