When does slow weight gain become 'failure to thrive'?

Porter, Brian B.; Skuse, David

doi:10.1136/adc.66.7.905-a

Cited by 7 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although FTT has been recognized for more than a century, it lacks a precise definition, in part because it describes a condition rather than a specific disease. [14][15][16][17] Although definitions vary, most pediatricians use this term only when growth is noted to be low or decreases with time. For example, one definition of FTT is that height-for-age or weight-for-age is less than the 3rd or 5th percentile on Ͼ1 occasion.…”

Section: Discussionmentioning

confidence: 99%

“…Most researchers and pediatricians agree, however, that FTT can be suspected or described accurately only by comparing height and weight on growth charts with time. [14][15][16][17] The increase in the prevalence of overweight status among preschool children in the United States has caused great concern because of its long-term health consequences. 18,19 A recent study showed that the anthropometric data collected for patients referred because of FTT or obesity suggest that children are referred because of lesser degrees of underweight than overweight; the study concluded that these referral patterns reflect a more aggressive approach to FTT than obesity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

et al. 2004

View full text Add to dashboard Cite

ABSTRACT. Objective. To document growth-velocity changes across major percentiles during the preschool years.Design. Analyses of longitudinal data using heightfor-age, weight-for-age, weight-for-height, and body mass index (BMI)-for-age percentiles were performed to examine crossing of major percentiles of the Centers for Disease Control and Prevention 2000 growth charts. The 5th, 10th, 25th, 50th, 75th, 90th, and 95th percentiles were defined as the major percentiles.Setting. Data from the California Child Health and Development Study were used.Subjects. A total of 10 844 children up to 60 months of age, with 44 296 height and weight measurements, were included in our final analysis.Results. For height-for-age, 32% of children between birth and 6 months of age, 13% to 15% of children between 6 and 24 months of age, and 2% to 10% of children between 24 and 60 months of age crossed 2 major percentiles. For weight-for-age, 39% of children between birth and 6 months of age, 6% to 15% of children between 6 and 24 months of age, and 1% to 5% of children between 24 and 60 months of age crossed 2 major percentiles. In contrast, for weight-for-height, 62% of children between birth and 6 months of age, 20% to 27% of children between 6 and 24 months of age, and 6% to 15% of children between 24 to 60 months of age crossed 2 major percentiles. Similar to the pattern observed for weightfor-height, 8% to 15% of children between 24 and 60 months of age crossed 2 major BMI-for-age percentiles. During the preschool years, weight-for-height had the highest percentages of children who crossed 2 major percentiles, and weight-for-age had the lowest percentages of children who crossed 2 major percentiles among these 3 indices.Conclusions. Shifts in growth rates were very common for children from birth to 6 months of age, somewhat less common for children 6 to 24 months of age, and least common for children 24 to 60 months of age. Shifts in weight-for-height occurred more frequently than did other growth changes. Pediatricians must consider the prevalence of growth rate shifts during infancy and early childhood before they counsel parents regarding growth or refer children for additional evaluations of growth. Pediatrics 2004;113:e617-e627. URL: http://www. pediatrics.org/cgi/content/full/113/6/e617; catch-up growth, catch-down growth, growth variation, height-forage, weight-for-age, weight-for-height, BMI-for-age, percentile.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

et al. 2004

View full text Add to dashboard Cite

show abstract

“…It is not clear whether this pattern represents a normal variant (or switch between an intrauterine and genetic growth pattern) or should be taken as indicative of the child being part of a population vulnerable to failure to thrive (fig 1). 9,11…”

Section: Idiosyncracies Of Normal Growth Patternmentioning

confidence: 99%

Fortnightly Reviews: Failure to thrive

Marcovitch

1994

BMJ

View full text Add to dashboard Cite

“…It is propounded that since the size of infant at birth is related more to maternal size and intra-uterine influences than to genetic factors, in some children an adjustment of growth velocity between birth and two years age is to be expected [3]. Thus a significant decrease in growth rate may represent a physiological event in the first 2-3 years of life and does not necessarily indicate failure to thrive [15]. In this context some advocate that maximum weight centile achieved between 4-8 weeks is a better predictor of centile at 12 months than is the birth weight centile [16], thereby making it an important yardstick in evaluation of failure to thrive.…”

Section: Identification Of Failure To Thrivementioning

confidence: 99%

Failure to Thrive

Venkateshwar

Raman

2000

Medical Journal Armed Forces India

View full text Add to dashboard Cite

Failure to thrive is a commonly encountered problem in Paediatric practice. This essentially generic term refers to children whose attained weight or rate of weight gain is significantly below that of other children of similar age and same sex. Several defining criteria have been proposed and help to differentiate true failure to thrive from other conditions causing apparent growth failure. There are numerous organic causes of failure to thrive, but non-organic failure to thrive is also an important entity and is caused by social, psychological and environmental factors. The clinical features are those of malnutrition, signs of underlying organic cause and specific manifestations of environmental/psychosocial deprivation. Indiscriminate laboratory investigations are usually non-contributory and have no role in evaluation. Management requires a multidisciplinary approach and hospitalization has a specific role. Although nutritional rehabilitation is the cornerstone of therapy, treatment of underlying factors-medical, psychological, social and environmental-should receive equally important attention. Long term physical, developmental and behavioural sequelae are known to occur in children with failure to thrive.

show abstract

When does slow weight gain become 'failure to thrive'?

Cited by 7 publications

References 5 publications

Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

Shifts in Percentiles of Growth During Early Childhood: Analysis of Longitudinal Data From the California Child Health and Development Study

Fortnightly Reviews: Failure to thrive

Failure to Thrive

Contact Info

Product

Resources

About