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Published on: August 25, 2014
Biobehavioral characteristics of infants with failure to thrive
D K Steward1, D K Moser, N A Ryan-Wenger
1College of Nursing, The Ohio State University, Columbus, OH 43210, USA. steward.20@osu.edu
Insights
Infants with failure to thrive (FTT) show more negative behaviors and low heart rate variability, suggesting a physiological basis for their difficulties. Further research is needed to understand this link in infant growth and development.
Area of Science:
- Pediatrics
- Developmental Psychology
- Physiology
Background:
- Failure to thrive (FTT) is a growth failure syndrome in infants.
- Infant behavior is thought to significantly contribute to infant-mother interaction issues in FTT.
- Autonomic nervous system (ANS) activity may underlie behavioral characteristics in FTT infants.
Purpose of the Study:
- To investigate the relationship between behavioral responsiveness, ANS activity (heart rate variability), and nutritional status in FTT infants.
- To compare these factors in infants with FTT and healthy growing infants.
Main Methods:
- Matched case-control study design.
- Comparison of 14 pairs of infants with FTT and healthy controls.
- Assessment of behavioral responsiveness and heart rate variability (HRV) as a marker of ANS activity.
Main Results:
- Infants with FTT displayed significantly more negative behaviors compared to controls.
- Infants with FTT exhibited lower heart rate variability, indicating reduced ANS activity.
- A potential physiological basis for the observed behaviors in FTT infants was identified.
Conclusions:
- The study suggests a physiological component, specifically related to autonomic nervous system function, contributing to the behavioral challenges in infants with failure to thrive.
- Further prospective research is warranted to elucidate the complex interplay between physiology, behavior, and growth in FTT.
Abstract:
Failure to thrive (FTT) is a syndrome of growth failure that results in an infant who is behaviorally difficult. The current thinking is that FTT results from a problematic infant-mother interaction, with the infant making a significant contribution to the interactional process. It is possible that the behavioral characteristics of the infant with FTT may be related to underlying physiologic response patterns, specifically, activity of the autonomic nervous system. The purpose of this study is to examine the relationships among behavioral responsiveness, heart rate variability as a marker of autonomic nervous system activity, and nutritional status in infants with FTT. Infants with FTT were matched with healthy growing infants (n = 14 pairs). Results from the study indicated that infants with FTT exhibited considerably more negative behaviors and exhibited low heart rate variability. It appears that there may be a physiologic basis to the behaviors that are exhibited by infants with FTT. Prospective research is needed to further clarify this relationship.
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