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.

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