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Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
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Published on: January 29, 2018

Failure to thrive in childhood.

Walter Nützenadel1

  • 1Klinikum Mannheim GmbH, Universitätsklinikum, Klinik für Kinder- und Jugendmedizin. w.nuetzenadel@web.de

Deutsches Arzteblatt International
|October 26, 2011
PubMed
Summary

Failure to thrive in children impairs growth and development. Effective treatment requires addressing the underlying illness and providing appropriate nutritional support to ensure proper weight gain and recovery.

Area of Science:

  • Pediatrics
  • Nutrition Science
  • Child Development

Background:

  • Failure to thrive (FTT) significantly impacts children's physical growth, weight gain, and cognitive development.
  • It also compromises immune defenses, increasing susceptibility to infections.

Purpose of the Study:

  • To review literature on failure to thrive, malnutrition, and refeeding syndrome.
  • To outline diagnostic and treatment strategies for pediatric failure to thrive.

Main Methods:

  • Systematic review of articles published between 1995 and October 2010.
  • Searches conducted in PubMed and Cochrane Library databases using keywords: "failure to thrive", "underweight", "malnutrition", "malabsorption", "maldigestion", "refeeding syndrome".

Main Results:

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  • FTT in developed countries is often linked to underlying medical conditions.
  • Assessment involves anthropometric techniques; treatment requires identifying the root cause and implementing tailored nutritional interventions.
  • Nutritional support includes increased food intake, caloric density adjustment, oral supplements, tube feeding, or parenteral nutrition for severe cases. Refeeding syndrome prevention is crucial.

Conclusions:

  • Optimal management of pediatric FTT necessitates a dual approach: treating the primary illness and implementing specific nutritional therapies.
  • Nutritional treatment must be individualized based on the identified mechanisms contributing to the child's failure to thrive.