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Failure to thrive

Sushma Nangia1, Soumya Tiwari

  • 1Department of Pediatrics, Kalawati Saran Children's Hospital and Lady Hardinge Medical College, New Delhi 110001, India. drsnangia@gmail.com

Indian Journal of Pediatrics
|April 23, 2013
PubMed

Insights

Failure to thrive (FTT) is poor growth in children due to unmet nutritional needs. Early diagnosis and a multidisciplinary approach, including nutritional correction and parent education, are crucial for better outcomes.

Area of Science:

  • Pediatrics
  • Child Health
  • Nutritional Science

Background:

  • Failure to thrive (FTT) is characterized by inadequate physical growth in young children.
  • Diagnosis relies on serial anthropometric measurements falling significantly below expected values.
  • Identifying contributing physical and psychosocial factors is essential.

Purpose of the Study:

  • To summarize the diagnostic criteria and management principles for failure to thrive.
  • To emphasize the importance of a comprehensive evaluation and treatment strategy.

Main Methods:

  • Review of clinical parameters for diagnosing FTT.
  • Assessment of nutritional status, including macro and micronutrient deficiencies.
  • Evaluation of physical and psychosocial factors impacting child growth.

Main Results:

  • FTT diagnosis is based on serial growth monitoring revealing significantly low anthropometric parameters.
  • A multidisciplinary approach is required for effective treatment.
  • Parental education on age-appropriate feeding and malnutrition implications is vital.

Conclusions:

  • Early diagnosis and intervention in FTT are critical for optimal child growth and neurodevelopment.
  • Addressing nutritional deficits and providing parental guidance are key components of management.
  • A holistic, multidisciplinary strategy ensures comprehensive care for children with failure to thrive.

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