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Growth patterns in children hospitalized because of caloric-deprivation failure to thrive
Insights
Infants with suspected caloric-deprivation failure to thrive (CDFTT) typically gain weight within two weeks. Younger infants (<6 months) show rapid weight gain in 2-3 days, indicating effective nutritional intervention.
Area of Science:
- Pediatrics
- Nutrition Science
- Growth Monitoring
Background:
- Caloric-deprivation failure to thrive (CDFTT) often necessitates hospitalization for diagnosis.
- Accelerated weight gain in a hospital setting is the primary diagnostic criterion for CDFTT.
Purpose of the Study:
- To determine the timeframe for weight gain initiation in infants and children with CDFTT.
- To assess if the speed of weight gain in CDFTT patients is age-dependent.
Main Methods:
- Retrospective analysis of 57 pediatric patients diagnosed with CDFTT.
- Development and application of a "growth quotient" to quantify growth rate.
- Evaluation of weight gain timelines relative to age.
Main Results:
- Nearly all 57 children with CDFTT initiated weight gain within two weeks.
- Infants under 6 months with CDFTT typically started gaining weight within 2-3 days.
- Older infants and children with CDFTT exhibited initial corrective growth rates comparable to or exceeding those of younger infants.
Conclusions:
- Rapid weight gain is a consistent early indicator for CDFTT diagnosis in hospitalized infants and children.
- Age does not significantly impede the initiation of weight gain in response to nutritional support for CDFTT.
- The "growth quotient" provides a valuable metric for assessing growth recovery in pediatric malnutrition.
Abstract:
Infants and children with suspected caloric-deprivation failure to thrive (CDFTT) are commonly hospitalized to confirm the diagnosis. In the hospital, weight gain at an accelerated rate is used as the primary diagnostic criterion. We evaluated how soon patients with CDFTT began to gain weight and if the speed with which the patients started to gain weight was age dependent. Of 476 patients with growth problems, 57 met the criteria for inclusion in the study. We developed the concept of the "growth quotient," which expresses the patient's rate of growth. We found that almost all 57 children started to grow in less than two weeks, and those less than 6 months old usually began to gain weight in only two to three days. Older infants and children with CDFTT often had initial corrective growth rates equal to or greater than those of young infants.
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