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Failure to thrive.

Pediatric Clinics of North America

|February 1, 1982

Summary

This summary is machine-generated.

Children failing to thrive often have insufficient caloric intake, not just emotional issues. Early diagnosis and aggressive nutritional support are key to successful recovery and growth.

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Area of Science:

Pediatrics
Child Development
Nutritional Science

Background:

Historically, failure to thrive (FTT) was observed in institutionalized children.
FTT was later recognized in children within family settings.
Initial focus was on emotional deprivation as the primary cause of growth failure.

Purpose of the Study:

To review the historical understanding of FTT.
To propose a contemporary diagnostic and management approach for FTT.
To clarify the role of caloric intake versus emotional factors in FTT.

Main Methods:

Chronological review of FTT literature and understanding.
Clinical assessment including history, physical examination, and family evaluation.
Emphasis on nutritional assessment and intervention strategies.

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Main Results:

Insufficient caloric intake is now understood as the primary mechanism in FTT.
Emotional symptoms can be a consequence, not solely a cause, of malnutrition.
Non-specific investigations are not valuable for diagnosing FTT.

Conclusions:

Accurate diagnosis of FTT relies on thorough clinical assessment.
Management requires recognizing the need for supernormal caloric intake for catch-up growth.
Aggressive nutritional support, emotional stimulation, and family involvement are crucial for successful outcomes.