The term ‘faltering growth’ (previously called ‘failure to thrive’) is widely used to refer to a slower rate of weight gain in childhood than expected for age and sex. The term faltering growth is preferred as periods of slow growth may represent temporary variation from the expected pattern and the word ‘failure’ may be seen as pejorative. Various definitions of faltering growth have been used in the past, meaning estimates of prevalence in the UK vary widely. This guideline covers recognition, assessment and monitoring of faltering growth in infants and children. It includes a definition of growth thresholds for concern and identifying the risk factors for, and possible causes of, faltering growth. It also covers interventions, when to refer, service design, and information and support.
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- Development of the guideline
- Guideline development methodology
- Weight loss in the early days of life
- Faltering growth after the early days of life
- Organisation of care
- Information and support
- Glossary and abbreviations
- Declarations of interest
- Review protocols
- Search strategies
- Summary of identified studies
- Evidence tables
- Excluded studies
- Forest and percentage plots
- Grade Evidence Profiles
Faltering GrowthE Dean. Nurs Child Young People 29 (5), 11. PMID 28604215. - ReviewEssential facts Faltering growth, previously called failure to thrive, refers to a slower rate of weight gain in childhood than expected for age and sex. While newborns n …
Psychosocial and Educational Outcomes of Weight Faltering in Infancy in ALSPACAR Holme et al. BMJ Open 3 (7). PMID 23833121.Weight faltering in early infancy was associated with poorer educational outcomes in later childhood, but these associations were explained by confounding. The subsequent …
Growth Outcomes of Weight Faltering in Infancy in ALSPACZ ud Din et al. Pediatrics 131 (3), e843-9. PMID 23439906.Children with weight faltering before 8 weeks showed a different pattern of "catch-up" to those with weight faltering later in infancy. By 13 years, the anthropometric pr …
The Influence of Maternal Socioeconomic and Emotional Factors on Infant Weight Gain and Weight Faltering (Failure to Thrive): Data From a Prospective Birth CohortCM Wright et al. Arch Dis Child 91 (4), 312-7. PMID 16397011.In this setting, social and maternal characteristics had little influence on infants' weight gain, apart from a strong, but transient effect of postnatal depression.
Failure to Thrive: Still a Problem of DefinitionEM Olsen. Clin Pediatr (Phila) 45 (1), 1-6. PMID 16429209. - ReviewThe term 'failure to thrive' (FTT) is widely used to describe inadequate growth in early childhood. However, no consensus exists concerning the specific anthropometrical …