Are you a healthcare professional?

This website contains scientific and medical information intended only for healthcare professionals.

Faltering Growth in Infants and Children: Clinical Definitions, High-Risk Settings, and the Role of Emerging Assessment Tools

Faltering growth is not a diagnosis in itself but a measurable clinical signal, reflecting a reduction in weight-for-age over time driven by disease, inadequate intake, increased requirements, or psychosocial factors. Its consequences extend well beyond growth trajectories, with short-term effects on immune function and infection susceptibility, and long-term implications for cognitive development and metabolic risk.

 

This hub covers guideline-aligned nutritional management strategies for faltering growth, the clinical and economic burden of undernutrition in pediatric critical care, and emerging AI-based tools for improving the accuracy and timeliness of growth assessment in infants.

 

baby-sitting A little cute dark-skinned girl 2 years old plays with a fluffy white blanket on a light plain background. Cozy photos of a cheerful child wrapped in a blanket.

Disease-related contributors include congenital heart disease, chronic lung disease, and inflammatory bowel disease, while non-disease-related drivers span feeding difficulties, environmental constraints, and psychosocial factors. Hospitalised children and those in pediatric intensive care carry disproportionately high malnutrition risk.

 

Untreated faltering growth is associated with impaired immune function, reduced cognitive development, and elevated obesity risk in later childhood. Evidence-based management requires targeted protein and energy intake, micronutrient supplementation including prebiotics and long-chain polyunsaturated fatty acids, and a multidisciplinary approach across inpatient and community settings.

 

>> DOWNLOAD THE FALTERING GROWTH BOOKLET FOR EVIDENCE-BASED GUIDANCE ON NUTRITIONAL MANAGEMENT IN INFANTS AND YOUNG CHILDREN

Faltering-Growth-booklet Content for landing pages (6016 x 4016 px) - Faltering growth

mother-child-smile Young mother with her one years old little son dressed in pajamas are relaxing and playing in the bedroom at the weekend together, lazy morning, warm and cozy scene. Selective focus.

One in five children admitted to the PICU is diagnosed with undernutrition, a prevalence that carries measurable consequences for patient outcomes and healthcare resource use. Undernourished children experience longer hospital stays, higher readmission rates, and elevated mortality risk compared to adequately nourished peers.

 

Mid-upper-arm circumference is a practical screening tool in this setting, where fluid shifts and clinical instability complicate standard assessment. Energy-nutrient dense feeds address the specific challenge of achieving adequate intake within strict volume constraints in fluid-restricted or recovering children.

 

>> VIEW THE CLINICAL INFOGRAPHIC FOR EVIDENCE-BASED INSIGHTS ON UNDERNUTRITION, CLINICAL OUTCOMES, AND NUTRITION STRATEGIES IN PEDIATRIC ICU PATIENTS

Traditional anthropometric measurement is subject to significant inter-observer variability in infants and young children, where errors at the assessment stage delay identification and push intervention later than clinically optimal. An image recognition algorithm estimating length, height, and weight from photographic data offers a pathway to more consistent, scalable growth monitoring.

 

Clinical validation data comparing AI performance against standard anthropometric practice are examined alongside practical considerations for integrating digital tools into pediatric screening workflows.

 

>> WATCH THE WEBINAR FOR EVIDENCE-BASED INSIGHTS ON AI-POWERED GROWTH ASSESSMENT IN INFANTS AND PRACTICAL CONSIDERATIONS FOR PEDIATRIC PRACTICE

mother-kiss-baby mother holding and kissing newborn baby

Related Content

Fast Facts: Infant Faltering Growth

Infantile growth has been described as a “mirror of health,” with its measurement being an important and non-invasive tool reflecting health and nutritional status of an infant as well as the the quality of life of a population. Understanding and identifying when growth is faltering as well as its optimal management is crucial for preventing short-term and longer-term adverse consequences for patients. Professor Atul Singhal, Profession Koen Joosten, Professor Koen Huysentruyt and Dr Rosan Meyer have developed a CME accredited e-learning course designed to provide healthcare providers with an overview of faltering growth in infants and children under 2 years of age. The practical tool covers the presentation, identification and management of faltering growth in infants and children under 2 years of age and on completion of the training HCPs will be able to: define faltering, catch-up, accelerated and normal growth. explain the consequences of faltering growth on patients and their communities identify faltering growth, accelerated growth, and catch-up growth from example growth charts explain the recommendations for management of faltering growth This expert e-learning tool is offered by Karger Publishers and has been accredited by the European Accreditation Council for Continuing Medical Education (UEMS-EACCME®) with 1 European CME credit (ECMEC®). Please click on the link [below?] to access the accredited training and update your knowledge and clinical practice for faltering growth in the first 2 years of life.

Get the best experience

Benefits of a free account

  • Get personal recommendations
  • Track your progress, add bookmarks and browse your history
  • Download and print content
  • Participate in courses for accreditation
  • Event registration and coverage
  • Exclusive community sessions and content
  • Stay up to date with our newsletter
x