An update on the diagnosis and management of faltering growth and catch-up growth in young children
Understanding Faltering Growth in Young Children
This expert-reviewed publication offers a comprehensive, evidence-based perspective on growth faltering (FG), a critical issue in child health. Authored by Dr. Rosan Meyer and published in Annals of Nutrition and Metabolism, it explains how FG, once known as “failure to thrive", manifests across socio-economic settings. The document explores causes ranging from medical to psychosocial and nutritional, emphasizing that early intervention is essential to support optimal growth trajectories and cognitive development in infants and toddlers.
Key Takeaways for Healthcare Professionals
This expert-reviewed educational resource is ideal for pediatric healthcare providers such as dietitians, pediatricians, and clinical nurses. This comprehensive publication offers practical, evidence-informed guidance to support children experiencing faltering growth (FG). You will find valuable insights, including:
Clear diagnostic criteria and definitions of FG using z-scores and WHO growth standards
In-depth recommendations for nutritional assessment, covering energy, protein, and micronutrient requirements
Structured, actionable approaches to management, including:
Support for breastfeeding assessment and optimization
Use of energy-dense formulas to support catch-up growth
Fortification strategies using local, nutrient-rich complementary foods
Addressing feeding difficulties and routine screening for food insecurity
Practical guidance on monitoring growth and determining appropriate follow-up intervals
Explore the Full Resource
Enhance your clinical practice by accessing the full review—simply click "View Content" to be directed to a trusted scientific source. This resource provides you with deeper insights, practical tools, and real-world case examples to support your decision-making in managing faltering growth and catch-up strategies in young children.
The study is adapted from Meyser, R. An Update on the Diagnosis and Management of Faltering Growth and Catch-Up Growth in Young Children. Karger Publishers. DOI: 10.1159/000540930. No changes were made to the original content.
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An update on the diagnosis and management of faltering growth and catch-up growth in young children
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An update on the diagnosis and management of faltering growth and catch-up growth in young children
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Nutrition Essentials: Faltering Growth Animated Video
Faltering growth refers to a reduction in weight-for-age over a period of time, often indicative of underlying issues. It can be caused by disease-related factors such as decreased intake, increased nutritional requirements, or excessive losses, as well as non-disease-related factors like psychosocial and environmental influences. Chronic diseases like congenital heart disease, chronic lung disease, and inflammatory bowel disease commonly contribute to disease-related FG. Hospitalized children, particularly those in pediatric intensive care units, are at heightened risk of malnutrition. Short-term consequences of FG include impaired immune function and increased susceptibility to infections, while long-term impacts may include reduced cognitive development and increased risk of obesity. FG also poses a significant financial burden on healthcare systems, with prolonged hospital stays and higher medical costs associated with undernourished children. Nutritional management of FG requires a detailed understanding of the underlying conditions, and international guidelines provide recommendations for optimal management. Key considerations include ensuring appropriate intake of energy, protein, and micronutrients, as well as the use of prebiotics and long-chain polyunsaturated fatty acids to support immune function and cognitive development. The booklet emphasizes the importance of screening, assessment, and diagnosis of FG, as well as the need for a multidisciplinary approach to nutritional support. Further research is needed to better understand the causes and management of FG and to implement effective interventions, especially in underprivileged populations.
Nutrition essentials: Faltering growth
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