Consequence of Failure to Thrive

Failure to Thrive: A Consequence of Undernutrition

Pediatrics in Review. 2006;27:e1-e11.

Sheila Gahagan, MD, MPH * Clinical Professor, Department of Pediatrics and Communicable Diseases; Assistant Research Scientist, Center for Human Growth & Development, University of Michigan, Ann Arbor, Mich

After completing this article, readers should be able to: Recognize three common presentations in the physician’s office of failure to thrive.

Identify three principal mechanisms that lead to a mismatch between caloric intake and caloric expenditure.

Understand the complex interaction between psychosocial and biomedical risks that may lead to failure to thrive.

Review the diagnostic approach based on three different growth presentations.

Discuss the role of the physician in identifying psychosocial factors in failure to thrive and in referring families to mental health professionals. Failure to thrive (FTT) is not a disease, but a sign that is better thought of as a final common pathway of many medical, psychosocial, and environmental processes that lead to poor growth in a young child. Although FTT once was conceptualized as either organic or nonorganic, it now is understood to be the result of interaction between the environment and the child’s health, development, and behavior.

The evaluation of a young infant who is growing slowly, or not at all, is truly the ultimate test of the pediatrician’s ability to evaluate simultaneously biomedical and psychosocial information obtained from the medical history and the physical examination. The stakes are high during the diagnostic phase because the child could have a life-threatening disease or be in a life-threatening psychosocial environment.

Fortunately, these dire scenarios are exceedingly rare. Most cases of FTT are due to inadequate nutrition that results from biologic and environmental factors that intersect in such a way as to preclude adequate nourishment of the child. It is essential to take a developmental approach to poor growth because the causes of this condition change with development


supported by

PICKY EATERS AND GROW UP CLINIC (Klinik Khusus Kesulitan Makan dan Gangguan Berat Badan)  GRoW UP CLINIC JAKARTAYudhasmara Foundation  GRoW UP CLINIC I Jl Taman Bendungan Asahan 5 Bendungan Hilir Jakarta Pusat 10210, phone (021) 5703646 – 44466102 GRoW UP CLINIC II MENTENG SQUARE Jl Matraman 30 Jakarta Pusat 10430, phone (021) 44466103 – 97730777 email :

WORKING TOGETHER SUPPORT TO THE HEALTH OF ALL BY CLINICAL, RESEARCH AND EDUCATIONS. Advancing of the future pediatric and future parenting to optimalized physical, mental and social health and well being for fetal, newborn, infant, children, adolescents and young adult
“GRoW UP CLINIC” Jakarta Focus and Interest on: *** Allergy Clinic Online *** Picky Eaters and Growup Clinic For Children, Teen and Adult (Klinik Khusus Gangguan Sulit Makan dan Gangguan Kenaikkan Berat Badan)*** Children Foot Clinic *** Physical Medicine and Rehabilitation Clinic *** Oral Motor Disorders and Speech Clinic *** Children Sleep Clinic *** Pain Management Clinic Jakarta *** Autism Clinic *** Children Behaviour Clinic *** Motoric & Sensory Processing Disorders Clinic *** NICU – Premature Follow up Clinic *** Lactation and Breastfeeding Clinic *** Swimming Spa Baby & Medicine Massage Therapy For Baby, Children and Teen ***
Professional Healthcare Provider “GRoW UP CLINIC” Dr Narulita Dewi SpKFR, Physical Medicine & Rehabilitation curriculum vitae HP 085777227790 PIN BB 235CF967  Clinical – Editor in Chief : Dr Widodo Judarwanto, Pediatrician email : Twitter: @WidoJudarwanto Mobile Phone O8567805533 PIN BB 25AF7035

Curriculum Vitae Dr Widodo judarwanto, Pediatrician

We are guilty of many errors and many faults. But our worst crime is abandoning the children, neglecting the fountain of life.
Information on this web site is provided for informational purposes only and is not a substitute for professional medical advice. You should not use the information on this web site for diagnosing or treating a medical or health condition. You should carefully read all product packaging. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider

Copyright © 2013, Picky Eaters and Grow Up Clinic, Information Education Network. All rights reserved


Tinggalkan Balasan

Isikan data di bawah atau klik salah satu ikon untuk log in:


You are commenting using your account. Logout / Ubah )

Gambar Twitter

You are commenting using your Twitter account. Logout / Ubah )

Foto Facebook

You are commenting using your Facebook account. Logout / Ubah )

Foto Google+

You are commenting using your Google+ account. Logout / Ubah )

Connecting to %s