Failure to Thrive in the Outpatient Clinic: A New Insight

Failure to thrive (FTT) is an abnormal growth pattern determined by inadequate nutrition. It is a common problem in children, representing 5% to 10% of patients seen in an outpatient setting. Many definitions have been proposed based on anthropometric deterioration; however, they show poor concordan...

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Main Authors: Antonella Lezo, Letizia Baldini, Monica Asteggiano
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/12/8/2202
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author Antonella Lezo
Letizia Baldini
Monica Asteggiano
author_facet Antonella Lezo
Letizia Baldini
Monica Asteggiano
author_sort Antonella Lezo
collection DOAJ
description Failure to thrive (FTT) is an abnormal growth pattern determined by inadequate nutrition. It is a common problem in children, representing 5% to 10% of patients seen in an outpatient setting. Many definitions have been proposed based on anthropometric deterioration; however, they show poor concordance. No single definition is sufficiently sensitive in identifying faltering growth whilst a combination of multiple criteria seems more accurate. In light of the recent redefinition of pediatric malnutrition as a disequilibrium between requirements and intakes of energy, and macro- and micronutrients, a wider conception of FTT as an unsatisfactory nutritional status related to poor growth and health is useful. Although the most severe problems of micronutrient malnutrition are found in developing countries, people of all regions of the world can be affected by micronutrient deficiencies (MNDs), a form of undernutrition with relevant effects on growth and health. Changes in diets and lifestyle, elimination diets, food insecurity, and food intake disorders create the conditions at risk of faltering growth and MNDs. This new insight integrates the “classical” anthropometric criteria for definition and treatment, in the aim of warranting both a regular increase in size and an overall adequate development and health status.
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spelling doaj.art-e41a31e799a5478baa0f4af9b12676722023-11-20T07:46:46ZengMDPI AGNutrients2072-66432020-07-01128220210.3390/nu12082202Failure to Thrive in the Outpatient Clinic: A New InsightAntonella Lezo0Letizia Baldini1Monica Asteggiano2Dietetic and Clinical Nutrition Unit, Children’s Hospital Regina Margherita, AOU Città della Salute e della Scienza, 10126 Turin, ItalyDepartment of Public Health and Pediatrics, School of Pediatrics, University of Turin, 10126 Turin, ItalyDepartment of Public Health and Pediatrics, School of Pediatrics, University of Turin, 10126 Turin, ItalyFailure to thrive (FTT) is an abnormal growth pattern determined by inadequate nutrition. It is a common problem in children, representing 5% to 10% of patients seen in an outpatient setting. Many definitions have been proposed based on anthropometric deterioration; however, they show poor concordance. No single definition is sufficiently sensitive in identifying faltering growth whilst a combination of multiple criteria seems more accurate. In light of the recent redefinition of pediatric malnutrition as a disequilibrium between requirements and intakes of energy, and macro- and micronutrients, a wider conception of FTT as an unsatisfactory nutritional status related to poor growth and health is useful. Although the most severe problems of micronutrient malnutrition are found in developing countries, people of all regions of the world can be affected by micronutrient deficiencies (MNDs), a form of undernutrition with relevant effects on growth and health. Changes in diets and lifestyle, elimination diets, food insecurity, and food intake disorders create the conditions at risk of faltering growth and MNDs. This new insight integrates the “classical” anthropometric criteria for definition and treatment, in the aim of warranting both a regular increase in size and an overall adequate development and health status.https://www.mdpi.com/2072-6643/12/8/2202failure to thrive (FTT)faltering growth (FG)malnutritionmicronutrient deficiencies (MNDs)outpatientselimination diet
spellingShingle Antonella Lezo
Letizia Baldini
Monica Asteggiano
Failure to Thrive in the Outpatient Clinic: A New Insight
Nutrients
failure to thrive (FTT)
faltering growth (FG)
malnutrition
micronutrient deficiencies (MNDs)
outpatients
elimination diet
title Failure to Thrive in the Outpatient Clinic: A New Insight
title_full Failure to Thrive in the Outpatient Clinic: A New Insight
title_fullStr Failure to Thrive in the Outpatient Clinic: A New Insight
title_full_unstemmed Failure to Thrive in the Outpatient Clinic: A New Insight
title_short Failure to Thrive in the Outpatient Clinic: A New Insight
title_sort failure to thrive in the outpatient clinic a new insight
topic failure to thrive (FTT)
faltering growth (FG)
malnutrition
micronutrient deficiencies (MNDs)
outpatients
elimination diet
url https://www.mdpi.com/2072-6643/12/8/2202
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AT letiziabaldini failuretothriveintheoutpatientclinicanewinsight
AT monicaasteggiano failuretothriveintheoutpatientclinicanewinsight