Failure to thrive
Children are diagnosed with failure to thrive, or faltering growth, when their weight or rate of weight gain is significantly below the average for their age and gender.1,2 

Growth at the initial stages of life can be very quick, however in some cases, infants aren’t able to meet the expected growth standards. Many infants will eventually catch up naturally and reach their normal growth potential, but those that don’t are considered as suffering from failure to thrive (FTT) or to have faltering growth.3 Although the term “failure to thrive” sounds extremely daunting, FTT is a common problem, accounting for One to five percent of pediatric hospital admissions in children less than two years of age.4

FTT during childhood is caused by malabsorption, malnutrition or undernutrition as a result of a wide range of different diseases or conditions, for example, chromosome abnormalities, neurological problems, infections or maldigestive problems, as well as environmental factors such as poor eating habits or domestic issues.1-5

Managing this lack of nutrition is as important as treating the underlying problem itself, as delivering the appropriate levels of nutrients as early as possible can lead to better physical and mental development. In all cases of FTT a high-calorie diet is recommended so that children can catch up on their growth and weight gain. In infants, this might simply be achieved by breastfeeding more frequently; in bottle-fed infants or older children, other techniques or specialized formulas may be required.2,6

At Nestlé Health Science, we are committed to providing FTT infants and children with tailor-made nutritional therapies to help them meet their nutritional targets in order to grow and develop normally.

1. http://www.hopkinschildrens.org/Failure-to-Thrive.aspx. Accessed December 2014.
2. http://www.aafp.org/afp/2003/0901/p879.html. Accessed December 2014.
3. http://kidshealth.org/parent/medical/endocrine/failure_thrive.html#. Accessed December 2014.
4. http://ije.oxfordjournals.org/content/33/4/847.full. Accessed December 2014.
5. http://www.nlm.nih.gov/medlineplus/ency/article/000991.htm. Accessed December 2014.
6. http://www.babycentre.co.uk/a1621/failure-to-thrive. Accessed December 2014.

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Growth variation is normal in children.

In the first two years of life, about a quarter of children who go on to grow normally will shift down their weight or height by more than 25 percentile points (on a standard growth curve) and then follow that percentile; this should not be assessed as failure to thrive. 

1. http://www.aafp.org/afp/2003/0901/p879.html. Accessed December 2014.

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LOAD UP ON THE CALORIES

Infants and children who show failure to thrive (FTT) will need 150% of the recommended daily caloric intake for their expected (not actual) weight. In infants this can be accomplished by concentrating formula or adding rice cereal to pureed foods. In toddlers, adding fats such as cheese, butter or peanut butter to common toddler foods can help.


Source: http://www.aafp.org/afp/2003/0901/p879.html. Accessed December 2014.

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KEEP A DIARY1

Because infants need almost three times the amount of energy as adults (in calories per kg), it is easy to understand how quickly infants can fall behind in growth. Keeping a diary of the type and amount of food a child eats over a three-day period is one way of quantifying caloric intake.

1. http://www.aafp.org/afp/2003/0901/p879.html. Accessed December 2014.

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CUT DOWN ON JUICE DRINKS

In toddlers and older children with failure to thrive (FTT), fruit juice should be limited to between six and twelve ounces. It can contribute to poor growth by diminishing a child's appetite, and thus calories.


Sources: http://www.aafp.org/afp/2003/0901/p879.html. Accessed December 2014.

http://www.mayoclinic.org/healthy-living/childrens-health/expert-answers/fruit-juice/faq-20058024 . Accessed December 2014.


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