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Failure to thrive (FTT) is a
phrase used in paediatrics to describe babies or young children who are growing
much more slowly than predicted for their age. This is commonly shown by their
weight and height falling below conventional growth chart percentiles or
crossing downward across two main percentiles. It means that a youngster is not
getting or using enough food to grow and develop normally.
Patterns and reasons
FTT can
result from insufficient caloric intake (due to inadequate feeding
practices, improper formula preparation, food insecurity, or neglect), impaired
nutrient absorption (as seen in conditions like coeliac disease, cystic
fibrosis, or severe allergies), or heightened energy requirements
associated with chronic illnesses such as congenital heart disease or
metabolic disorders. Psychosocial and familial factors—such as parental
mental health challenges, inadequate feeding interactions, or insufficient
stimulation—frequently intersect with medical aetiologies, rendering the
disease complex.
Signs and how to deal with
them
If undernutrition lasts a
long time, affected children might not grow, gain weight, be underweight,
have little energy, be irritable, miss motor or social milestones, or
have trouble learning or behaving later on. Diagnosis depends on taking a lot
of growth measurements, getting a full feeding and family history, and
doing specific tests to find any underlying medical issues. Management focuses
on nutritional rehabilitation (typically 120–150% of routine calorie
needs), treating specific conditions, and integrating nutritionists,
social workers, and other professionals when needed.