Failure To Thrive (FTT)

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.