![]() – Chronic or recurrent systemic infections (ie. – Hyperthyroidism- Malignancy*- Congenital or acquired heart disease* – Malabsorption*:- cystic fibrosis- cardiac disease anorexia of chronic disease, chemotherapy, chronic constipation) – Central nervous system dysfunction* (ie. – Inappropriate feeding technique*- Economic deprivation- Inappropriate nutrient intake (ie excess juice intake)* Increased Nutrient Requirements or Ineffective Utilization Inadequate Nutrient Absorption or Increased Losses – New psychosocial stressor (divorce, job loss, new sibling, death in family)- Coercive feeding- Highly distractable childīy Pathophysiology Inadequate Nutrient Intake – Psychosocial- Oral motor dysfunction that interferes with eating more textured foods- Delayed introduction of solids – Psychosocial- Underfeeding- Improper formula preparation – Poor feeding interactions (eg infant gags or vomits during feeds, mom misreads signals of hunger or satiety) – Psychosocial- Poor quality of suck- Incorrect formula preparation There are many different ways to classify failure to thrive. Increased requirements (excess metabolic demand).Inadequate absorption or increased losses.Permanent damage to various parts of the brain and CNS. ![]() Increased susceptibility to infection, establishing an infection-malnutrition cycle since illness decreases appetite and nutrient intake, which leaves the child vulnerable to severe or prolonged infections.5-10% of low-birth weight children and children living in poverty have FTT. ![]()
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