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Clinical Characteristics of Failure to Thrive in Infant and Toddler: Organic vs. Nonorganic / 대한소아소화기영양학회지
Pediatric Gastroenterology, Hepatology & Nutrition ; : 261-268, 2013.
Article in English | WPRIM | ID: wpr-181578
ABSTRACT

PURPOSE:

To investigate the clinical characteristics and outcomes among infants and toddlers with failure to thrive (FTT).

METHODS:

This retrospective study was done with 123 patients who had visited Pusan National University Children's Hospital during their first two years of life and had received an FTT diagnosis. We compared the clinical characteristics of the patients based on the causes of their FTT and their ages at the time of first hospital visit. We investigated triggering factors, feeding practices, and outcomes in 25 patients with nonorganic FTT (NOFTT).

RESULTS:

Eighty cases (65.0%) were NOFTT. The gestational ages, birth weights, and weights at the first visits were significantly lower in patients with organic FTT (OFTT) (p<0.05). Infants who had first visited the clinic at age <6 months had the least z-score. The percentage of patients with severe weight decline was higher in OFTT than in NOFTT (60.0% vs. 17.3%). The z-scores at the follow-up visits were improved after treatment in both of the groups. Preceding infection was the most common triggering factor of NOFTT and persecutory feeding as abnormal behavior of caregiver was observed in 22 cases (88.0%). After treatment with feeding method modification, all patients with NOFTT showed normal growth.

CONCLUSION:

Weight decline is more severe in OFTT patients and in younger patients at the first visit. Infants with FTT can attain normal weight gain growth by treating organic diseases and supplying proper nutrition in OFTT, and by correcting abnormal dietary behavior of caregiver in NOFTT.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Weights and Measures / Birth Weight / Weight Gain / Retrospective Studies / Follow-Up Studies / Gestational Age / Caregivers / Diagnosis / Failure to Thrive / Feeding Methods Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans / Infant Language: English Journal: Pediatric Gastroenterology, Hepatology & Nutrition Year: 2013 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Weights and Measures / Birth Weight / Weight Gain / Retrospective Studies / Follow-Up Studies / Gestational Age / Caregivers / Diagnosis / Failure to Thrive / Feeding Methods Type of study: Diagnostic study / Observational study / Prognostic study Limits: Humans / Infant Language: English Journal: Pediatric Gastroenterology, Hepatology & Nutrition Year: 2013 Type: Article