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36: Failure to Thrive
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Published:May 2023
Joyee Goswami Vachani, MD, MEd, FAAP, "Failure to Thrive", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Failure to thrive (FTT) is generally defined as a weight, or weight for height, lower than the 3rd or 5th percentile on a growth chart, or a change in weight that has crossed down 2 major percentile lines over 3 to 6 months. Failure to thrive is caused by inadequate calorie intake, excessive calorie losses, or increased calorie requirements.
The most common cause, found in most cases, is inadequate calorie intake, which may be associated with significant psychosocial difficulties. However, this view is too narrow, as inadequate nutrition reflects a complex interaction among a child’s medical, nutritional, emotional, and social...
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