Failure To Thrive - Thrive Weight Loss Menu

Failure to thrive (FTT), more recently known as faltering weight or weight faltering, is a term used in pediatric, adult as well as veterinary medicine (where it is also referred to as ill thrift), to indicate insufficient weight gain or inappropriate weight loss. When not more precisely defined, the term refers to pediatric patients. In children, it is usually defined in terms of weight, and can be evaluated either by a low weight for the child's age, or by a low rate of increase in the weight.

Children

As used by pediatricians, it covers poor physical growth of any cause and does not imply abnormal intellectual, social, or emotional development, although of course it can subsequently be a cause of such pathologies. The term has been used in different ways, and different objective standards have been defined. Many definitions use the 5th percentile as a cutoff.

Traditionally, causes of FTT have been divided into endogenous and exogenous causes. Initial investigation should consider physical causes, calorie intake and psychosocial assessment.

Recently the term faltering growth has become a popular replacement for failure to thrive, which in the minds of some represents a more euphemistic term.

Adults

The term "failure to thrive" is also applied to geriatrics or more generally in adult medicine as a descriptive, non-specific term that encompasses "not doing well". Manifestations of this condition include weight loss, decreased appetite, poor nutrition, and inactivity. Four syndromes are prevalent and predictive of adverse outcomes in patients with failure to thrive: impaired physical function, malnutrition, depression, and cognitive impairment.

See also

• Hospitalism
• Stunted growth

References

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