文章基本信息

标题：Failure to Thrive in the Outpatient Clinic: A New Insight
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作者：Antonella Lezo , Letizia Baldini ; Monica Asteggiano
期刊名称：Nutrients
电子版ISSN：2072-6643
出版年度：2020
卷号：12
期号：8
页码：1-16
DOI：10.3390/nu12082202
出版社：MDPI Publishing
摘要：Failure to thrive (FTT) is an abnormal growth pattern determined by inadequate nutrition. It is a common problem in children, representing 5% to 10% of patients seen in an outpatient setting. Many definitions have been proposed based on anthropometric deterioration; however, they show poor concordance. No single definition is sufficiently sensitive in identifying faltering growth whilst a combination of multiple criteria seems more accurate. In light of the recent redefinition of pediatric malnutrition as a disequilibrium between requirements and intakes of energy, and macro- and micronutrients, a wider conception of FTT as an unsatisfactory nutritional status related to poor growth and health is useful. Although the most severe problems of micronutrient malnutrition are found in developing countries, people of all regions of the world can be affected by micronutrient deficiencies (MNDs), a form of undernutrition with relevant effects on growth and health. Changes in diets and lifestyle, elimination diets, food insecurity, and food intake disorders create the conditions at risk of faltering growth and MNDs. This new insight integrates the “classical” anthropometric criteria for definition and treatment, in the aim of warranting both a regular increase in size and an overall adequate development and health status.
关键词：failure to thrive (FTT); faltering growth (FG); malnutrition; micronutrient deficiencies (MNDs); outpatients; elimination diet; child neglect; food intake disorders failure to thrive (FTT) ; faltering growth (FG) ; malnutrition ; micronutrient deficiencies (MNDs) ; outpatients ; elimination diet ; child neglect ; food intake disorders