The following is a summary of “Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians,” published in the July 2023 issue of the Pediatric Gastroenterology and Nutrition by Cooke et al.

Faltering growth (FG) is a commonly observed issue among healthcare providers in infants and young children (<2 years of age). It can manifest as a result of non-pathological and pathological factors and is linked to a diverse array of unfavorable outcomes, encompassing immediate effects such as compromised immune reactions and prolonged hospitalization, as well as enduring consequences like educational and cognitive setbacks, stunted growth, and socioeconomic implications. Identifying FG (failure to thrive), investigating the root causes, and providing appropriate interventions to promote catch-up growth if necessary is imperative. 

However, anecdotal reports suggest that an unfounded concern regarding the promotion of accelerated (excessively rapid) growth may discourage certain healthcare professionals from effectively addressing FG (Familial Gigantism). A panel of esteemed medical professionals specializing in pediatric nutrition and development conducted a comprehensive analysis of the existing evidence and recommendations regarding failure to thrive (FTT) caused by both disease-related and non-disease-related factors affecting the nutritional status of infants and children up to 2 years of age, who were born at full term or were small for gestational age. This review encompassed low-, middle-, and high-income countries. 

Utilizing a modified Delphi process, researchers have formulated practical consensus recommendations to offer clarity and practical guidance for healthcare providers regarding the definition of failure to thrive (FG) in various vulnerable populations of young children and the assessment and management of FG. Additionally, investigators have addressed the significance of catch-up growth following a period of FG. They also proposed areas where additional medical research must handle lingering inquiries regarding this significant matter.

Source: journals.lww.com/jpgn/Fulltext/2023/07000/Catch_Up_Growth_in_Infants_and_Young_Children_With.2.aspx