Evaluation of Dietary Intervention Effectiveness of Pediatric Outpatients with Failure to Thrive (FTT) and Underweight
DOI:
https://doi.org/10.14738/bjhmr.104.14863Keywords:
Failure to thrive, Medical nutrition therapy, Pediatrics, Growth and DevelopmentAbstract
Purpose: The objectives of this study are to determine the change in growth and body weight and to evaluate the effectiveness of nutrition intervention on growth velocity between intensive dietetic intervention and standard dietetic intervention over a 12-month period in children less than 14 years of age, medically diagnosed with Failure to Thrive (FTT) and /or underweight seen by a pediatric dietitian in outpatient dietetics clinic. Methods: This is a retrospective service evaluation of pediatric dietetic outpatient services between January 2021 and December 2021 at AL-Khor Hospital (AKH) in Qatar. Findings: There was an improvement in mean weight z-scores over the 12-month period, with significantly larger improvements in mean weight z-score for the intensive intervention compared to standard care. Multidisciplinary team intervention including pediatric dietitian was associated with significant changes in weight gain and velocity. Conclusion: Dietetic intervention is crucial and beneficial. Multidisciplinary team intervention and control of underlying medical illnesses may also provide additional improvement in growth.
References
Reynaldo M. Nutrition in Early Childhood and Cognitive Performance the Nest Vol 31. Switzerland Nestle Nutrition Institute. 2011; 4-5.
Bier DM. Growth in the first two years of life. Nestle Nutrition Workshop Series. Pediatric Programmed. 2008; 61: 135-144.
Joosten KF, Hulst JM. Malnutrition in pediatric hospital patients: current issues. Nutrition. 2011; 27: 133-137.
Makrides M, Anderson A, Gibson RA. Early influences of nutrition on fetal growth. Nestle Nutr Inst Workshop Ser. 2013; 71: 1-9.
Koletzko B, Beyer J, Brands B, et al. Early influences of nutrition on postnatal growth. Nestle Nutr Inst Workshop Ser. 2013; 71: 11-27.
Huang C, Martorell R, Ren A, Li Z. Cognition and behavioral development in early childhood: the role of birth weight and postnatal growth. Int J Epidemiol. 2013; 42:160-171.
Oates RK, Peacock A, Forrest D. Development in children following abuse and nonorganic failure to thrive. Am J Dis Child. 1984; 138: 764-767.
Corbett SS, Drewett RF. To what extent is failure to thrive in infancy associated with poorer cognitive development? A review and meta-analysis. J Child Psychol Psychiatry. 2004; 45: 641-654
Ruth MW. The positive impact of dietitians in pediatric health care. Pediatrics and Child Health. 2009; 19:
Sauve RS, Geggie JH. The role of the dietician in the follow-up of high-risk infants. J Can Diet Assoc. 1989; 50:
Argyle J. Approaches to detecting growth faltering in infancy and childhood. Ann Hum Biol. 2003; 30: 499-519.
WHO-MGRS WMGRSG. WHO Child Growth Standards: Growth velocity based on weight, length and head circumference: Methods and development. Geneva: World Health Organization; 2009.
WHO-MGRS WMGRSG. WHO Child Growth Standards based on length/ height, weight and age. Acta Paediatr Suppl. 2006; 450: 76-85.
de Onis M, Garza C, Onyango AW, Rolland-Cachera MF, le Comite de nutrition de la Societe francaise de p. [WHO growth standards for infants and young children]. Arch Pediatr. 2009; 16: 47-53.
Bornhorst C, Huybrechts I, Ahrens W, et al. Prevalence and determinants of misreporting among European children in proxy-reported 24 h dietary recalls. Br J Nutr. 2013; 109: 1257-1265. 218
Block G. Human dietary assessment: Methods and issues. Preventive Medicine. 1989; 18: 653-660
Biro G, Hulshof KF, Ovesen L, Amorim Cruz JA, Group E. Selection of methodology to assess food intake. Eur J Clin Nutr. 2002; 56: S25-32.
MacLean WC, Lopez de Romaña G, Massa E, Graham GG. Nutritional management of chronic diarrhea and malnutrition: Primary reliance on oral feeding. The Journal of Pediatrics. 1980; 97: 316-323.
Jackson AA, Wootton SA. The energy requirements of growth and catchup growth. In: Schurch B, Scrimshaw NS, eds. Activity, Energy Expenditure and Energy Requirements of Infants and Children. Lausanne, Switzerland: IDECG; 1990: 185-214.
Fander G, Frega M. Responding to nutrition gaps in Jordan in the Syrian refugee crisis: infant and young child feeding education and malnutrition treatment. Field Exchange [Internet]. 2014 [cited 2016 Nov 1]. Available from: http://www.ennonline.net/fex/48/responding.
Abdeen Z, Greenough G, Oasrawi R, Dandies B. Nutritional assessment of the West Bank and Gaza Strip [Internet]. Jerusalem (Israel): CARE International; 2003 [cited 2016 Nov 1]. Available from: http://pdf.usaid.gov/pdf_docs/Pnada826.pdf.
Tuohy S, Barnes P, Allen SJ. Failure to thrive. Paediatrics and Child Health. 2008; 18: 464-468.
Scholler I, Nittur S. Understanding failure to thrive. Paediatrics and Child Health. 2012; 22: 438-442.
Jeong SJ. Nutritional approach to failure to thrive. Korean J Pediatr. 2011; 54: 277-281.
Bithoney WG, McJunkin J, Michalek J, Egan H, Snyder J, Munier A. Prospective evaluation of weight gain in both non-organic and organic failure to-thrive children: an outpatient trial of a multidisciplinary team intervention strategy. J Dev Behav Pediatr. 1989; 10: 27-31.
Wright CM, Callum J, Birks E, Jarvis S. Effect of community-based management in failure to thrive: a randomized controlled trial. BMJ. 1998; 317: 571-574.
Sneve J, Kattelmann K, Ren C, Stevens DC. Implementation of a multidisciplinary team that includes a registered dietitian in a neonatal intensive care unit improved nutrition outcome. Nutr Clin Pract. 2008; 23:
Hobbs C, Hanks HG. A multidisciplinary approach for the treatment of children with failure to thrive. Child Care Health Dev. 1996; 22: 273-284
Lin CX, Yi SJ, Lin LS and Aw M. The Effectiveness of Dietetics Intervention in Young Children with Failure to Thrive. SM J Pediatr. 2018; 3(1): 1019.
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