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Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians
Faltering growth (FG) is a problem regularly seen by clinicians in infants and young children (<2 years of age). It can occur due to non-disease-related and disease-related causes and is associated with a wide range of adverse outcomes, including shorter-term effects such as impaired immune respo...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10259217/ https://www.ncbi.nlm.nih.gov/pubmed/36976274 http://dx.doi.org/10.1097/MPG.0000000000003784 |
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author | Cooke, Richard Goulet, Olivier Huysentruyt, Koen Joosten, Koen Khadilkar, Anuradha Vaman Mao, Meng Meyer, Rosan Prentice, Andrew M. Singhal, Atul |
author_facet | Cooke, Richard Goulet, Olivier Huysentruyt, Koen Joosten, Koen Khadilkar, Anuradha Vaman Mao, Meng Meyer, Rosan Prentice, Andrew M. Singhal, Atul |
author_sort | Cooke, Richard |
collection | PubMed |
description | Faltering growth (FG) is a problem regularly seen by clinicians in infants and young children (<2 years of age). It can occur due to non-disease-related and disease-related causes and is associated with a wide range of adverse outcomes, including shorter-term effects such as impaired immune responses and increased length of hospital stay, and longer-term consequences, including an impact on schooling and cognitive achievements, short stature, and socioeconomic outcomes. It is essential to detect FG, address underlying causes and support catch-up growth where this is indicated. However, anecdotal reports suggest misplaced fear of promoting accelerated (too rapid) growth may deter some clinicians from adequately addressing FG. An invited international group of experts in pediatric nutrition and growth reviewed the available evidence and guidelines on FG resulting from disease-related and non-disease-related effects on nutritional status in healthy term and small for gestational age infants and children up to the age of 2 years in low-, middle-, and high-income countries. Using a modified Delphi process, we developed practical consensus recommendations to provide clarity and practical recommendations for general clinicians on how FG should be defined in different young child populations at risk, how FG should be assessed and managed, and the role of catch-up growth after a period of FG. We also suggested areas where further research is needed to answer remaining questions on this important issue. |
format | Online Article Text |
id | pubmed-10259217 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-102592172023-06-13 Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians Cooke, Richard Goulet, Olivier Huysentruyt, Koen Joosten, Koen Khadilkar, Anuradha Vaman Mao, Meng Meyer, Rosan Prentice, Andrew M. Singhal, Atul J Pediatr Gastroenterol Nutr Review Articles Faltering growth (FG) is a problem regularly seen by clinicians in infants and young children (<2 years of age). It can occur due to non-disease-related and disease-related causes and is associated with a wide range of adverse outcomes, including shorter-term effects such as impaired immune responses and increased length of hospital stay, and longer-term consequences, including an impact on schooling and cognitive achievements, short stature, and socioeconomic outcomes. It is essential to detect FG, address underlying causes and support catch-up growth where this is indicated. However, anecdotal reports suggest misplaced fear of promoting accelerated (too rapid) growth may deter some clinicians from adequately addressing FG. An invited international group of experts in pediatric nutrition and growth reviewed the available evidence and guidelines on FG resulting from disease-related and non-disease-related effects on nutritional status in healthy term and small for gestational age infants and children up to the age of 2 years in low-, middle-, and high-income countries. Using a modified Delphi process, we developed practical consensus recommendations to provide clarity and practical recommendations for general clinicians on how FG should be defined in different young child populations at risk, how FG should be assessed and managed, and the role of catch-up growth after a period of FG. We also suggested areas where further research is needed to answer remaining questions on this important issue. Lippincott Williams & Wilkins 2023-03-28 2023-07 /pmc/articles/PMC10259217/ /pubmed/36976274 http://dx.doi.org/10.1097/MPG.0000000000003784 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer on behalf of European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Articles Cooke, Richard Goulet, Olivier Huysentruyt, Koen Joosten, Koen Khadilkar, Anuradha Vaman Mao, Meng Meyer, Rosan Prentice, Andrew M. Singhal, Atul Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title | Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title_full | Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title_fullStr | Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title_full_unstemmed | Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title_short | Catch-Up Growth in Infants and Young Children With Faltering Growth: Expert Opinion to Guide General Clinicians |
title_sort | catch-up growth in infants and young children with faltering growth: expert opinion to guide general clinicians |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10259217/ https://www.ncbi.nlm.nih.gov/pubmed/36976274 http://dx.doi.org/10.1097/MPG.0000000000003784 |
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