Faltering growth

The diagnosis of faltering growth requires a careful assessment of growth parameters (weight, length/height, and head circumference) over time.

The condition requires a comprehensive evaluation as both medical and psychosocial problems may contribute.

Extensive medical tests are, however, generally not indicated, unless suggested by the history or exam.

Interdisciplinary collaboration is ideal in evaluation and treatment.

Hospitalization should be reserved for severe or recalcitrant cases.

The presence of an organic etiology does not rule out the possibility of psychosocial contributing factors.

Can occur at all socioeconomic levels. Although occurrence may be highest among children from low income families, evidence from the UK reported no association between socioeconomic status and growth at age 12 months.

Faltering growth refers to less than expected growth over time during the first 3 years of life when tracked on appropriate growth charts for children of the same age and sex.[1]Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11. 2002 May;(246):1-190. http://www.cdc.gov/nchs/data/series/sr_11/sr11_246.pdf http://www.ncbi.nlm.nih.gov/pubmed/12043359?tool=bestpractice.com However, the definition varies between different healthcare providers, and the criteria used to diagnose the condition must be specified.