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September 1995, Vol 149, No. 9 >
Article | September 1995

A Multifaceted Intervention for Infants With Failure to Thrive FREE

Robert J. Karp, MD; Stephen Wadowski, MD
Arch Pediatr Adolesc Med. 1995;149(9):1039-1040. doi:10.1001/archpedi.1995.02170220105020.
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References
Comments

The study by Casey and colleagues1 published in the October 1994 issue of the Archives compared outcomes for 64 low-birth-weight or premature infants who received subsequent diagnoses of failure to thrive (FTT) with those of 102 infants with similar diagnoses who were provided with careful pediatric management without intervention. Both groups of children were from an initial pool of 985 children. The authors made an important observation showing that an intense, interactive intervention program substantially and significantly improved developmental (IQ) scores in the study group when measured at 36 months of age. Moreover, the better the compliance with the intervention, the better the IQ scores and a measure of child behavior were. "Conversely," they report, "there seemed to be little effect of this intervention on the incidence of FTT." The authors do note differences in growth (significant for length) among children within the study group whose parents were more

REFERENCES

1 +
Casey PH, Kelleher KJ, Bradley RH, et al.  A multifaceted intervention for infants with failure to thrive: a prospective study . Arch Pediatr Adolesc Med . 1944;;148:1071-1077.
2 +
Karp RJ.  Functional significance of mild to moderate malnutrition . Am J Clin Nutr . 1991;;53:576-577.
3 +
Walker ARP, Walker BK, Glathaar II, Vorster HH.  Maximal genetic potential for adult stature: is the aim desirable? Nutr Rev . 1994;;52:208-210.
4 +
Garn SM, Clark DC.  Nutrition, growth, development and malnutrition: findings from the Ten-State Nutrition Survey of 1968-70 . Pediatrics . 1975;;56: 306-319.
5 +
Solomons W, Mazariegos M, Brown KH, Klasing K.  The underprivileged, developing country child: environmental contamination and growth failure revisited . Nutr Rev . 1993;;51:327-332.
6 +
Martorell R.  Child growth retardation: a discussion of its causes and its relationship to health . In: Blaxter K, Waterlow JC, eds. Nutritional Adaptation in Man . London, England: John Libby; 1985;:13-30.
7 +
Sewell T, Price VD, Karp RJ.  The ecology of poverty, undernutrition, and learning failure . In: Karp RJ, ed. Malnourished Children in the United States: Caught in the Cycle of Poverty . New York, NY: Springer Publishing Co Inc; 1993;:24-30.
8 +
Wachs TD. The Nature of Nurture . Newbury, Calif: Sage Publications; 1994;.
9 +
Adair LS, Pollit E.  Outcome of nutritional supplementation: a comprehensive review of the Bacon Chow study . Am J Clin Nutrition . 1985;;41:948-978.
10 +
Karp RJ.  Growth of disadvantaged children . In: Karp RJ, ed. Malnourished Children in the United States: Caught in the Cycle of Poverty . New York, NY: Springer Publishing Co Inc; 1993;:68-80.
11 +
Blinken NJ, Yip R, Fleshooh L, Trowbridge FL.  Birth weight and childhood growth . Pediatrics . 1988;;82:828-834.
12 +
Kelleher KJ, Casey PH, Bradley RH, et al.  Risk factors and outcomes for failure to thrive in low birth weight preterm infants . Pediatrics . 1993;;91:941-948.
13 +
Casey PH, Bradley R, Wortham B.  Social and nonsocial home environments of infants with no-organic failure to thrive . Pediatrics . 1984;;73:348-353.
14 +
Politt E.  Failure to thrive: socioeconomic, dietary intake and mother:child interaction data . Fed Proc . 1975;;34:1593-1597.
15 +
Karp RJ, Snider E, Fairorth JW, et al.  Parental behavior and the availability of foods among undernourished inner-city children . J Fam Pract . 1984;;18: 731-735.
16 +
Dugdale AE, Chen ST, Hewitt G.  Patterns of growth and nutrition in childhood . Am J Clin Nutr . 1970;;23:1280-1287.
17 +
Karp RJ, Martin R, Sewell T, Manni J, Heller A.  Growth and academic achievement in inner-city kindergarten children . Clin Pediatr . 1992;;32: 336-340.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Casey PH, Kelleher KJ, Bradley RH, et al.  A multifaceted intervention for infants with failure to thrive: a prospective study . Arch Pediatr Adolesc Med . 1944;;148:1071-1077.
2 +
Karp RJ.  Functional significance of mild to moderate malnutrition . Am J Clin Nutr . 1991;;53:576-577.
3 +
Walker ARP, Walker BK, Glathaar II, Vorster HH.  Maximal genetic potential for adult stature: is the aim desirable? Nutr Rev . 1994;;52:208-210.
4 +
Garn SM, Clark DC.  Nutrition, growth, development and malnutrition: findings from the Ten-State Nutrition Survey of 1968-70 . Pediatrics . 1975;;56: 306-319.
5 +
Solomons W, Mazariegos M, Brown KH, Klasing K.  The underprivileged, developing country child: environmental contamination and growth failure revisited . Nutr Rev . 1993;;51:327-332.
6 +
Martorell R.  Child growth retardation: a discussion of its causes and its relationship to health . In: Blaxter K, Waterlow JC, eds. Nutritional Adaptation in Man . London, England: John Libby; 1985;:13-30.
7 +
Sewell T, Price VD, Karp RJ.  The ecology of poverty, undernutrition, and learning failure . In: Karp RJ, ed. Malnourished Children in the United States: Caught in the Cycle of Poverty . New York, NY: Springer Publishing Co Inc; 1993;:24-30.
8 +
Wachs TD. The Nature of Nurture . Newbury, Calif: Sage Publications; 1994;.
9 +
Adair LS, Pollit E.  Outcome of nutritional supplementation: a comprehensive review of the Bacon Chow study . Am J Clin Nutrition . 1985;;41:948-978.
10 +
Karp RJ.  Growth of disadvantaged children . In: Karp RJ, ed. Malnourished Children in the United States: Caught in the Cycle of Poverty . New York, NY: Springer Publishing Co Inc; 1993;:68-80.
11 +
Blinken NJ, Yip R, Fleshooh L, Trowbridge FL.  Birth weight and childhood growth . Pediatrics . 1988;;82:828-834.
12 +
Kelleher KJ, Casey PH, Bradley RH, et al.  Risk factors and outcomes for failure to thrive in low birth weight preterm infants . Pediatrics . 1993;;91:941-948.
13 +
Casey PH, Bradley R, Wortham B.  Social and nonsocial home environments of infants with no-organic failure to thrive . Pediatrics . 1984;;73:348-353.
14 +
Politt E.  Failure to thrive: socioeconomic, dietary intake and mother:child interaction data . Fed Proc . 1975;;34:1593-1597.
15 +
Karp RJ, Snider E, Fairorth JW, et al.  Parental behavior and the availability of foods among undernourished inner-city children . J Fam Pract . 1984;;18: 731-735.
16 +
Dugdale AE, Chen ST, Hewitt G.  Patterns of growth and nutrition in childhood . Am J Clin Nutr . 1970;;23:1280-1287.
17 +
Karp RJ, Martin R, Sewell T, Manni J, Heller A.  Growth and academic achievement in inner-city kindergarten children . Clin Pediatr . 1992;;32: 336-340.

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