Failure to think about failure to thrive
Failure to think about failure to thrive
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DOI：
10.1136/adc.2006.098624
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发表时间：
2007-02-01
影响因子：
5.2
通讯作者：
Spencer, N. J.
中科院分区：
文献类型：
--
作者：
Spencer, N. J.
发育不良（FTT）或体重下降被认为是婴儿期的一个重要问题1，与从乳糜泻2到婴儿猝死综合征的一系列儿科疾病相关。3生长监测，也许是最常见的儿童监测活动，4除其他外，其目的是发现生长迟缓，5并经常进行儿科转诊。[6]然而，正如Olsen等7所示，FTT的定义存在争议，这引发了关于体重分量在生长监测中的价值以及体重不稳定作为疾病和婴儿发育受损的有用标志物的持续地位的问题。什么是FTT？尽管它在儿科文献中已经确立了地位（Medline搜索仅限于所有婴儿和人类，关键词为“未能茁壮成长”）。2000参考文献），但对其确切定义没有达成共识。营养不足被认为是造成营养不良的原因，8最近对2003年1月至2004年6月期间发表的文章和最近的教科书进行的审查报告说，目前普遍仅使用人体测量参数来确定营养不良。9然而，对于使用哪些增长参数以及使用实际值还是速度，没有达成一致意见。[9]因此，尽管长期以来人们认识到低体重的静态定义，
Failure to thrive (FTT) or weight faltering has been regarded as an important problem in infancy1 associated with a range of paediatric conditions from coeliac disease2 to sudden infant death syndrome. 3 Growth monitoring, perhaps the most common child surveillance activity, 4 aims, among other things, to identify faltering growth, 5 and generates frequent paediatric referrals. 6 However, as Olsen et al7 show, the definition of FTT is open to dispute, raising questions about the value of the weight component of growth monitoring and the continued place of weight faltering as a useful marker of disease and impaired infant development.WHAT IS FTT? Despite its established place in the paediatric literature (a Medline search limited to all infants and humans only with ‘‘failure to thrive’’as the keyword yields. 2000 references), there is no consensus on its precise definition. Undernutrition is thought to underlie FTT, 8 and a recent review of articles published between January 2003 and June 2004 and recent textbooks reported that solely anthropometric parameters are now universally used in its identification. 9 However, there was no agreement on which growth parameters to use and whether to use attained values or velocities. 9 Thus, it seems that static definitions of low attained weight continue to be used despite longstanding recognition of their