Growth Faltering in Children
Learning Objective: To identify the aetiology of growth faltering in children.
Aetiology
Here are the three main mechanisms of growth faltering in children.
Click on the flip cards to see the examples of each aetiology.
Inadequate energy intake
a) Inadequate intake, e.g. reduced appetite, inadequate amount, diluted infant formula preparation, poverty. etc.
b) Structural, e.g. Cleft lip, palate, etc
c) Swallowing incoordination
d) Recurrent vomiting
Inadequate energy intake
Increased energy expenditure
a) Increased energy requirement
b) Hyperthyroidism
c) Chronic illness, e.g. heart failure, kidney disease, etc
d) Recurrent infections
Increased energy expenditure
Increased loss/ malabsorption
a) Pancreatic insufficiency, e.g. cystic fibrosis
b) Abnormal bowel, e.g. Inflammatory bowel disease
c) Food protein allergies, e.g. Cow’s milk allergy
d) Chronic liver disease (fat malabsorption)
Increased loss/ malabsorption