Prediction of weight for height following intervention in three-year-old children with early histories of nonorganic failure to thrive.
The present study assessed the weight for height outcomes of 59 3-year-old children who had been hospitalized for nonorganic failure to thrive (NOFT) as infants (average age of 5 months) and received time-limited outreach intervention. Although the majority of children attained normal weight for height, nearly one-third demonstrated at least mild wasting. Type of outreach intervention did not affect weight for height at outcome. The predictive efficacy of a variable set which included characteristics of NOFT (age of onset and duration), velocity of weight gain subsequent to diagnosis and environmental characteristics (income and home stimulation) was tested. Shorter duration of NOFT prior to diagnosis and greater initial rate of weight gain following hospitalization predicted weight for height at 36 months. The findings underscore the need for close monitoring of physical growth and nutritional status of NOFT children following hospitalization as well as comprehensive assessment and treatment for children who continue to demonstrate nutritional deficits. Additional studies of factors which affect the prognosis of NOFT children are needed.
Sturm
L
L
Department of Psychiatry, Case Western Reserve University School of Medicine, Cleveland, OH.
Drotar
D
D
D001827:Body Height; D001835:Body Weight; D002657:Child Development; D002669:Child Welfare; D002675:Child, Preschool; D005183:Failure to Thrive / Q000523:psychology / Q000628:therapy*; D005260:Female; D006760:Hospitalization; D006801:Humans; D007223:Infant; D008297:Male; D009035:Mothers / Q000193:education; D012931:Social Environment; D012944:Social Support