Abstract
There is no concordance between current diagnostic criteria for failure to thrive (FTT). We analyzed validity of the Semi-Objective Failure to Thrive (SOFTT) diagnosis tool, which uses a combination of subjective and objective components to make the diagnosis of FTT. The tool was used to diagnose FTT in 94 patients who met 1 of 7 accepted criteria for FTT. Concurrent and predictive validity were demonstrated using anthropometric z-scores and change in anthropometric z-scores, respectively. SOFTT results correlated with differences in anthropometric z-scores for length (P =.011), weight, weight-for-length, body mass index, mid-upper arm circumference, and triceps skinfold thickness (P <.0001) between those diagnosed as normal and those with FTT. At follow-up, children with FTT compared with children rated as normal had significantly higher change in weight (P ≤.001) and body mass index (P =.026) z-scores. The SOFTT tool leads to the accurate diagnosis of FTT demonstrated by concurrent and predictive validity.
Original language | English (US) |
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Pages (from-to) | 446-452 |
Number of pages | 7 |
Journal | Clinical Pediatrics |
Volume | 58 |
Issue number | 4 |
DOIs | |
State | Published - Apr 1 2019 |
Bibliographical note
Publisher Copyright:© The Author(s) 2018.
Keywords
- failure to thrive
- infant
- malnutrition
- pediatric
- poor growth