{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T10:04:28Z","timestamp":1790762668022,"version":"4.1.0"},"reference-count":52,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:00:00Z","timestamp":1790726400000},"content-version":"unspecified","delay-in-days":272,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["J Dev Orig Health Dis"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Growth faltering, often referred to as failure to thrive (FTT), is a significant and frequently encountered issue in pediatric care. It denotes inadequate growth resulting from a lack of sufficient caloric intake, impaired nutrient absorption, increased metabolic demands, or a complex interplay of biological and psychosocial factors. In this review, we will explore contemporary understanding of growth faltering in infants, addressing definitions, epidemiology, diagnostic evaluations, management strategies, and long-term outcomes. A comprehensive assessment should encompass consistent growth monitoring, detailed nutritional evaluations, developmental assessments, psychosocial screenings, and identification of possible medical causes. Many cases of growth faltering are complex and can be effectively managed through outpatient multidisciplinary care. Hospitalization should only be considered for severe malnutrition, dehydration, suspected abuse or neglect, or when outpatient interventions have failed. Emphasizing a family-centered, multidisciplinary approach is essential to ensure effective management and support for the child\u2019s overall well-being.<\/jats:p>","DOI":"10.1017\/s2040174426100816","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T09:46:38Z","timestamp":1790761598000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Growth faltering in infants: a contemporary review"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9900-237X","authenticated-orcid":false,"given":"Mohamed A.","family":"Hendaus","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00yhnba62","id-type":"ROR","asserted-by":"publisher"}],"name":"Qatar University"},{"name":"The View Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima","family":"Jomha","sequence":"additional","affiliation":[{"name":"Lebanese International University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"S2040174426100816_ref7","first-page":"1","article-title":"Early developmental conditioning of later health and disease: physiology or pathophysiology?","volume":"104","author":"Hanson","year":"2024","journal-title":"Physiol Rev"},{"key":"S2040174426100816_ref30","first-page":"3528","article-title":"Zinc supplementation for the prevention of childhood morbidity and promotion of growth: current evidence and future directions","volume":"14","author":"Brown","year":"2022","journal-title":"Nutrients"},{"key":"S2040174426100816_ref43","first-page":"177","article-title":"Early nutrition and long-term metabolic health in infants with growth restriction","volume":"25","author":"Embleton","year":"2022","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"S2040174426100816_ref22","first-page":"820","article-title":"Advances in behavioral assessment and treatment of pediatric feeding disorders using telehealth","volume":"10","author":"Sharp","year":"2023","journal-title":"Children (Basel)"},{"key":"S2040174426100816_ref11","unstructured":"11. World Health Organization. WHO guideline on the prevention and management of wasting and nutritional oedema (acute malnutrition) in infants and children under 5 years [Internet]. Geneva: World Health Organization. 2023. [cited 2026 Jun 11]. https:\/\/www.who.int\/publications\/i\/item\/9789240082830."},{"key":"S2040174426100816_ref6","first-page":"3","article-title":"Nutrition during pregnancy, lactation and early childhood and its implications for maternal and long-term child health: the Early Nutrition project recommendations","volume":"78","author":"Koletzko","year":"2022","journal-title":"Ann Nutr Metab"},{"key":"S2040174426100816_ref23","first-page":"245","article-title":"Pediatric Feeding Disorder: advances in multidisciplinary assessment and management","volume":"78","author":"Goday","year":"2024","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"S2040174426100816_ref10","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2023294"},{"key":"S2040174426100816_ref41","first-page":"110","article-title":"Management and prevention of refeeding syndrome in medical inpatients: an evidence-based and consensus-supported algorithm","volume":"67","author":"Friedli","year":"2019","journal-title":"Nutrition"},{"key":"S2040174426100816_ref13","first-page":"e2020049621","article-title":"A practical approach to classifying and managing feeding difficulties","volume":"147","author":"Kerzner","year":"2021","journal-title":"Pediatrics"},{"key":"S2040174426100816_ref35","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1111\/jpc.70052","article-title":"Gold standard home nasogastric tube feeding for infants and children","volume":"61","author":"Breik","year":"2025","journal-title":"J Paediatr Child Health"},{"key":"S2040174426100816_ref36","doi-asserted-by":"publisher","DOI":"10.4162\/nrp.2020.14.3.230"},{"key":"S2040174426100816_ref42","first-page":"1049","article-title":"Catch-up growth and metabolic programming in children born small for gestational age","volume":"11","author":"Chiavaroli","year":"2019","journal-title":"Nutrients"},{"key":"S2040174426100816_ref26","doi-asserted-by":"publisher","DOI":"10.1097\/01.JAA.0000979524.39905.7f"},{"key":"S2040174426100816_ref20","doi-asserted-by":"publisher","DOI":"10.56305\/001c.138072"},{"key":"S2040174426100816_ref8","first-page":"143","article-title":"Monitoring the postnatal growth of preterm infants: a paradigm change","volume":"7","author":"Villar","year":"2023","journal-title":"Lancet Child Adolesc Health"},{"key":"S2040174426100816_ref14","unstructured":"14. World Health Organization. Child growth standards [Internet]. Geneva: World Health Organization. 2024. 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