Synopsis

Source of validity: Scientific
Rating (out of 5): 5

Calories are scientifically validated as a fundamental component in the management and treatment of Failure to Thrive (FTT), especially in pediatric populations. FTT is characterized by inadequate physical growth, often due to insufficient caloric intake, malabsorption, increased metabolic demand, or a combination of these factors. Numerous clinical guidelines, including those from the American Academy of Pediatrics, recommend increasing caloric intake as a first-line intervention for children diagnosed with FTT. This is because growth and weight gain are directly dependent on energy balance; when a child’s caloric intake does not meet their metabolic and growth needs, weight gain falters and linear growth may be compromised.

Interventional studies and systematic reviews have consistently shown that tailored nutritional rehabilitation, primarily through increased caloric intake, leads to improvements in weight gain, height, and overall health outcomes in children with FTT. Calories may be increased through calorie-dense foods, fortified formulas, or supplemental nutrition, depending on the severity and underlying cause of FTT. There is robust evidence that caloric supplementation reverses growth failure when other organic causes are not present or are addressed concurrently. Thus, the use of increased calories to support and treat FTT is not only traditional but is firmly grounded in high-quality scientific evidence and clinical practice.

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