Document Detail

Parental health beliefs as a cause of nonorganic failure to thrive.
MedLine Citation:
PMID:  3615087     Owner:  NLM     Status:  MEDLINE    
Parental misconceptions and health beliefs concerning what constitutes a normal diet for infants is reported as a cause for failure to thrive. There were seven patients (four boys, three girls), 7 to 22 months of age, who were evaluated for poor weight gain and linear growth. They were only consuming 60% to 94% of the recommended caloric intake for age and sex. The children's caloric intake had been restricted by their parents. They were concerned that the children would become obese, develop atherosclerosis, become junk food dependent, and/or develop eating habits that the parents believed were unhealthy. The parents instituted diets consistent with health beliefs currently in vogue and recommended by the medical community for adults who are at risk for cardiovascular disease. These diets caused the infants to experience inadequate weight gain and have a decreased linear growth rate. With nutritional counseling, all food restrictions were removed, the caloric intake was increased to 94% to 147% of the recommended intake for age. The weight gain rate increased significantly (P less than .05) from 0.1 +/- 0.1 kg/mo to 0.4 +/- 0.3 kg/mo, and the linear growth rate increased significantly (P less than .05) from 0.4 +/- 0.4 cm/mo to 1.0 +/- 0.6 cm/mo within 3 months of therapy. Exaggerated concerns about excessive food intake in childhood and/or concern about the sequelae of eating an improper diet has resulted in this entity of failure to thrive due to parental health beliefs.
M T Pugliese; M Weyman-Daum; N Moses; F Lifshitz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  80     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-09-01     Completed Date:  1987-09-01     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  175-82     Citation Subset:  AIM; IM    
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MeSH Terms
Attitude to Health*
Energy Intake*
Failure to Thrive / etiology*
Infant Nutritional Physiological Phenomena*
Parent-Child Relations*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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