What is included in the feeding history for the evaluation of pediatric growth failure (failure to thrive)?

Updated: Nov 05, 2018
  • Author: Andrew P Sirotnak, MD; Chief Editor: Caroly Pataki, MD  more...
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Answer

A detailed history of food intake from infancy through the current period is vital, and feeding history should include the following:

  • Age-adjusted and age-dependent dietary details - Milk, formula, solids, vitamins, other supplements, food allergy or intolerance

  • Feeding behaviors - Sucking, chewing, and swallowing difficulty; limited food preference or negative responses to food and feeding; frequency and timing of meals

  • Caregivers' knowledge - Nutrition and feeding, dietary beliefs, religious and cultural beliefs about food, any unusual diets that might be inappropriate for a child

  • Basic food and nutritional needs - Anything that prevents the family from (or assists the family with) getting food (eg, finances, transportation, subsidized programs); appropriate and safe preparation of food by the caregiver (eg, clean water, housing or shelter, cooking facility, refrigeration, cooking knowledge)

  • Issues of nutritional ignorance (inadequate amounts or types of food, unusual dietary beliefs)

  • Review of all developmental milestones for infancy and childhood, looking for either failure to attain or regression from the norm at specific ages


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