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Volume 35 Number 2 March 2012
TABLE OF CONTENTS
1Failure to Thrive
Carly D.G. Leon, MS, RD, CNSC, CD, Praveen S. Goday, MD, CNSC
Failure to thrive (FTT) is a poorly defined descriptive term generally applied to children under 3 years of age who have an abnormally low weight-for-age. Until this past decade, FTT was thought of as either organic or non-organic. Organic meant that there was a medical reason for the child to fail to gain appropriate weight and/or follow standard growth chart percentiles. Non-organic or psychosocial FTT meant that the child failed to gain weight with no identifiable medical condition. Often, non-organic FTT was seen as a result of environmental factors or social or economic barriers.
5Undernutrition in Children with Special Health Care Needs
Janelle Peterson, RD, LD, CNSC
Data from 2005 to 2009 state that as many as one in five U.S. children have special health care needs including physical, developmental, emotional, and behavioral care needs (1,2). This translates to about 10.2 million children nationally (1-3). With advances in medical technology and the ability to save early gestational-aged babies, this population grows, and so does the cost of health care for this group. In 2000, children with special health care needs (CSHCN) accounted for 34% of all health care costs among children, more than twice their share of the child population (1,3,4).
13Malnourished and Overweight: A Potential Problem for Today's Children
Lynn S. Brann, PhD, RD, Kathryn Schneider, BS
Although pediatric registered dietitians (RDs) are generally familiar with the issue of childhood obesity, many may not make the connection between obesity and malnutrition. The term malnutrition had first been associated with undernutrition. More recently, researchers increased emphasis on the broader definition of malnutrition. This perspective includes both undernutrition and overnutrition and recognizes the paradox between hunger and obesity (1).
19From the Editor
Michelle S. Trumpy, MPH, RD, CSP, LD
Welcome, spring! Nature is rapidly changing around us. How about pediatric nutrition? How is that changing? While probably not as quickly as tulips are blooming and grass is turning green, ideas and approaches in pediatric nutrition are changing too. I thought it might be interesting to investigate a topic that, no matter in what area of pediatric nutrition you practice, will certainly pertain to you: undernutrition.

Copyright 2012 Pediatric Nutrition Practice Group, AND.

The BUILDING BLOCK FOR LIFE is published quarterly by the Pediatric Nutrition Practice Group (PNPG), a dietetic practice group of the Academy of Nutrition and Dietetics (AND), 120 South Riverside Plaza, Suite 2000, Chicago, IL 60606-6995.

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FOR THIS ISSUE:

EDITOR

Michelle S. Trumpy, MPH, RD, CSP, LD
Clinical Nutrition Manager, Adolescent Services
The Emily Program

St. Paul, MN

Co-EDITOR

Holly A. Van Poots,, RD, CSP, LDN

Pediatric Nutritionist
Cone Health; Greensboro, NC

Communications Team Chair

Liesje Nieman Carney,, RD, CSP, LDN

Clinical Dietitian IV, Publication Specialist
The Children's Hospital of Philadelphia

LOOKING AHEAD

Volume 35, No 3: Leadership in Pediatric Nutrition