From the Journals
Clinical Guidelines

AAP, NASPGHAN Issue Guidance on Faltering Weight in Children

New recommendations standardize diagnosis and aim to reduce unnecessary interventions in early childhood growth concerns.

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The AAP and NASPGHAN have updated their clinical guidance on addressing poor weight gain in children, replacing 'failure to thrive' with 'faltering weight,' defined by specific z score thresholds. The new guidelines emphasize the need for increased caloric intake and discourage routine diagnostic testing in the absence of concerning features due to low yield. Initial evaluations should focus on detailed history and physical examinations. Nutritional interventions, including feeding therapy and oral supplementation, are central to management.

Original Source(s)

AAP, NASPGHAN Issue Guidance on Faltering Weight in Children

  • by Kathryn Wighton

  • March 18, 2026

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