Pediatric Disease Related Malnutrition (DRM)

For many different reasons, some children don't grow at the rate they should do. Normal development in childhood is essential for wellbeing as we get older. Achieving normal development starts with nutrition.

Sometimes there is no known cause for faltering growth, and a child just needs extra nutritional support in early life in order to meet their nutritional needs. In other cases, childhood growth can be affected by a number of medical conditions.1,2 In these cases, a child may require medical nutrition to allow them to grow and develop normally. It can be challenging to ensure that children with faltering growth get all the nutrients they need, for example, if feeding and eating are difficult, or because they aren't able to absorb nutrients in the right amounts.

Welcome to the healthcare professional pages of Pediatric disease related malnutrition (DRM), where you'll find more details on the topic, as well as relevant links to clinical guidelines, feature articles, including information about a new screening tool (Feeding Nutrition Screening Tool - FNST) that can help identify nutritional risk in children with cerebral palsy.

About medical nutrition

Normal growth for children starts with meeting their nutritional needs5,6

Appropriate growth starts with meeting children’s nutritional needs

There are a number of reasons why some children can have difficulties growing optimally, including the presence of an underlying disease or condition such as cerebral palsy, congenital heart disease (CHD), cystic fibrosis, liver disease or cancer. Poor growth can have a detrimental effect on both short and long-term health outcomes.

For example, infants and children with CHD who have low weight pre-surgery are known to have poorer surgical outcomes or even have their essential surgery delayed4-6. Whether disease-related or not, chronic poor weight gain during early life is associated with long-term consequences, including stunting and permanent alterations in brain growth and function, leading to cognitive and behavioral impairment7-10. Appropriate growth and development start with nutrition, however achieving adequate nutrient intake can be challenging in this population – providing appropriate nutritional management solutions tailored to the child’s needs is essential to support their growth and development.

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Learn More about Pediatric Disease Related Malnutrition

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Nutricia Academy: Faltering Growth

Access free educational content collated by our team of experts and find the latest clinical resources, global & regional guidelines and medical references on faltering growth and pediatric disease-related malnutrition.

Learn more on Nutricia Academy

Danone Nutricia Campus: Faltering Growth

Faltering growth can affect both an infant or child’s short and long-term health - with consequences including an increased risk of infections, poorer recovery from surgery, prolonged length of intensive care stay and GI dysfunction in the short-term and impaired lung and cardiac function, compromised cognitive achievements, stunting and poorer lifelong health in the longer term.

Learn more on Danone Nutricia Campus

Feeding difficulties in children with cerebral palsy: why they matter and how to recognize them

Children with cerebral palsy often have difficulties with feeding and swallowing. These can cause children to become underweight and undernourished, with consequences for growth and development. The Feeding and Nutrition Screening Tool can help parents screen for risk of feeding/swallowing difficulties and undernutrition quickly and easily, so they know when to seek medical help.

Find out more

The importance of nutritional support

Optimal nutritional support for a child with growth challenges will depend a lot on their age and their condition. Find out more about the importance and goals of nutritional support for these children.

Read more on Danone Nutricia Research.

Nutritional solutions tailored to individual needs

Children with different growth challenges may have quite different nutritional requirements to each other. Their requirements often also depend on the age and weight of the child. 

Read more on Danone Nutricia Research.

  1. Mehta et al. JPEN 2013: 37(4):460-481.
  2. Beer et al. Nutr Clin Practice 2015;30:609-624.
  3. Hecht et at. Clin Nutr 2013:34:53-59
  4. Curzon et al 2008
  5. Kogon et al 2008
  6. Wallace et al 2011
  7. Chang et al 2016
  8. El-Sherif et al 2012
  9. Galler et al 2012
  10. https://www.who.int/nutrition Jan 2020
  11.  Vitrikas K, Dalton H, Breish D. Am Fam Physician. 2020;101(4):213-20
  12. Clin Nutrition 2020
  13. Fung EB, Samson Fang L, Stallings VA, et al. J Am Diet Assoc 2002; 102: 361–73. 
  14. Samson-Fang L, Fung E, Stallings VA, et al. J Pediatr 2002; 141: 637–43. 
  15. Bell KL, Benfer KA, Ware RS, et al. Dev Med Child Neurol. 2019;61(10):1175-81.

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Important Notice

Breastfeeding is the best form of nutrition for infants and provides many benefits to babies and mothers. In preparation for and during breastfeeding, it is important to maintain a healthy and balanced diet. Combined breast and bottle-feeding in the first weeks of life may reduce the supply of breast milk, and reversing the decision not to breastfeed is difficult. The social and financial implications of not breastfeeding should be considered. All preparation and feeding instructions must be carefully followed, as improper preparation could pose in health risks to the baby. Always consult a healthcare professional for advice on infant feeding and use the products under medical supervision after considering all feeding options. 

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