Pediatric Disease Related Malnutrition


Cath and Frankie’s story

 “Frankie has a heart condition that he was born with. He was tube fed straight away. We have to get extra calories added into his milk as Frankie is very slow at putting on weight – and keeping the weight on because he’s very active, very active! It is a bit of a battle.

His feeds have been his main source of food and fluid, for him to grow up, and he’s done fantastic with them. We treat him like every other child, he can run, jump, play. We don’t let anything stop him.”

“It’s incredible. From such a difficult start in life, Frankie can now run, he can jump – we don’t let anything stop him.”

Cath, Frankie’s mum - UK

What can cause growth challenges in early life?

Optimal growth and development in childhood are essential for long-term health and well-being. However, there are a number of reasons why some children can have difficulties growing optimally. Inadequate growth may occur in children who have an underlying disease or condition such as cerebral palsy, a congenital heart disease, cystic fibrosis, liver disease or cancer1-2. This is often due to a poor intake during their illness or nutritional requirement being higher. In addition, it can occur when there is no disease-related cause, for example, with feeding difficulties3

The role of nutrition in managing children facing growth challenges due to their medical condition


Whatever the cause of inadequate growth, making sure the infant or child gets enough of the right nutrition is very important. Problems such as gastrointestinal issues, poor recovery from illness, increased risk of infections and longer hospital stays have been linked with poor nutritional intake5,6. Nutritional screening and growth monitoring are therefore important to ensure children are identified early and receive the right nutritional support to help them grow and develop5,6.

Nutricia’s role in managing infants & children facing growth challenges due to their medical condition

The Nutricia range of foods for special medical purposes span from infancy to adolescence and beyond. We partner with healthcare professionals and other experts to help manage children with a wide range of medical conditions, to ensure they grow and develop as well as possible. Our aim is to improve long-term health outcomes by offering a range and variety of medical nutrition products, including oral or tube feeding options, as well as tubes/pumps.

  1. Mehta et al. JPEN 2013: 37(4):460-481
  2. Beer et al.  Nutr Clin Practice 2015;30:609-624
  3. Kerzner et al. PEDIATRICS 2015;135(2)
  4. Beer et al. Nutr Clin Practice 2015;30:609-624.
  5. Hecht et at. Clin Nutr 2013:34:53-59.
  6. Huysentruyt et al. Nutrition 2013;29 1356-1361.

The importance of nutritional support

The best 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.

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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.

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More on prevalence

Inadequate growth related to a disease is a common pediatric problem with many potential short- and long-term consequences for growth and development.