5 Key Takeaways

• 1

  AAP and NASPGHAN recommend standardized diagnostic criteria for faltering weight in children, replacing the term 'failure to thrive.'.

• 2

  Initial evaluation should focus on history, physical examination, and feeding assessment, avoiding routine diagnostic testing due to low yield.

• 3

  Endoscopy is not recommended for initial evaluation of faltering weight due to low diagnostic yield and associated risks.

• 4

  Nutritional interventions, including increased caloric intake and oral supplementation, are central to managing faltering weight in children.

• 5

  Co-occurring conditions in children with faltering weight should be assessed through clinical evaluation rather than routine screening tests.