Malnutrition - Connect NHS

Children’s Dietetic Service

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Malnutrition - Connect NHS

Malnutrition in Children and Young People

Growth faltering occurs when a child’s growth is interrupted, and they are not growing as expected compared to other children of the same age or gender. This could be caused by:1

  • Children not eating enough to meet their nutritional needs due to low appetite, feeding problems or due to social factors
  • Children may have higher energy needs due to illness, surgery, or certain conditions e.g. heart problems, gastrointestinal disorders or breathing problems
  • A child’s body not being able to properly absorb the nutrients in food or having a condition that causes them to lose nutrients e.g. chronic diarrhoea

A healthcare professional may be concerned about growth faltering if they notice the following:

  • Weight falls 2 or more centile spaces on the growth chart
  • Weight falls below the 2nd percentile
  • Length/height is below the 2nd percentile
  • BMI is below the 0.4th percentile

How can a dietitian help?

Dietitians can help to support children and their families to ensure they are meeting all their nutrient needs and growing well.

Dietitians may advise on the following strategies:

Food fortification – this is when extra energy is added to food without increasing the volume of food eaten

Use of energy dense foods or drinks

A trial period of liquid nutritional supplements to help children

In infants, specialised infant formulas can also be prescribed

Behavioural approaches

Further support and useful links: