Population based studies
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Mitchell, 198012 | 19 of 30 children with history of FTT prior to 24 months of age in a primary care clinic of 312 identified by review of notes | <80% normal wt, or FTT cited on the problem list | At 3–6 years | 12 of 19 cases 16 of 19 controls | Controls matched at inception for age, maternal age, marital status, and family problems | Blinded for McCarthy Scale and behavioural questionnaire but not growth | Life events score, sex, mother’s education, FTT |
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Corbett, 199613 | 52 children identified as FTT by child health surveillance from 306 eligible children registered in 2 clinics | A fall of 2 centile lines for weight, sustained for >1 month | 5 years later | 48 of 52 (89%) cases and 46 of 52 (88%) controls | Next child on clinic register of same age and sex | Psychologists blind to child’s status | No control for confounders |
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Drewett, 199914 | 136 children with FTT identified from a birth cohort of 3418 | Thrive index <5% on 2 or more occasions between ages 3–18 mth | At 7–9 years | IQ testing: 79% cases, 87% controls
>Growth measures: 82% cases, 91% controls | Selected from cohort for normal growth and matched for age and residential area | Psychologists blind to child’s status | Maternal IQ, parental height, organic disease, maternal smoking, breast feeding, family size, birth order |
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Kerr, 200015 | 92 children with FTT, of 193 children enrolled in a longitudinal study of child development and maltreatment | Weight <5th centile Age <25 mth
>Normal birth wt | At 6 y of age | Not clear | 101 children with wt >10% matched for age, race, sex, and SES | No detail given | Maltreatment as defined by a Child Protective Services Report for neglect, sexual or physical abuse, SES, age, gender |
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Boddy, 200016 | 47 children identified as FTT by the age of 12 months from a cohort of 2004 births in 1986 and still resident in the area | Weight at 12 mth at or <3rd centile and sustained for at least 3 mth | At 6 years | IQ testing: 42 of 47 cases, 42 of 47 controls
>Growth measures: 38 cases, 39 controls | Matched at inception for birth wt, sex, ethnicity, and residential area | Blinded for growth, unclear if blinded for IQ testing | Maternal height, maternal IQ, changes in social index |
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Clinical sample based studies
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Singer, 198417 | 13 babies hospitalised at age 5–9 months for FTT | Weight <3% | At 3 years | All 13 cases, 9 of 13 organic FTT and 5 of 13 controls | Selected at inception from children attending the emergency room, but no details given. At F/U the remaining controls had higher BW, gestational age and parental education | No details given | Parental education |
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Drotar, 199218 | 68 hospitalised infants aged 1–9 months, randomly assigned to 3 types of intervention | Normal birth weight decreasing to weight <5th centile Weight gain demonstrated in hospital | Age 42–48 mth | 48 of 68 | 47 controls matched at inception for age, sex, ethnicity, social factors, mother’s education | No comment on blinding of assessors | Effect of treatment group |
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Reif, 199519 | 86 children diagnosed with FTT at <2 years of age either as in or outpatients | Age <2 y, weight, height <5th centile for at least 6 mth, term infants | 5 years later | 61 of 86 children | 65 controls matched at assessment for age, sex, social setting, ethnicity (but birth wt and maternal ht were higher) | No comment on blinding of assessors | Birth weight, severity of growth delay, parental heights, parental education |