It is predominately based on anthropometrical parameters but no consensus on the choice of anthropometric indices has been agreed upon nor the criteria for abnormality. The term FTT was not used until the 1930s and has evolved to describe under-nutrition resulting in a growth deviation or faltering regardless of the underlying cause. įinally, there is little consensus as to what constitutes a normal rate of weight gain. This phenomenon has also been termed “catch down” growth. Additionally, the well-recognized phenomenon of some healthy infants born above expected weight to experience an initial fall below birth centiles over the first 6–12 months, before following their “correct” centile, also known as ‘regression to the mean’, further complicates the specificity of FTT definitions based upon growth trajectory. For example, in infants and young children with genetic short stature, prematurity, or intrauterine growth restriction who have an acceptable weight-for-length and normal growth velocity the term FTT is not used. Īmong infants, determining FTT presents its own set of challenges. The growth curve of a normally growing child will represent gradual and incremental increases in weight from birth and is based on regular weight recordings. This gives no direct estimate of growth, only of attained weight and clinically children may deviate from their earlier centile position. Normal growth is described in reference to what is regarded as abnormal growth, falling below a pre-determined centile, usually the 3rd. In low income countries, malnutrition manifesting as failure to thrive is more common, ,, ,. Under-nutrition or inadequate nutrition is thought to be the underlying factor with the consequence of significant interruption to the expected rate of growth, and is strongly linked to malnutrition. Relevant clinical descriptors include child health, failure to thrive, growth interruption, growth retardation, weight/growth faltering, malnutrition, wasting, stunting and feeding disorder.įTT is used as a diagnosis, or a description of a weight gain pattern.Īnthropometric indices have been used universally for defining FTT, yet there is heterogeneity regarding the specific indices, for example weight for age versus weight for height/length. Aetiological literature attempting to define FTT includes the areas of malnutrition and feeding disorders. Key anthropometric terms include child growth, growth assessment, growth chart monitoring, growth monitoring, and nutritional status. This paper focuses upon FTT in the first year of life, to assist the investigation of any potential concerns regarding reduced growth in infancy following antenatal maternal immunisation. These studies agreed that all current means of diagnosing FTT either over or under diagnose the condition and a more accurate diagnostic tool could be beneficial. There is no agreed definition and utilisation studies of existing definitions have largely been limited by small sample sizes, apart from two European infant cohorts. Literature related to defining FTT can be broadly categorized in terms of anthropometric indices, aetiological causes, and a variety of variably interchangeable descriptors used to describe FTT or relevant clinical terms. Definitions of FTT typically incorporate both clinical characteristics of insufficient growth and specific anthropometric criteria which define it. Need for developing case definitions and guidelines for data collection, analysis, and presentation for failure to thrive as an adverse event following maternal immunisationįailure to thrive (FTT) is a descriptive term for insufficient growth, usually identified in infancy. Developing employee engagement must be the main focus of managers within every single stage of the employee life cycle, all of which directly influences the employee experience.1.1. Therefore, the biggest difference between the employee experience and employee engagement isn't actually a difference - it's more of a distinction. However, employee engagement also influences (and is influenced by) aspects of every other stage. Naturally, each employee's engagement influences their employee experience during the engage stage of the employee life cycle. The employee life cycle is made of seven stages that capture the most significant employee-employer interactions that connect employees with the organization. It includes prehire experiences to post-exit interactions, as well as aspects of a job related to an employee's role, workspace, wellbeing, and relationships with their manager and team. 09 What's the Difference Between Employee Engagement and the Employee Experience?Ī company's employee experience reflects the entire journey an employee takes with the organization.
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