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Weak infant sucking in the first 8 weeks, reliance on breastfeeding for ⩾9 months, small feeds, and difficulties in weaning were associated with failure to thrive

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Q Which postnatal factors are associated with failure to thrive (FTT)?


Embedded ImageDesign:

a live birth cohort from the Avon Longitudinal Study of Parents and Children (ALSPAC).

Embedded ImageSetting:

Bristol and surrounding areas, UK.

Embedded ImagePatients:

11 900 (83%) of 14 062 infants from the original ALSPAC birth cohort who had a gestational age of 37–41 weeks. Infants with major congenital abnormalities that could affect feeding (eg, Down’s syndrome, cleft palate) and those with incomplete weight measurements were excluded.

Embedded ImageRisk factors:

parent characteristics (social class; education; use of car; maternal ethnicity, height, age, parity, and smoking), infant characteristics at birth (sex, …

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  • For correspondence: Professor A Emond, Centre for Child and Adolescent Health, Hampton House, Bristol, UK. alan.emond{at}

  • Source of funding: Wellcome Trust, UK.