Alia Nadhirah Abd Rahim1, Chin Yi Ying1, Nik Aina Asyarah Nik Abd Ghani1
1Faculty of Health Sciences, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia
Miss A is a 9 years old Malay girl who had been diagnosed with bronchial asthma since 2018 and recently was referred to the outpatient clinic due to failure to thrive (FTT). She is a full-term baby at the 39th week with a birth weight of 2.6kg. She is the youngest out of 5 siblings and currently studying at SK Bukit Payong. Both of her parents are working with her father works as a clerk while her mother works at a coffee shop. She also has a family history where her mother had childhood asthma and her father has a small built. Her mother claimed that she is a lightly active girl since she always on the gadget at home and rarely goes outside to play. Miss A’s current weight and height are 17.7kg and 119cm respectively where both values are below the 3rd percentiles of the CDC growth chart, which indicates she is suffering from FTT. Miss A claimed that she had bowel open daily but sometimes constipated with type 1 of Bristol stool chart
Based on her dietary assessment, her estimated energy intake was 974kcal/day which is inadequate as it only achieved 55% of the energy requirement. She currently consumed full cream milk 1x/day and has minimal oral intake due to early satiety.
Hence, the main goal of the dietary intervention is to provide adequate energy and protein intake. Miss A is encouraged to increase the frequency of full cream milk to 2x/day and add MCT oil to her meals in view of her poor weight gain. Furthermore, the patient is encouraged to have energy and nutrient-dense meals and snacks for weight gain purposes.
Monitoring & Evaluation
In short, to review and monitor the body weight changes, dietary intake and compliance with the intervention given.