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Updated: May 27, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Normative data for anthropometric parameters used in delineation of dysmorphic features in north Indian children
Seema Kapoor1, Shanti Bhuhsan, Vidya B Ghosh
1Department of Pediatrics, Maulana Azad Medical College, New Delhi 110002, India. drseemakapoor@gmail.com
Insights
This study provides crucial normative anthropometric data for Indian infants and children up to two years old. These measurements aid in identifying dysmorphic features and potential anomalies, emphasizing the need for ethnic-specific data.
Area of Science:
- Pediatric anthropometry
- Clinical genetics
- Dysmorphic feature assessment
Background:
- Accurate anthropometric data is essential for identifying dysmorphic features in children.
- Existing normative data may not be representative of diverse ethnic populations.
- Establishing regional ethnic data is critical for precise clinical evaluations.
Purpose of the Study:
- To establish normative data for key anthropometric parameters in Indian infants and children up to two years of age.
- To facilitate the delineation of dysmorphic features using reliable, age- and ethnicity-specific measurements.
- To develop percentile curves for commonly used anthropometric parameters.
Main Methods:
- A cross-sectional observational study involving 600 infants and children aged 0-24 months.
- Measurement of seven anthropometric parameters: inner and outer intercanthal distance, interpupillary distance, ear length, internipple distance, hand length, and middle finger length.
- Data analysis using the LMS method to generate percentile curves for each age group.
Main Results:
- No statistically significant sex-based differences were observed in the measured parameters.
- Significant differences were noted when compared to South East Asian and Caucasian populations, highlighting the need for regional data.
- Prevalence of isolated anomalies such as polydactyly, syndactyly, preauricular tags, and paraumbilical hernia were documented.
Conclusions:
- Normative data specific to ethnic origin is valuable for charting dysmorphic traits.
- Parameters falling below the 3rd or above the 97th percentile warrant further evaluation for co-existing anomalies.
- The generated percentile charts may have applicability across India, pending further validation studies.
Objective:
To provide normative data for a set of anthropometric parameters which are commonly used in delineation of dysmorphic features.
Methods:
This cross-sectional observational study was conducted in a tertiary care hospital of Delhi. Six hundred infants and children up to 2 years with hundred subjects each in the age group of 0-3, 3-6, 6-9, 9-12, 12-18 and 18-24 months were included. Both sexes were represented equally in the sample to avoid bias. Inner and outer intercanthal distance were measured by sliding callipers. Inter pupillary distance was measured directly as the distance between midpoint of two pupils. Ear length was the maximum vertical distance from the superior to the inferior edge of the ear. Internipple distance was the distance between centre of both nipples. Hand length was the distance between distal wrist crease to the tip of middle finger. Middle finger length was the distance between proximal flexion crease and tip of middle finger. The data was analyzed using the LMS method and percentile curves were developed for each age group for all the seven parameters.
Results:
No statistically significant differences between male and female infants were observed. Significant differences were observed from other south east Asian and Caucasian population stressing the need for generation of regional ethnic data. The percentage of other isolated anomalies noted was 1.16% for polydactyly, 2-4 syndactyly 2-4 toe syndactyly (0.89%), Preauricular tags (0.5%), double whorl pattern of hair (1.55%), 2-4 syndactyly (0.33%) and paraumbilical hernia (2.83%).
Conclusions:
Normative data directed towards the ethnic origin are useful in charting dysmorphic traits. Children with parameters less than 3rd percentile or more than 97th percentile should be evaluated for other co-existing anomalies. Percentile charts provided in the present study may also be applicable across India but more studies are required to validate the authors' contention.
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