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Updated: May 21, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Nationwide reference data for height, weight and body mass index of Indian schoolchildren
Raman Kumar Marwaha1, Nikhil Tandon, Mohd Ashraf Ganie
1Institute of Nuclear Medicine and Allied Sciences, Timarpur, Delhi 110007, India. marwaha_ramank@hotmail.com
Insights
This study developed new growth charts for Indian children aged 5-18, revealing significant increases in weight and BMI compared to previous data. The findings suggest updated reference standards are needed for monitoring child growth in India.
Area of Science:
- Pediatrics
- Anthropometry
- Public Health
Background:
- Accurate growth assessment is vital for child healthcare.
- Existing growth monitoring relies on reference data.
- This study addresses the need for updated Indian child growth standards.
Purpose of the Study:
- To assess height, weight, and body mass index (BMI) in Indian schoolchildren.
- To develop gender-appropriate growth charts for ages 5-18 years.
- To establish current reference data for Indian child growth.
Main Methods:
- Cross-sectional evaluation of anthropometric parameters in 106,843 Indian schoolchildren (ages 3-18).
- Data collected from fee-paying and non-fee paying schools across four Indian regions.
- Lambda-mu-sigma (LMS) method used to generate normative charts from upper socioeconomic strata data.
Main Results:
- Height percentiles were higher than previous Indian data but lower than WHO 2007 standards.
- Weight and BMI percentiles showed a significant rising trend in both boys and girls.
- Median weight was approximately 4 kg higher than two decades prior for affluent Indian children.
Conclusions:
- The study highlights secular trends in height, weight, and BMI among Indian schoolchildren.
- The developed height and weight percentiles can serve as new reference standards for India.
- Updated growth charts are crucial for accurate child growth monitoring.
Abstract:
BACKGROUND. The assessment of growth is crucial for child care and reference data are central to growth monitoring. We aimed to assess the height, weight and body mass index (BMI) of Indian schoolchildren in order to develop genderappropriate growth charts for children 5-18 years of age. METHODS. Cross-sectional evaluation of anthropometric parameters (height, weight and BMI) was done in Indian schoolchildren (3-18 years) randomly selected from both fee-paying (upper socioeconomic strata) and non-fee paying (lower socioeconomic strata) schools from 4 regions (north, south, east and west) of India. A total of 106 843 children were evaluated, of which 42 214 children (19 303 boys, 22 911 girls) were from the lower socioeconomic strata and 64 629 children (34 411 boys, 30 218 girls) were from the upper socioeconomic strata. Normative charts, using the lambda-mu-sigma (LMS) method to smoothen the curves, were drawn from children belonging to the upper socioeconomic strata, in view of the gross discrepancy between the two socioeconomic strata. RESULTS. Height, weight and BMI percentile (3rd, 5th, 10th, 25th, 50th, 75th, 90th, 95th and 97th) data were calculated and charts generated. The height of boys and girls was consistently higher at all ages when compared with earlier India data, but the final height was 2-4 cm lower than that reported in the WHO multicentre study of 2007. Weight centiles showed a rising trend both in boys and girls compared not only to earlier Indian data published in 1992, but also to that reported by the WHO multicentre study. The median weight at all ages in both boys and girls was approximately 4 kg more than that reported in affluent Indian children two decades earlier. CONCLUSION. This large nationwide study indicates secular trends in height, weight and BMI in Indian children from the upper socioeconomic strata. We suggest that the height and weight percentiles reported by us may be used as reference standards for India.
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