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Growth centile charts (anthropometric measurement) of Pakistani pediatric population
Sina Aziz1, Wajeeha Noor-Ul-Ain, Rukhsana Majeed
1Department of Paediatrics, Dow University of Health Sciences, Karachi.
Insights
This study developed growth centile charts for Pakistani children aged 3-16, revealing 14% stunting and 5% obesity. Pakistani children
Area of Science:
- Pediatric Endocrinology
- Public Health Nutrition
- Growth Monitoring
Background:
- Accurate growth monitoring is crucial for pediatric health.
- Existing growth charts may not accurately reflect diverse populations.
- Establishing national growth references is essential for identifying developmental trends.
Purpose of the Study:
- To establish anthropometric reference data for Pakistani children aged 3-16 years.
- To develop national growth centile charts tailored to the Pakistani pediatric population.
- To assess the prevalence of stunting and obesity in Pakistani children.
Main Methods:
- A nationwide cross-sectional study involving 12,837 children (3-16 years) from diverse socioeconomic backgrounds.
- Multistage stratified sampling across government and private schools in all four provinces.
- Collection of height, weight, and 24-hour dietary recall data; Body Mass Index (BMI) calculation.
Main Results:
- Average height: 139.11 cm, average weight: 33.21 kg, average BMI: 16.76 kg/m².
- Overall stunting prevalence was 14%; obesity prevalence was 5%.
- Pakistani children's height and weight generally fell between the 10th-25th centiles of CDC charts.
Conclusions:
- Developed the first national growth centile charts for Pakistani children.
- Identified significant prevalence of stunting (14%) and obesity (5%).
- Pakistani children's growth parameters are notably lower than CDC references, highlighting the need for tailored standards.
Objective:
To measure Anthropometric data (Height and Weight) of Pakistani school children (of different socioeconomic and cultural background) 3-16 year, to develop growth centile charts, based on the above measurement and to document obesity and stunting in Pakistani Paediatric population, based on the above measurement.
Methods:
A Cross-sectional study with multistage stratified sampling was done in a Nationwide project of Higher Education Commission (HEC, Ref no: 20-441/R&D/2008) to develop growth centile charts of Pakistani paediatric population. Study was conducted from 2006-2009. Children studying in private and government schools of the four provinces of Pakistan were included. Prior to starting the study permission from the principal of the respective school and parents was taken. A total of 12837 children with normal birth weight, complete immunization, no history of chronic infection from 36-192 months (3-16 year) were included. Heights (cms), weight (kg), for Body Mass Index (BMI) (kg/m2), 24 hour diet recall was obtained. All socioeconomic groups were included. Food records of the children were subjected to USDA food exchange list.
Results:
The average height (cms) of children was 139.11 +/- 18.44, average weight (kg) was 33.21 +/- 11.25 and average BMI was 16.76 +/- 3.22 kg/m2 (range from 11.3-41.98). The 95th centile according to CDC charts for the age groups 3-16 years were calculated. A total of 664 (5.1%) children were found to be obese. In the age group 3-5 years, > 5-10 year and > 10-16 year; 29 (8.1%), 272 (5.1%) and 363 (5.1%) were found to be obese, respectively. CDC height and weight in the three groups of Pakistani children > 3-5 year, > 5-10 year, > 10-16 year were at the 10-25 centile.
Conclusion:
Overall, the prevalence of stunting was 14%. Height and weight was 10-25 centile of the CDC charts. Obesity was 5%. Pakistani centile charts of healthy children from Pakistan have been made.
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