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Updated: Apr 1, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Appropriateness of using prevalent national standards for assessment of growth parameters in children from
Bhanu Kiran Bhakhri1, Sheeba Rana1, Jagdish P Goyal1
1Department of Pediatrics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Insights
Growth patterns in Himalayan children differ significantly from national standards. This study highlights the need for region-specific growth references for accurate pediatric health assessments.
Area of Science:
- Pediatric Health
- Anthropometry
- Regional Growth Studies
Background:
- Distinct geographical and demographic factors in Himalayan foothills regions necessitate localized growth assessment standards.
- National growth references may not accurately reflect the health status of children in diverse geographical areas.
Purpose of the Study:
- To compare growth parameters of apparently healthy children from the Himalayan foothills with national reference data.
- To determine the appropriateness of using national growth standards for this specific population.
Main Methods:
- Comparative analysis of anthropometric measurements (height, weight) of children aged 5-18 years.
- Utilized median values for age from national reference data for comparison.
Main Results:
- Significant differences observed in growth parameters between children from Uttarakhand and national medians.
- Children in older age groups were lighter, while younger children were taller than national reference values.
Conclusions:
- Current national reference data is inappropriate for interpreting the growth parameters of children in the Himalayan foothills.
- Region-specific growth references are recommended for accurate pediatric health monitoring in this area.
Background:
With distinct geographical and demographic conditions prevalent in the regions of Himalayan foothills, it seems questionable to assess the children from these areas using the standards based upon growth pattern of children from major central cities of the country. To answer this question, we compared the growth parameters of apparently healthy children, attending our out-patient clinic, with corresponding median values for age from national reference data.
Materials And Methods:
The growth parameters of apparently healthy children were compared with the expected value for age that is, median value for the corresponding age from the recommended national reference data (Agarwal et al).
Results:
Data from 205 boys and 200 girls, aged 5-18 years, were finally evaluated. The considerable difference was observed between growth parameters. Children from Uttarakhand were observed to be lighter, especially in older age groups and taller, especially in younger age groups, when compared with corresponding median values from reference data.
Conclusion:
It appears inappropriate to interpret the growth parameters of the children of this region in the background of index national reference.
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