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Sitting height percentiles in 3-17-year-old Indian children: a multicentre study
Anuradha Khadilkar1, Veena Ekbote1, Neha Kajale1
1Pediatric and Endocrine Department, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospitals, Pune, India.
Insights
This study provides the first sitting height (StH) percentiles for Indian children aged 3-17 years. Findings reveal distinct growth patterns during puberty, with lower limb growth being more prominent than trunk growth.
Area of Science:
- Paediatric growth and development
- Anthropometry
- Public health
Background:
- Sitting height (StH) percentile data is lacking for the Indian paediatric population.
- Establishing StH percentiles is crucial for assessing growth and development in children.
Purpose of the Study:
- To generate multicentre StH percentile values for Indian children aged 3 to 17 years.
- To provide a reference standard for StH in Indian children.
Main Methods:
- A cross-sectional study involving 7961 apparently healthy children (3-17 years) from 10 schools across six Indian states.
- Measurements included height (ht), StH, and weight, collected between July 2016 and October 2017.
- LMS chartmaker was used to compute StH percentiles (3rd, 10th, 25th, 50th, 75th, 90th, and 97th).
Main Results:
- The mean StH:Ht ratio was 0.52 (0.02), with no significant difference between boys and girls.
- The StH:Ht ratio exhibited age-specific patterns, decreasing in boys until 14 years and in girls until 9 years, with variations during puberty.
- Smoothened percentile curves for StH were computed for the Indian paediatric population.
Conclusions:
- The study provides the first comprehensive StH percentile curves for Indian children.
- Growth patterns indicate that lower limb growth is more pronounced than trunk growth during pubertal years.
- These data serve as a valuable reference for paediatricians and researchers in India.
Abstract:
Background: Sitting height (StH) percentiles are not described for the Indian paediatric population.Aim: To generate multicentre StH percentile values for Indian children.Subjects and methods: A total of 7961 apparently healthy children (3-17 years old, Boys: 4328) randomly selected from 10 schools from six states of India were measured for height (ht), StH and weight during July 2016-October 2017.Results: The StH:Ht ratio was 0.52 (0.02) and was similar between boys and girls (p > 0.1). The ratio decreased in boys until the age of 14 years and then slightly increased; the lowest ratio was observed during 13-15 years. In girls, however, the StH:Ht ratio decreased until the age of 9 years and then plateaued until 15 years of age with a slight increase at 16 years; the lowest ratio was observed at the age of 12-13 years. Sitting height percentiles (3rd, 10th, 25th, 50th, 75th, 90th and 97th) were computed using LMS chartmaker.Conclusions: The results indicate that, during the pubertal years, the lower limb growth is more predominant than trunk growth. Further, this study provides smoothened percentile curves for sitting height in Indian children for the first time.
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