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Growth Parameters of under 2-year-old Indian Children: A Comparison to WHO MGRS 2006 Charts
Venkat Sandeep Reddy1, Rahul Jahagirdar1, Ruma Deshpande1
1Department of Pediatrics, Bharati Vidyapeeth Medical College and Hospital, Pune, Maharashtra, India.
Insights
The World Health Organization (WHO) multicentre growth reference study (MGRS) 2006 charts may not accurately monitor growth in Indian children under two. New charts reflecting Indian children's growth are needed.
Area of Science:
- Pediatrics
- Public Health
- Child Development
Background:
- Child growth monitoring is crucial for identifying developmental deviations.
- The World Health Organization multicentre growth reference study (MGRS) 2006 charts are currently used in India for children under two.
- These charts were developed using data from children in six countries raised under optimal conditions.
Purpose of the Study:
- To assess the appropriateness of the WHO MGRS 2006 charts for monitoring the growth of Indian children under two years of age.
Main Methods:
- The study was conducted in a tertiary care hospital in Pune, Maharashtra.
- Weight, length, and head circumference were measured for 1947 children.
- Age- and sex-specific Z-scores were calculated using WHO MGRS 2006 growth charts.
Main Results:
- 24.08% of children were classified as underweight.
- 21.31% were classified as stunted.
- 20.54% were classified as microcephalic when compared to WHO MGRS 2006 charts.
Conclusions:
- The WHO MGRS 2006 charts may not be suitable for growth monitoring of Indian children under two.
- There is a need to develop specific growth charts for Indian children.
- Accurate growth monitoring is essential for early detection of growth abnormalities.
Context:
Growth is an important biological process by which an individual reaches a point of complete physical development. Growth monitoring of a child is a very important utility to detect the deviation from normal growth. In India, for children below 2 years of age WHO multicentre growth reference study (MGRS) 2006 charts are being used for growth monitoring, which were prepared by measuring children from six different countries who were raised in optimum conditions of health and nutrition.
Aim:
This study was carried out to verify the appropriateness of the WHO MRGS 2006 charts to monitor the growth of Indian children who are below 2 years of age.
Settings And Design:
The study was carried out in a tertiary care hospital in Pune, Maharashtra.
Materials And Methods:
A total of 1947 children [1089 boys (55.9%)] were measured for weight, length and head circumference. Z score for each observed value was calculated according the similar but gender-specific WHO MGRS 2006 growth charts.
Statistical Analysis Used:
The age- and sex-specific Z-scores or standard deviation scores along with prevalence were obtained for each study parameter using WHO standards.
Results:
A total of 24.08%, 21.31%, and 20.54% of the children were classified as underweight, stunted and microcephalic respectively when compared to the WHO MGRS 2006 growth charts.
Conclusion:
The WHO MGRS 2006 charts may not be appropriate for growth monitoring of Indian children below 2 years of age and there is a need formulate growth charts which can reflect the growth of Indian children.
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