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Extended growth charts for Indian children

Vaman Khadikar1, Anuradha V Khadilkar1,2, Nikhil N Lohiya3

  • 1Department of Growth and Pediatric Endocrinology, Hirabai Cowasji Jehangir Medical Research Institute, Pune, Maharashtra, India.

Journal of Pediatric Endocrinology & Metabolism : JPEM
|March 6, 2021
PubMed

Insights

New Indian growth charts now include extended height z-score lines and a BMI screening tool for children aged 0-18 years. These updated charts aid endocrinologists in diagnosing growth disorders and assessing nutritional status efficiently.

Area of Science:

  • Pediatric Endocrinology
  • Growth and Development
  • Nutritional Assessment

Background:

  • Standard growth charts lack lower z-score lines crucial for diagnosing growth disorders in Indian children.
  • Increasing childhood overweight and obesity rates require efficient nutritional screening tools.

Purpose of the Study:

  • To develop extended Indian growth charts with additional z-score height lines (-2.25, -2.5, -3).
  • To incorporate a quick Body Mass Index (BMI) assessment tool for immediate nutritional screening.
  • To provide user-friendly charts for Indian children aged 0-18 years.

Main Methods:

  • Generated new z-score height lines using LMS values from IAP 2015 and WHO 2006 growth charts.
  • Integrated these extended height lines with standard percentile lines (3-97).
  • Developed a modified BMI quick screening tool as an inset.

Main Results:

  • Extended height charts with 10 lines (including new z-scores) were created for boys and girls (0-18 years).
  • Standard weight charts (7 lines) were retained.
  • A unified chart incorporating extended height, standard weight, and BMI screening tool was produced.

Conclusions:

  • The new charts facilitate precise height z-score cutoff definition for diagnosis.
  • The integrated BMI tool allows for rapid screening of overweight and obesity without calculations.
  • These resources support improved clinical management of growth and nutritional status in Indian children.
Abstract

Keywords:
childrenendocrinologistgrowth chartsgrowth hormoneshort stature

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