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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
Summary
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.
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