Physical growth in Indian affluent children (birth-6 years)
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Updated: Oct 3, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
1Department of Pediatrics, Institute of Medical Sciences, BHU, Varanasi.
Insights
Indian children
Area of Science:
- Pediatric Growth and Development
- Human Nutrition
- Public Health
Background:
- Assessing child growth is crucial for identifying nutritional status and health trends.
- Existing growth standards, like European and National Center for Health Statistics (NCHS), are widely used.
- Understanding regional variations in child growth is essential for targeted health interventions.
Purpose of the Study:
- To establish growth percentiles for urban affluent Indian children.
- To compare Indian children's growth with established European and American standards.
- To identify potential factors influencing observed growth differences.
Main Methods:
- Collected anthropometric data (height, weight, head, chest, mid-arm circumferences) from urban affluent children across seven Indian centers.
- Utilized a smoothed cubic spline least squares method for calculating pooled data percentiles.
- Sample size: 200 observations per age and sex point (except 18 and 72 months).
Main Results:
- Pooled data for Indian children showed lower values compared to European and NCHS (American) standards.
- Children from Ludhiana exhibited growth patterns closer to the NCHS standards.
- Observed growth differences may be attributed to lower growth velocity in Indian children during the first 18 months.
Conclusions:
- Urban affluent Indian children in this study demonstrate distinct growth patterns compared to Western standards.
- Ludhiana children's growth more closely aligns with American standards, suggesting regional variations within India.
- Slower early growth velocity (first 18 months) might explain the divergence from American growth trajectories.
Abstract:
Growth characteristics, viz, height, weight and circumferences of head, chest and mid-arm were measured on urban affluent children from seven centres (Bangalore, Calcutta, Delhi, Kota, Ludhiana and Varanasi--Nutrition Foundation of India study). On each age and sex point there were 200 observations except at 18 and 72 months. The percentiles on pooled data were calculated by smoothed cubic spline least square method. This pooled data showed values lower than European and NCHS (American) standards. Centrewise comparison showed that Ludhiana children approached the latter. The differences in growth seem to be possibly due to lower velocity in Indian children of present study in the first 18 months as compared to American children.
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