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Predictive Value of IAP 2015, IAP 2007 and WHO Growth Charts in Identifying Pathological Short Stature

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Abstract

Objective

To compare the diagnostic accuracy of IAP 2015, WHO and IAP 2007 growth charts in identifying pathological short stature in Indian children.

Methodology

The predictive value of the growth charts for pathological short stature was assessed in 500 (266 boys) short subjects (age 5–17.9 years) presenting to our pediatric endocrine clinic.

Results

WHO, IAP 2015, IAP 2007 criteria classified 500, 410 (82%) and 331 (66.2%) subjects short respectively. A total of 218 (43.6%) subjects had a pathological cause. Two out of 90 subjects short by WHO criteria but normal as per IAP 2015 had a pathological cause (2.2%) whereas 38 out of 79 subjects short as per WHO and IAP 2015 criteria but normal by IAP 2007 had pathological short stature. The diagnostic measures of IAP 2015 and IAP 2007 charts in identifying pathological short stature showed a sensitivity 99.1% and 81.7%, negative predictive value 97.8% as against 76.3%, positive predictive value 52.7% and 53.8%, and specificity of 31.2% and 45.7%, respectively.

Conclusions

IAP 2015 growth charts are superior in identifying pathological growth failure compared to WHO and IAP 2007.

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References

  1. Bajpai A, Agarwal N. Growth failure. In: Bajpai A, Patel R, Dave C, Agarwal N, editors. MedEclasses Basic Pediatric Endocrinology. Grow society publ; 2019.p.49–53.

  2. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ. 2007;85:660–7.

    Article  Google Scholar 

  3. Agarwal DK, Agarwal KN, Upadhyay SK, Mittal R, Prakash R, Rai S. Physical and sexual growth pattern of affluent Indian children from 5 to 18 years of age. Indian Pediatr. 1992;29:1203–82.

    CAS  PubMed  Google Scholar 

  4. Khadilkar V, Khadilkar A, Choudhury P, Agarwal K, Ugra D, Shah N. IAP Growth Monitoring Guidelines for Children from Birth to 18 Years. Indian Pediatr. 2007;44:187–97.

    CAS  PubMed  Google Scholar 

  5. Indian Academy of Pediatrics Growth Charts Committee, Khadilkar V, Yadav S, Agrawal KK, et al. Revised IAP Growth Charts for Height, Weight and Body Mass Index for 5-to 18-Year-Old Indian Children. Indian Pediatr. 2015;52:47–55.

    Article  Google Scholar 

  6. Lohiya N, Khadilkar V, Pawar S, Khadilkar A, Chiplonkar S, Jahagirdar R. Field testing of IAP 2015 growth charts. Indian J Pediatr. 2018;85:723–8.

    Article  Google Scholar 

  7. Singh P, Gandhi S, Malhotra RK, Seth A. Impact of using different growth references on interpretation of anthropometric parameters of children aged 8–15 years. Indian Pediatr. 2020;57:124–8.

    Article  Google Scholar 

  8. Baipai A. Coming of age of IAP 2015 growth charts: The way forward. Indian J Pediatr. 2018;85:715.

    Article  Google Scholar 

  9. Khadilkar V, Khadilkar A. Which growth charts for today’s Indian children? Indian Pediatr. 2020;57:115–6.

    Article  Google Scholar 

  10. Velayutham K, Selvan SSA, Jeyabalaji RV, Balaji S. Prevalence and etiological profile of short stature among school children in a south Indian population. Indian J Endocrinol Metab. 2017;2:820–22.

    Article  Google Scholar 

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Acknowledgement

Dr Vaman Khadilkar for providing macro for calculation of standard deviation score as per WHO, IAP 2007 and IAP 2015 criteria.

Funding

None

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Authors and Affiliations

  1. Department of Pediatric Endocrinology, Regency Center for Diabetes Endocrinology and Research, Kanpur, Uttar Pradesh, 208 001, India

    Riddhi Patel, Chetankumar Dave, Neha Agarwal, Hemangkumar Mendpara, Rishi Shukla & Anurag Bajpai

  2. Regency Center for Diabetes Endocrinology and Research, Kanpur, India

    Riddhi Patel, Chetankumar Dave, Neha Agarwal & Anurag Bajpai

  3. GROW Society, Growth and Obesity Workforce, Kanpur, India

    Riddhi Patel, Chetankumar Dave & Neha Agarwal

  4. Department of Pediatric Critical Care, Kanpur, India

    Hemangkumar Mendpara

Authors
  1. Riddhi Patel
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  2. Chetankumar Dave
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  3. Neha Agarwal
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  4. Hemangkumar Mendpara
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  5. Rishi Shukla
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  6. Anurag Bajpai
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Contributions

RP, NA, CD, HM, RS: patient management and data collection; RP did literature review, statistical analysis and drafted the initial manuscript; AB: patient management, conceptualization and planning of the study, critical review of the manuscript and would act as guarantor of the paper.

Corresponding author

Correspondence to Anurag Bajpai.

Ethics declarations

Regency Hospital Limited Institutional ethics committee; RHC-IEC-16036 dated September 11, 2019.

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Competing interest

None stated.

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Patel, R., Dave, C., Agarwal, N. et al. Predictive Value of IAP 2015, IAP 2007 and WHO Growth Charts in Identifying Pathological Short Stature. Indian Pediatr 58, 149–151 (2021). https://doi.org/10.1007/s13312-021-2132-7

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  • DOI: https://doi.org/10.1007/s13312-021-2132-7

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