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The Indian Journal of Pediatrics

, Volume 85, Issue 9, pp 723–728 | Cite as

Field Testing of IAP2015 Charts

  • Nikhil Lohiya
  • Vaman Khadilkar
  • Shubhadarshini Pawar
  • Anuradha Khadilkar
  • Shashi Chiplonkar
  • Rahul Jahagirdar
Original Article

Abstract

Objectives

To field test the IAP2015 (Indian Academy of Pediatrics) charts in different socioeconomic classes; to compare standard deviation scores (Z-scores) of children’s height, weight and body mass index (BMI) for age as computed based on IAP2007 or WHO charts against the IAP2015 references.

Methods

A cross-sectional observational study was conducted in the district of Pune on apparently healthy 5–18 y old children from urban affluent, urban underprivileged and rural areas. Anthropometric measurements were performed and parameters were converted into Z-scores.

Results

Urban affluent children were tallest and heaviest whereas urban underprivileged children were shortest. Z-score comparison showed that all children were shortest on WHO references and taller as per IAP2007 references. BMI Z-score was higher on IAP2007 charts and lower on WHO references. Highest number of children were within the reference range on IAP2015 charts among urban affluent. More children were classified stunted on WHO references and least on IAP2007 references. WHO references overestimated wasting and as per IAP2007 charts, less number were wasted. Less number of children were classified as being obese/overweight by WHO and IAP2007 references.

Conclusions

IAP2015 charts are better representative of healthy children of current generation and may be used to prevent inappropriate classification in present scenario.

Keywords

Growth charts Reference growth curve India IAP2015 charts 

Notes

Contributions

VK: Concept, design of the study, data analysis and manuscript draft; NL and AK: Data analysis and manuscript draft; SP: Data collection and analysis; SC: Data analysis and design of the study; RJ: Manuscript draft. AK and VK will act as guarantor for this paper.

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. 1.
    WHO. Child growth standards. Acta Pediatr Suppl. 2006;450:5–101.Google Scholar
  2. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Buckler JM. Growth disorders in children, 1st ed. London: BMJ Publishing Group; 1994.Google Scholar
  4. 4.
    Agarwal DK, Agarwal KN, Upadhyay SK, Mittal R, Prakash R, Rai S. Physical and sexual growth pattern of affluent Indian children from 5-18 years of age. Indian Pediatr. 1992;29:1203–82.PubMedGoogle Scholar
  5. 5.
    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.CrossRefPubMedGoogle Scholar
  6. 6.
    Rao S. Nutritional status of the Indian population. J Biosci. 2001;26:481–9.CrossRefPubMedGoogle Scholar
  7. 7.
    Mansourian M, Marateb HR, Kelishadi R, et al. First growth curves based on the World Health Organization reference in a nationally representative sample of pediatric population in the Middle East and North Africa (MENA): the CASPIAN-III study. BMC Pediatr. 2012;12:149.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Cole TJ. The secular trend in human physical growth: a biological view. Econ Hum Biol. 2003;1:161–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Schmidt IM, Jørgensen MH, Michaelsen KF. Height of conscripts in Europe: is post-neonatal mortality a predictor? Ann Hum Biol. 1995;22:57–67.CrossRefPubMedGoogle Scholar
  10. 10.
    Tanner JM. Growth as a measure of the nutritional and hygienic status of a population. Horm Res. 1992;38:106–15.CrossRefPubMedGoogle Scholar
  11. 11.
    Cole TJ. Secular trends in growth. Proc Nutr Soc. 2000;59:317–24.CrossRefPubMedGoogle Scholar
  12. 12.
    Rosario AS, Schienkiewitz A, Neuhauser H. German height references for children aged 0 to under 18 years compared to WHO and CDC growth charts. Ann Hum Biol. 2011;38:121–30.CrossRefPubMedGoogle Scholar
  13. 13.
    de Wilde JA, van Dommelen P, van Buuren S, Middelkoop BJC. Height of south Asian children in the Netherlands aged 0–20 years: secular trends and comparisons with current Asian Indian, Dutch and WHO references. Ann Hum Biol. 2015;42:38–44.CrossRefPubMedGoogle Scholar
  14. 14.
    Orden AB, Apezteguía MC. Weight and height centiles of Argentinian children and adolescents: a comparison with WHO and national growth references. Ann Hum Biol. 2016;43:9–17.CrossRefPubMedGoogle Scholar
  15. 15.
    Zong XN, Li H. Construction of a new growth references for China based on urban Chinese children: comparison with the WHO growth standards. PLoS One. 2013;8:e59569.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Mushtaq MU, Gull S, Mushtaq K, et al. Height, weight and BMI percentiles and nutritional status relative to the international growth references among Pakistani school-aged children. BMC Pediatr. 2012;12:31.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2018

Authors and Affiliations

  • Nikhil Lohiya
    • 1
  • Vaman Khadilkar
    • 2
  • Shubhadarshini Pawar
    • 1
  • Anuradha Khadilkar
    • 2
  • Shashi Chiplonkar
    • 2
  • Rahul Jahagirdar
    • 1
  1. 1.Department of Pediatric Endocrinology, Bharati Vidyapeeth Medical College and HospitalPuneIndia
  2. 2.Hirabai Cowasji Jehangir Medical Research InstitutePuneIndia

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