Revised IAP Growth Charts for Height, Weight and Body Mass Index for 5- to 18-year-old Indian Children.
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Date
2015-01
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Abstract
Justification: The need to revise Indian Academy of Pediatrics
(IAP) growth charts for 5- to 18-year-old Indian children and
adolescents was felt as India is in nutrition transition and previous
IAP charts are based on data which are over two decades old.
Process: The Growth Chart Committee was formed by IAP in
January 2014 to design revised growth charts. Consultative
meeting was held in November 2014 in Mumbai. Studies
performed on Indian children’s growth, nutritional assessment
and anthropometry from upper and middle socioeconomic
classes in last decade were identified. Committee contacted 13
study groups; total number of children in the age group of 5 to 18
years were 87022 (54086 boys). Data from fourteen cities
(Agartala, Ahmadabad, Chandigarh, Chennai, Delhi, Hyderabad,
Kochi, Kolkata, Madurai, Mumbai, Mysore, Pune, Raipur and
Surat) in India were collated. Data of children with weight for
height Z scores >2 SD were removed from analyses. Data on
33148 children (18170 males, 14978 females) were used to
construct growth charts using Cole’s LMS method.
Objectives: To construct revised IAP growth charts for 5-18 year
old Indian children based on collated national data from published
studies performed on apparently healthy children and
adolescents in the last 10 years.
Recommendations: The IAP growth chart committee
recommends these revised growth charts for height, weight and
body mass index (BMI) for assessment of growth of 5-18 year old
Indian children to replace the previous IAP charts; rest of the
recommendations for monitoring height and weight remain as per
the IAP guidelines published in 2007. To define overweight and
obesity in children from 5-18 years of age, adult equivalent of 23
and 27 cut-offs presented in BMI charts may be used. IAP
recommends use of WHO standards for growth assessment of
children below 5 years of age.
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Keywords
Adolescent, Child, Growth charts, India, Recommendation
Citation
Khadilkar Vaman, Yadav Sangeeta, Agrawal K K, Tamboli Suchit, Banerjee Monidipa, Cherian Alice, Goyal Jagdish P, Khadilkar Anuradha, Kumaravel V, Mohan V, Narayanapa D, Ray I, Yewale Vijay. Revised IAP Growth Charts for Height, Weight and Body Mass Index for 5- to 18-year-old Indian Children. Indian Pediatrics. 2015 Jan; 52(1): 47-55.