Impact of Using Different Growth References on Interpretation of Anthropometric Parameters of Children Aged 8-15 Years
Indian Pediatr
;
2020 Feb; 57(2): 124-128
Artigo
| IMSEAR
| ID: sea-199475
ABSTRACT
Objective:
To compare the effect of the application of threegrowth references (Agarwal, 1992; Indian Academy ofPaediatrics (IAP), 2015; and World Health Organisation (WHO),2007) on interpretation of anthropometric parameters inschoolchildren.Setting:
Cross-sectional school-based study.Participants:
Children 8-15 years studying in one governmentschool and one private school of Delhi.Procedure The age- and gender-specific standard deviationscores of height-for-age and BMI-for-age were estimated foreach student enrolled, using the three growth referencesindependently.Main outcomemeasure:
The proportion of children withshort stature, thinness and overweight/ obesity determined byeach growth reference were compared.Results:
A total of 1237 students participated in the study. Asignificantly higher proportion of children (both sexes) wereclassified to have short stature using WHO 2007 reference(8.8%) as compared to the Agarwal (3.3%) charts and IAP, 2015references (3.6%). The combined prevalence of overweight andobesity was highest (34.8%) by the IAP, 2015 reference asagainst 32% by Agarwal charts and 29.1% by WHO, 2007reference. Good agreement existed between the IAP, 2015reference and Agarwal charts in classifying subjects intodifferent BMI categories (Kappa=0.82) and short stature(Kappa=0.99).Conclusions:
In view of differences noted, use of nationalpopulation derived reference data is suggested to correctlydefine growth trajectories in children.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Revista:
Indian Pediatr
Ano de publicação:
2020
Tipo de documento:
Artigo
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