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The Indian Journal of Pediatrics

, Volume 86, Issue 12, pp 1136–1138 | Cite as

Comparison of Nutrition Status as Assessed by Revised IAP 2015 Growth Charts and CDC 2000 Growth Charts in Lower Socioeconomic Class School Children

  • Sarala Premkumar
  • Padmasani VenkatramananEmail author
  • J. Dhivyalakshmi
  • T. Gayathri
Clinical Brief
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Abstract

This retrospective study was done to compare the nutrition status as assessed by the Revised IAP 2015 and CDC 2000 growth charts in 4011 school children from the lower socioeconomic class, 5 to 16 y of age in Chennai, Tamil Nadu. The anthropometric measurements taken as per standard guidelines were retrieved from the school health records. The data were converted to Z scores and agreement between the two charts was assessed by kappa coefficient using SPSS version 16. The prevalence of overweight/obesity, thinness and stunting was 12.2%, 9.8% and 9% respectively with IAP 2015 charts. The corresponding values are 7.3%, 41.7% and 23% respectively with CDC 2000 charts. Minimal agreement was found for body mass index (BMI) for age (kappa 0.314) and weak agreement for height for age (kappa 0.497). Revised IAP 2015 growth charts diagnose more Indian children with overweight and obesity than CDC 2000 growth charts. The CDC growth chart diagnoses more stunting and thinness.

Keywords

IAP CDC Growth chart India 

Notes

Acknowledgements

The authors gratefully acknowledge the help of Dr. Vaman Khadilkar for sharing the template for conversion of anthropometric measurements to Z scores.

Authors’ Contribution

SP: Data collection, literature search, data analysis and manuscript writing; PV: Literature search, manuscript writing and interpretation. JD: Literature search and data analysis; TG: Data analysis and interpretation. All authors approved the final draft.

Compliance with Ethical Standards

Conflict of Interest

None.

References

  1. 1.
    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.CrossRefGoogle Scholar
  2. 2.
    Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC growth charts for the United States: methods and development. National Center for Health Statistics. Vital Health Stat 11. 2002;246:1–190.Google Scholar
  3. 3.
    Silveria CR, Beghetto MG, Carvalho PR, Mello ED. Comparison of NCHS, CDC and WHO growth charts in the nutritional assessment of hospitalized children up to five years old. Nutr Hosp. 2011;26:465–71.Google Scholar
  4. 4.
    de Onis M, Garza C, Onyango AW, Borghi E. Comparison of the WHO child growth standards and the CDC 2000 growth charts. J Nutr. 2007;137:144–8.CrossRefGoogle Scholar
  5. 5.
    Savitha MR, Kondapuram N. Comparison of 2006 WHO and Indian academy of pediatrics growth charts of under five Indian children. Indian Pediatr. 2012;49:737–9.CrossRefGoogle Scholar
  6. 6.
    Sharma R. Revised Kuppuswamy’s socioeconomic status scale: explained and updated. Indian Pediatr. 2017;54:867–70.CrossRefGoogle Scholar
  7. 7.
    WHO Expert Consultation. Appropriate body- mass index for Asian populations and its implications for policy and intervention strategies. Lancet. 2004;363:157–63.CrossRefGoogle Scholar
  8. 8.
    Cole TJ, Lobstein T. Extended international body mass index cut-offs for thinness, overweight and obesity. Pediatr Obes. 2012;7:284–94.CrossRefGoogle Scholar
  9. 9.
    McHugh ML. Interrater reliability: the kappa statistic. Biochem Med (Zagreb). 2012;22:276–82.CrossRefGoogle Scholar
  10. 10.
    Lohiya N, Khadilkar V, Pawar S, Khadilkar A, Chiplonkar S, Jahagirdar R. Field testing IAP 2015 charts. Indian J Pediatr. 2018;85:723–8.CrossRefGoogle Scholar
  11. 11.
    Khadilkar VV, Khadilkar AV, Cole TJ, Chiplonkar SA, Pandit D. Overweight and obesity prevalence and body mass index trends in Indian children. Int J Pediatr Obes. 2010;6:e216–24.CrossRefGoogle Scholar

Copyright information

© Dr. K C Chaudhuri Foundation 2019

Authors and Affiliations

  • Sarala Premkumar
    • 1
  • Padmasani Venkatramanan
    • 1
    Email author
  • J. Dhivyalakshmi
    • 1
  • T. Gayathri
    • 2
  1. 1.Department of PediatricsSri Ramachandra Institute of Higher Education and ResearchChennaiIndia
  2. 2.Department of Statistics, Allied Health SciencesSri Ramachandra Institute of Higher Education and ResearchChennaiIndia

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