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A Study on New IAP 2015 Growth References in Rural South Indian Children

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Abstract

Objectives

To ascertain the utility of the new pan Indian 2015 IAP references in rural South Indian children and the ability of new IAP charts to recognise children with abnormal cardiometabolic risk factors in 10 to 16 y age group.

Methods

Among school health camps conducted at two centres of Tamil Nadu– rural Vellore and rural Erode- height, weight, waist circumference, blood pressure, triceps skin-fold thickness and body fat percentage were measured by trained pediatricians and Z-scores calculated. The anthropometric measures were studied as per IAP 2015 references and compared to other national and international references. Their utility in identification of malnutrition and cardiometabolic risk ascertained.

Results

A total of 420 children (210 from Erode and 210 from Vellore) in the age group of 10 to 16 y were included in the study. New IAP references recognized more short stature (4.2 vs. 3%), wasting (11 vs. 1.5%) and overweight (14.2 vs. 13.2%) children compared to old IAP charts. The Z-scores of anthropometric measures as per New IAP 2015 references had significant correlation with old IAP and other international data (p < 0.05). It was noted that new IAP charts could detect 83.3%, old IAP chart 50% and WHO 83.3% of subjects with malnutrition. New IAP charts could detect 70.3% cardiometabolic risk associated with over nutrition compared to old IAP (57.4%) and WHO (51.8%).

Conclusions

There is a significant prevalence of both under nutrition and overweight in rural setting. IAP 2015 reference is useful to diagnose children with under nutrition and overweight including abnormal cardiometabolic risk.

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Authors and Affiliations

  1. Department of Pediatrics, Mehta Multispeciality Hospitals India Pvt Ltd, Chennai, Tamil Nadu, India

    Vandana Kuniyedath Chalil, Thangavelu Sangaralingam & Nedunchelian Krishnamoorthy

  2. Department of Pediatric Endocrinology, Mehta Multispeciality Hospitals India Pvt Ltd, Chennai, Tamil Nadu, 600031, India

    Hemchand Krishna Prasad

  3. Department of Pediatrics, Be Well Hospital, Erode, Tamil Nadu, India

    S. A. Mohamed Abdul Nassir

  4. Department of Pediatrics, AA Child Care Centre, Vellore, Tamil Nadu, India

    K. V. Arulalan

Authors
  1. Vandana Kuniyedath Chalil
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  2. Hemchand Krishna Prasad
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  3. S. A. Mohamed Abdul Nassir
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  4. K. V. Arulalan
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  5. Thangavelu Sangaralingam
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  6. Nedunchelian Krishnamoorthy
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Contributions

The study was conceived by HKP. The study was performed by VKC, SAMAN, KVA, HKP. TS was involved in conceptualisation of the study, performance of the study, and preparation of the manuscript. NK was involved in the performance of the study, statistical analysis and preparation of the manuscript. All authors contributed to the manuscript and HKP shall act as a guarantor of the study.

Corresponding author

Correspondence to Hemchand Krishna Prasad.

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Chalil, V.K., Prasad, H.K., Nassir, S.A.M.A. et al. A Study on New IAP 2015 Growth References in Rural South Indian Children. Indian J Pediatr 88, 645–649 (2021). https://doi.org/10.1007/s12098-020-03563-x

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  • DOI: https://doi.org/10.1007/s12098-020-03563-x

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