Department of Pediatrics, Lady Hardinge Medical College and Kalawati Saran Children's Hospital, New Delhi, India.
Delhi Cancer Registry, BR Ambedkar IRCH, All India Institute of Medical Sciences; New Delhi, India.
Indian Pediatr. 2020 Feb 15;57(2):124-128.
To compare the effect of the application of three growth references (Agarwal, 1992; Indian Academy of Paediatrics (IAP), 2015; and World Health Organisation (WHO), 2007) on interpretation of anthropometric parameters in schoolchildren.
Cross-sectional school-based study.
Children 8-15 years studying in one government school and one private school of Delhi.
The age- and gender-specific standard deviation scores of height-for-age and BMI-for-age were estimated for each student enrolled, using the three growth references independently.
The proportion of children with short stature, thinness and overweight/ obesity determined by each growth reference were compared.
A total of 1237 students participated in the study. A significantly higher proportion of children (both sexes) were classified to have short stature using WHO 2007 reference (8.8%) as compared to the Agarwal (3.3%) charts and IAP, 2015 references (3.6%). The combined prevalence of overweight and obesity was highest (34.8%) by the IAP, 2015 reference as against 32% by Agarwal charts and 29.1% by WHO, 2007 reference. Good agreement existed between the IAP, 2015 reference and Agarwal charts in classifying subjects into different BMI categories (Kappa=0.82) and short stature (Kappa=0.99).
In view of differences noted, use of national population derived reference data is suggested to correctly define growth trajectories in children.
比较三种生长参考标准（Agarwal，1992 年；印度儿科学会（IAP），2015 年；世界卫生组织（WHO），2007 年）在解释学龄儿童人体测量参数方面的效果。
横断面学校基础研究。
德里一所政府学校和一所私立学校的 8-15 岁在校儿童。
使用三种生长参考标准，分别为每个入学的学生估计年龄和性别特异性身高年龄和体重身高比的标准差评分。
比较三种生长参考标准确定的身材矮小、消瘦和超重/肥胖儿童的比例。
共有 1237 名学生参加了研究。与 Agarwal 图表（3.3%）和 IAP，2015 参考标准（3.6%）相比，WHO 2007 参考标准（8.8%）分类的儿童（男女）中身材矮小的比例明显更高。与 Agarwal 图表（29.1%）和 WHO，2007 参考标准（29.1%）相比，IAP，2015 参考标准（34.8%）的超重和肥胖综合患病率最高。IAP，2015 参考标准和 Agarwal 图表在将受试者分类到不同 BMI 类别（Kappa=0.82）和身材矮小（Kappa=0.99）方面具有良好的一致性。
鉴于注意到的差异，建议使用国家人群衍生的参考数据来正确定义儿童的生长轨迹。
