NDLI: Growth charts: do they reflect healthy growth in Sri Lankan children?

Content Provider	Springer Nature : BioMed Central
Author	Wickramasinghe, V. P. Samaranayake, D. B. D. L.
Abstract	Background Anthropometry has been used in the assessment of growth with “normal” range of growth being considered to span within ±2SD of median. Generally the practice is to make a child to grow within this standard deviation (SD) range. This study aims to investigate the hypothesis that all children with anthropometrical parameters within the designated “normal growth range” (within ±2SD of median), have a healthy body composition irrespective of the SD value. Results Five to 15-year-old apparently healthy Sri Lankan children were studied. SD scores for height, weight and BMI, for age were calculated based on WHO 2007 standards. Sample was stratified according to age, sex, and SD score. %FM (assessed by isotope dilution methods using D2O) was compared between each SD group of each anthropometric parameter for gender and age. There were 278 (M/F:154/124) children. Non-parametric Kruskal–Wallis test revealed that the %FM of children differed significantly between SD groups even when they were within the accepted “normal limits of growth” and had higher levels of %FM in the upper SD groups. Conclusions This study shows that Sri Lankan children have unacceptably high body fat at levels that have been designated by growth charts as “normal”. Children who are positioned at a higher SD score, +1 to +2SD, (within normal range) in the weight for age and BMI for age charts are mainly due to the deposition of fat rather than the growth in both fat and fat free compartments of body. Therefore the implication of using current cutoff values would be leading to the accumulation of excess fat in the body of those with higher SD values, but still considered to be within “normal” limits. Therefore in the absence of local standards, it would be important to revise the cutoff values of the WHO growth charts to suite Sri Lankan children which would be between −3SD and +1SD.
Related Links	https://bmcresnotes.biomedcentral.com/counter/pdf/10.1186/s13104-016-2016-4.pdf
Ending Page	5
Page Count	5
Starting Page	1
File Format	HTM / HTML
ISSN	17560500
DOI	10.1186/s13104-016-2016-4
Journal	BMC Research Notes
Issue Number	1
Volume Number	9
Language	English
Publisher	BioMed Central
Publisher Date	2016-04-09
Access Restriction	Open
Subject Keyword	Biomedicine Medicine Public Health Life Sciences Growth charts Sri Lankan children Fat mass Medicine/Public Health
Content Type	Text
Resource Type	Article
Subject	Biochemistry, Genetics and Molecular Biology Medicine
Journal Impact Factor	1.6/2023

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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