Indian Journal of Endocrinology and Metabolism (Jan 2021)

Comparison of nutritional status of under-five Indian children (NFHS 4 Data) using WHO 2006 charts and 2019 Indian synthetic charts

  • Vaman Khadilkar,
  • Veena Ekbote,
  • Ketan Gondhalekar,
  • Anuradha Khadilkar

Journal volume & issue
Vol. 25, no. 2
pp. 136 – 141


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Introduction: There is a growing body of evidence against using World Health Organization (WHO) charts for developing nations. Our objectives were: 1) To compare nutritional status of -0.5 (clinically significant), whereas on WHO charts all wealth classes had WHZ <-0.5. For children under the age of 6 months, WHZ from richest to poorest was between -0.97 and -0.89 by WHO and 0.27 and 0.38 by SC. Conclusions: Use of Indian synthetic growth charts for growth monitoring of under-five children may be more appropriate; infants under 6 months and children from well off families performed well on these charts.