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COMMENTARY
Year : 2014  |  Volume : 58  |  Issue : 2  |  Page : 110-112

Designing new growth charts for low-birth weight babies: Need of the hour in India


1 Post-Graduate Student, Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
2 Assistant Professor, Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India
3 Director Professor, Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India

Correspondence Address:
Dr. Pritam Roy
Post-Graduate Student, Department of Community Medicine, Lady Hardinge Medical College and Associated Hospitals, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-557X.132286

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Literature reveals theories explaining low birth weight (LBW) babies' unplanned catch-up growth is related to several non-communicable diseases (NCDs) in adult-life. Is the current growth chart as per World Health Organization child growth standards of healthy breast feed infants and young child is applicable for even LBW or small for gestational age babies? There are high chances that these LBW babies who are growing "in their centiles" will be diagnosed as mild or moderate protein energy malnutrition (PEM) in clinical settings as the current diagnostic criteria for PEM do not include birth weight as an indicator. Besides they are encouraged for home based extra caloric food to gain weight and thereby encouraging them to "crossing the percentile" in the growth curve. Do these managements really benefit the baby or are we inadvertently exposing them to increased future risk of adult diseases must be considered seriously. Thus, we may require revision to make a separate standardized growth chart for LBW babies indicating how they should grow.


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