Gomez Classification ≤ 60% weight for age: Grade III malnutrition 61-75% weight for age: Grade II malnutrition 76-90% weight for age: Grade I malnutrition >90% weight for age : Normal.
Indian Academy of Pediatrics (IAP) Classification ≤50% weight for age: Grade IV 51-60% weight for age: Grade III malnutrition 61-70% weight for age: Grade II malnutrition 71-80% weight for age: Grade I malnutrition >80% weight for age : Normal
Jellief classification < 60% of weight for age: Grade III 60-80% of weight for age: Grade II 80-90% of weight for age: Grade I 90-110 % of weight for age: Normal
Classifications based on Height for Age:
Mclaren’s classification < 80%: dwarf 80-93%: Short 93-105%: Normal
Water low’s classification <85% expected height for age: Severe retardation 85-90% expected height for age: Moderate retardation 90-95% expected height for age: Mild retardation >95% expected height for age: Normal
Classifications based on Weight for Height: Water low’s classification based on height for age and weight for height.
NormalWeight for height ≥ 80% standard Height for age ≥ 90% standard Stunted : Weight for height ≥ 80% standard Height for age < 90% standard Wasted : Weight for height < 80% standard Height for age ≥ 90% standard Wasted and stunted : Weight for height < 80% standard Height for age < 90% standard
Body Mass Index (BMI): The ratio of weight in kg/Height2 mts is referred to as Body Mass Index. BMI has good correlation with fitness. It also can be used as an indicator of health risk.
Chronic energy deficiency Grade-III severe Chronic energy deficiency Grade-II Moderate Chronic energy deficiency Grade-I Mild Low weight –Normal Normal Obese grade-I Obese grade-II
< 16.0
16.0-17.0
17.0-18.50
18.5-20.0 20.0-25.0 25.0-30.0 >30
BMI classification, as suggested by WHO (for Asian Population) 20.0-23.0-Normal 23-30-over weight 30-35-obesity I 35-40-obesity II ≥40- obesity II
Broka’s Index Height in cms -100=Ideal weight (kg) Broka’s Index correlates with BMI and weight/height
These ratios are generally termed as body mass indices/obesity indices as those ratios are highly correlated with obesity. Advantages of Weight/Height ratios
Relative Weight/Height indices-Expressed weight of a person as percent of average weight of persons of the same height. Power type indices -Weight relative to some power function of height or height relative to some power function of weight
P is derived from weight/height ratio and the regression coefficient of weight or height for age, sex and population.
Waist and Hip Circumference Ratio: A waist hip ratio >1.0 in men and >0.8 in women is indication of android obesity and increases the risk of atherosclerosis.
Waist circumference Waist circumference predicts mortality better than any other anthropometric measurement. It has been proposed that waist measurement alone can be used to assess obesity and two levels of risk have been identified.
Male
Female
Level 1
>94cm
>80cm: max acceptable
Level 2
>102 cm
>88cm: Obesity
Best set of measurements/Indices found useful for nutritional status.
Participants