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This paper proposes method of construction of Growth-and-Obesity Roadmaps 4.0 of families, with adult parents (father over-21; mother over-19) and their young children. Obesity Roadmap 2.5 is, still, applicable for parents. Scalar Roadmaps 4.0 are applicable to youngsters 9.5-year old or above but below 20 years. Vector Roadmaps 4.0 are applicable for children, who are below 9.5 years. The major change in Growth-and-Obesity Roadmaps 4.0 is the choice of reference height. Reference-height percentile is now taken as the maximum of CDC percentile of measured height, percentile of mid-parental height, percentile of (gender and country specific) army cutoff height and percentile of median of community-based height standard (CDC percentile valued at 40P as suggested in 2015). Refined statuses (pertaining-to-height) and (pertaining-to-mass) now replace modified statuses (pertaining-to-height) and (pertaining-tomass), with corresponding depictive statuses in place of descriptive statuses. Complex status (pertaining-to-height-andmass) is constructed by combining real part, refined status (pertaining-to-mass), divided by 100; imaginary part, refined status (pertaining-to-height,) divided by 100 and multiplied by iota. Another innovation in this work is the introduction of instantaneous tallness and true tallness as well as instantaneous stunting and true stunting. Instantaneous tallness (stunting) exists when refined status (pertaining-to-height) is positive (negative). True tallness (stunting) is present when the difference of reference percentile and CDC percentile-of-height vanishes (is positive). Combined with definitions of instantaneous obesity (wasting) and true obesity (wasting), replacing refined status (pertaining-to-mass) in place of modified status (pertaining-to-mass), the categories of nutritional status are enhanced to 23 from 19. The new categories introduced are true over-nutrition, true under-nutrition and true energy-channelization I-II.
Syed Arif Kamal, Mohummed Khalid Rajput, Ashfaq Ali Naz, Nida Jamil. (2021) GROWTH-AND-OBESITY ROADMAPS 4.0 OF THE PAKISTANI CHILDREN — THE NINTH-GENERATION SOLUTION OF CHILDHOOD OBESITY, , Volume 18, Issue 1.
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