Title : Quantifying Human Growth Using Quantile Regression Percentiles for Body Surface Area (BSA): A Case Study of Pakistan
Abstract:
Establishing growth charts is one of the most important steps in establishing normal development standards and identifying possible patterns in human growth. The purpose of this study is to examine how well body surface area (BSA) and quantile regression (QR) percentiles perform in a Pakistani population. Using a dataset of 9906 adult Pakistani citizens from Multan and Bahawalpur, we established BSA growth charts by plotting QR percentiles versus age. The mean BSA is 0.00709±0.00003 (standard deviation). The 85th to 95th percentiles of the QR percentiles showed a diminishing trend in the age range of 5- to 25-year, followed by strong increases in the 25- to 40-year age range and a subsequent decline up to 55-year. BSA rises throughout early adulthood, stabilizes in the Middle Ages, and then declines in old age. The study’s conclusions have a big impact on how growth percentile curves are made for different physiological and pathological conditions. It is possible to create more precise continuous BSA QR percentile curves versus specified ages. Building growth reference curves for the majority of physiological and medical issues affecting children and adolescents may be accomplished using this study. With these curves at their disposal, practitioners will be better equipped to identify deviations from the typical development pattern and comprehend normal growth patterns. The findings of this study emphasize how crucial it is to use QR percentiles when creating BSA growth charts in Pakistani communities. This helps to create growth charts that are more precise and trustworthy for Pakistani children.
Keywords: Human Growth, Obesity; Body Surface Area; Anthropometric Measures; Quantile Regression Percentiles; Growth Charts.

