scholarly journals A study of the factors affecting the receding age of onset of menarche in young girls

Author(s):  
Noor Dharmarha ◽  
Anuradha Konda

Background: Present study highlights that the worldwide trend of declining age at menarche is also seen in urban Indian girls. The aim of the study was to evaluate the age of menarche and to find out the factors associated with the timing of menarche.Methods: The study was an observational cross sectional study. 258 healthy, menstruating, adolescent girls aged 10-16 years, were selected by simple random sampling. Pre-designed structured questionnaires were distributed after taking informed consent. Anthropometric measurements were taken using standard techniques. The average age of menarche was calculated. The association of the age at menarche with the proposed factors was analyzed using chi square test and Pearson’s correlation coefficient. “P value” less than 0.05 was considered as significant.Results: The mean age at menarche was found to be 12.23±1.09 years. The study found a strong association between the respondent’s age at menarche and her sister’s age at menarche (p=0.002). The study also found a strong association between age at menarche and the socioeconomic status (p=0.021). This study however found no association of menarcheal age with factors like birth weight, type of diet, frequency of milk intake, body mass index, waist hip ratio, amount of exercise, unstable environment at home and psychosocial stress.Conclusions: The worldwide trend of declining age at menarche is also seen in urban Indian girls. This trend underlines the importance of investigating the factors associated with it and studying the future implications of a lower age at menarche.

2016 ◽  
Vol 5 (3) ◽  
Author(s):  
Rahmat Nurul Yuda Putra ◽  
Ermawati Ermawati ◽  
Arni Amir

AbstrakBeberapa dekade terakhir ini, telah terjadi kecenderungan onset menarche dini yang dikaitkan dengan nutrisi yang lebih baik. Penelitian yang telah ada menemukan penurunan usia menarche yang diiringi oleh peningkatan Indeks Massa Tubuh (IMT) yang terjadi dalam 25 tahun terakhir. Onset menarche yang lebih cepat juga ditemukan pada anak yang gemuk dibandingkan yang kurus. IMT rendah menunjukkan tidak terpenuhinya nutrisi yang dapat mempengaruhi kecepatan tumbuh–kembang anak. Tujuan penelitian ini adalah menentukan hubungan  IMT dengan usia menarche. Penelitian cross-sectional study ini dilakukan terhadap 77 siswi yang dipilih melalui teknik proportional random sampling dan wawancara menggunakan kuesioner. Data yang telah terkumpul lalu dianalisis dengan uji korelasi spearman. Hasil studi ini adalah rata-rata IMT 19,93 (±3,162) kg/m2dan rata-rata usia menarche adalah 11,75 tahun dengan usia termuda 9 tahun dan tertua 14 tahun. Ditemukan adanya hubungan antara IMT dengan usia menarche dengan nilai p=0,000 (p<0,05) dan r=-0,429. Kesimpulan studi ini ialah semakin tinggi IMT, maka semakin cepat terjadi menarche.Kata kunci: IMT, usia menarche, menarche AbstractThe last decades, there has been a trend of earlier onset of menarche is associated with better nutrition. Several studies have found a decrease in age of menarche is accompanied by an increase in Basal Metabolism Index (BMI). Rapid onset of menarche also found in obese children than lean. Low BMI show no fulfillment of nutrients that can affect the growth and development speed in children. The objective of this study was to determine the relationship between BMI with age at menarche. This cross sectional study was conducted on 77 female students who were selected through proportional random sampling technique. The data was collected by questionnaires and interviews, than was analyzed by Spearman correlation test. The results of this study was the average BMI 19.93 (±3.162) kg / m2, and the average age of menarche was 11.75 years with 9 years old as the youngest and the oldest 14 years. There is a correlation between BMI at the age at menarche, with p value=0.000 (p<0.01) and r=-0.429. The conclusion is a higher BMI could cause  more rapidly menarche.Keywords:  BMI, age at menarche, menarche


2014 ◽  
Vol 2 (1) ◽  
pp. 10
Author(s):  
Moushami Ghimire ◽  
Madhusudhan Ghimire

Introduction: Biological, psychosocial, cognitive, emotional and social changes begin during puberty and continue throughout adolescence. The age at which a female reaches sexual maturity is critical in determining her future reproductive health and success. The aim of the study was to assess the average age of sexual feeling and menarche among the adolescent girls and its determinants. Methods: Three hundred fifty five respondents were selected through simple random sampling from three secondary schools (namely Sunrise Boarding School, Swaraswati Secondary School and Gyanjyoti Samudayak Bidhyalaya) in Palpa for the cross-sectional study. Structured interview schedule was used to collect information. Data was tabulated in Microsoft Excel spreadsheet and analyzed with SPSS-16. Results: Most of the girls (44.8%) attained menarche at 12 years (M = 12.4, SD = 1.11). Age at menarche was more likely before 13 years of age when the age of onset of sexual feeling was earlier than 12 years of age, in students than in domestic workers and if they are living with parents than in those not living with parents. Conclusion: The average age of menarche among the adolescent girls was 12.40 years and it could be influenced by age of sexual feeling, occupation and living status of girls.


2020 ◽  
pp. 61-62
Author(s):  
Ramesh H ◽  
Spoorthi S M ◽  
Mounika B ◽  
Ashok B

Background: The time of first menarche is an important milestone in female sexual maturation. Studies have shown trends of decreasing age of menarche in most Indian states. Objective: To trace the factors associated with receding age at menarche and to evaluate the strength of association between those factors with receding age at menarche. Materials and methods: An observational study was done in the schools in Davangere from July 2018 to June 2019. 372 menstruating girls between the age of 9–15 years were included in the study. The participants data regarding chronological age, age of menarche, socioeconomic status, physical activity and diet were collected using a questionnaire. The anthropometric measurements were taken using standard techniques and general physical examination was done for all the participants. Results: The mean age of attainment of menarche was 11.94 ± 1.02 years. The study had a strong association between age at menarche and socioeconomic status (p<0.001). Body mass index (BMI) and waist circumference (WC) was inversely and significantly associated with age of menarche (p<0.01). Conclusion: The world wide trends of declining age of menarche were seen in our study too. The factors affecting being mother’s age of menarche, BMI, Waist circumference and higher socioeconomic status. This underline that further evaluation of factors associated with it and studying future implications of lower age at menarche is important.


2015 ◽  
Vol 2 (3) ◽  
pp. 193
Author(s):  
Riris Lindiawati Puspitasari ◽  
Dewi Elfidasari ◽  
Kun Mardiwati Rahayu

<p><em>Abstrak –<strong> </strong></em><strong>Tahap perkembangan r</strong><strong>emaja ditandai </strong><strong>dengan</strong><strong> perubahan fisik umum </strong><strong>yang di</strong><strong>serta</strong><strong>i</strong><strong> perkembangan kognitif</strong><strong> maupun</strong><strong> sosial.<em> </em>Menstruasi merupakan </strong><strong>proses alamiah organ reproduksi wanita dengan </strong><strong>peng</strong><strong>e</strong><strong>ndalian hormon</strong><strong>. S</strong><strong>alah satu gangguan menstruasi adalah <em>Premenstrual Syndrome</em> </strong><strong>atau</strong><strong> sindrom sebelum haid</strong><strong> atau dikenal juga sebagai </strong><strong>ketegangan sebelum haid</strong><strong>.</strong><strong> </strong><strong>Siklus menstruasi yang tidak teratur, penurunan </strong><strong>level</strong><strong> progesteron dan peningkatan </strong><strong>level</strong><strong> estrogen, stres, usia <em>menarche</em> yang terlalu cepat, dan status gizi</strong><strong> merupakan beberapa faktor penyebab PMS. Penelitian ini bertujuan u</strong><strong>ntuk mengetahui pengetahuan mahasiswi Universitas Al Azhar Indonesia terhadap PMS<em>. </em></strong><strong>Metodologi yang digunakan yaitu studi <em>Cross Sectiona</em></strong><strong><em>l.</em></strong><strong> Populasi sampel penelitian adalah mahasiswi Universitas Al Azhar Indonesia. Variabel independen yang dipilih yaitu pengetahuan, usia <em>menarche</em>, siklus haid, olahraga, nutrisi, produktivitas, dan indeks massa tubuh (IMT). Berdasarkan uji </strong><strong>bivariat dan multivariat regresi logistik tidak ditemukan hubungan yang signifikan antara pengetahuan dengan premenstrual syndrome pada mahasiswi UAI yaitu pengetahuan dengan p value 0,169; OR 0,473; 95% CI 0,163-1,374</strong><strong>. Responden yang memiliki pengetahuan 0,473 kali lebih baik dalam penatalaksanaan <em>premenstrual syndrome</em> daripada responden yang memiliki pengetahuan kurang.</strong><strong></strong></p><p><strong> </strong></p><p><em>Abstract </em><strong>– Adolescent developmental</strong><strong> stage characterized by common physical changes that accompanied the cognitive and social development. Menstruation was known as a natural process of hormonal control in the female reproductive organs. One of menstrual disorders was premenstrual syndrome or syndrome before menstruation or also known as tension before menstruation. Irregular menstrual cycles, decreased levels of progesterone, increased level of estrogen, stress, menarche age, and nutritional status were informed as factors that cause premenstrual syndrome. This study aimed to determine student’s knowledge to premenstrual syndrome. The methodology used was a cross sectional study. The population sample was a student of University Al Azhar Indonesia. The independent variables were selected, namely knowledge, age of menarche, menstrual cycle, exercise, nutrition, productivity, and body mass index (BMI). Based on the test bivariate and multivariate logistic regression found no significant relationship between knowledge with premenstrual syndrome in UAI student that knowledge with p value 0.169; OR 0.473; 95% CI 0.163 to 1.374. Respondents who had knowledge 0.473 times better than others in treatment of premenstrual syndrome.</strong><strong></strong></p><p><strong><em> </em></strong></p><p><strong><em>Keywords</em></strong><em>: Premenstrual Syndrome</em><em>, </em><em>knowlwdge, menstruation, menarche.</em><em></em></p>


Author(s):  
Indra Agussamad ◽  
Maya Sari

Perawat merupakan petugas kesehatan dengan presentasi terbesar dan memegang peranan penting dalam pemberian pelayanan kesehatan.WHO (2013) mencatat, dari 39,47 juta petugas kesehatan di seluruh dunia, 66,7%-nya adalah perawat. Di Indonesia, perawat juga merupakan bagian terbesar dari tenaga kesehatan yang bertugas di rumah sakit yaitu sekitar 47,08% dan paling banyak berinteraksi dengan pasien. Penelitian ini bersifat analitik dengan desain cross sectional study dengan jumlah sampel 72 perawat dengan menggunakan teknik simple random sampling,dan penelitian ini secara univariat dan bivariat dengan Chy-Square yang disajikan dalam bentuk tabel. Hasil menunjukkan bahwa terdapat adanya hubungan yang signifikan antara pengetahuan, pengawasan, motivasi, sikap dan ketersediaan alat terhadap kepatuhan perawat rawat inap dalam menggunakan alat pelindung diri dengan(p-value< 0,05).


2021 ◽  
Author(s):  
Alemayehu Amsalu

Abstract Background: In the globe, on April 2021, 130 million coronavirus cases, around 2.8 million were deaths, 102 million were recovered and 105.2 million were closed cases of COVID-19 reported. On April 2021, the world population were 7.9 billion of which United Nations estimates were 1.65% COVID-19 cases included the Ethiopia in report. The main objective of the study was identify the challenges of in control COVID-19.Methods: The cross-sectional study design was used November to February 2021 in Injibera from Ethiopia. The total 385 respondents using simple random sampling were interviewed. The chi-square test of association and ordinal logistic regression was applied to identify the effect of predictor variables on challenges in control COVID-19.Results: Out of 385 respondents 277(71.95%) were high challenges in control COVID-19 in Injibera. There was a significant relationship with social media and challenges of in control virus (p-value = 0.047). The variables considered social media, housing status and influence were significant relationship with challenges of in control virus (p-value < 5%). Facebook users were the responsible causes of challenges in control COVID-19 (p-value = 0.023). The more social media followed, decreased the occurrence of challenges in control virus. In addition, a unit increase rented, the challenges in control virus decreased by 0.60 times (p-value = 0.009).Conclusion: Winning against the coronavirus together with world couldn’t be a marathon. COVID-19 couldn’t be won without collective global and local effort. It would also need serious thinking, discipline and war against the only virus. COVID-19 war needs in control, the globe should be faced free, coordination and discover scientific methods together.


1970 ◽  
Vol 7 (1) ◽  
pp. 62-65
Author(s):  
Muhammad Faisal Qureshi ◽  
Aneeta Rathore ◽  
Nandlal Seerani ◽  
Sumera Qureshi ◽  
Bisharat Faisal ◽  
...  

Background: Children's health is very important for their better learning and timely nourishment everywhere in the world. Malnutrition among school going children has remained a big challenge in under developed countries. Methods: Cross-sectional study was conducted among 422 children of four Government Primary schools of Qasimabad, district Hyderabad after taking the proper consent and administration approval from the head of school. Multi stage simple random sampling technique was adopted. Study was approved from Institutional review board of Health Services Academy Islamabad. Results: Out of total, 217 (51.4%) were boys and 205 (48.6%) were girls. Mean Height of boys and girls were 128.09 cm (±SD 12.90) and 130.36 cm (±SD 12.50) respectively. Mean Weight of boys was 25.27 Kgs (±SD 6.17) while in girls mean Weight was 26.83 Kgs (±SD 7.03). 17.57 cm (±SD 2.34) was mean MUAC for all participants and mean BMI was 15.42 (±SD 2.02). Prevalent of stunting and wasting were 24.4% and 18.3% respectively. While in 13.7% thinness (BMI for age) was seen. Stunting was statistically significant in girls 9-10 year (p value=.015, CI: .118-.823, OR=.311) and 11-≥12 years (p value=.018, CI: .215-.874, OR=.434). Pallor was more in girls (17%) and Dental caries were higher in boys (20.8%). Insufficient breakfast was done by 347 (82.2%), whereas 75 (17.8%) were doing sufficient breakfast. 341 (80.8%) students became ill during last year, out of that 80 (19%) were having history of hospitalization. Conclusion: Poor polices and lack of food aid interventions regarding health of primary school going children was assessed during this study.


2021 ◽  
Author(s):  
Nurul Asikin

The onset of menarche is part of physical and sexual maturity process. Previous studies have shown that the nutritional status of an adolescenst girl have important influence on the menarche age. The study was designed to determine the age of menarche and its relation to nutritional status of adolescent girls in SMP Negeri 10 Bulukumba. This was an analytical survey with a Cross Sectional Study approach. The sample in this study consisted of 74 people (total sampling), namely all students who had experienced menarche. The result of this study indicate that of the 74 respondents studied, there were 48 respondents had a good nutritional status, 43.75% had experienced normal menarche and 56.25% had experienced abnormal menarche. There were 26 respondents had a malnutrition, 15.38% had experienced normal menarche and 84.62% had experienced abnormal menarche. The results of statistical tests showed that there was an association between the nutritional status and the age at menarche of adolescent girls in SMP Negeri 10 Bulukumba (Pv=0,020; OR= 4,28). It is concluded that nutritional status is significantly associated with the age at menarche in adolesence. A good nutritional status in adolescent girls will experience puberty normally, resulting in normal and uninterrupted menstruation.


2019 ◽  
Vol 7 (10) ◽  
pp. 460 ◽  
Author(s):  
Capai ◽  
Masse ◽  
Gallian ◽  
Souty ◽  
Isnard ◽  
...  

Hepatitis E virus (HEV) is a major cause of acute hepatitis worldwide. In France, hyperendemic areas including Corsica have an anti-HEV Immunoglobulin G (IgG) prevalence higher than 50%. The aim of this study was to determine the seroprevalence of anti-HEV IgG in three adult populations in Corsica and the risk factors associated with antibody detection. Between 2017 and 2019, a total of 930 individuals, including 467 blood donors, 393 students or university staff members and 70 patients from general practice, were tested for the presence of anti-HEV IgG using the Wantai HEV IgG enzyme immunoassay kit and filled a questionnaire. The association between seropositivity and potential risk factors was tested with univariate and multivariate analyses. Out of the 930 samples, 52.3% (486/930) were seropositive—54.4% (254/467) among blood donors, 47.6% (187/393) among university students and 64.3% (45/70) among patients of general practice. Three main risk factors were identified: (i) skinning and butchering (Adjusted Odds Ratio aOR = 2.76, 95% confidence interval [95% CI] [1.51–5.37]; p-value < 10−3), (ii) consumption of a local pork live raw sausage (fittonu) (aOR = 1.95 95% CI [1.45–2.64]; p-value = 10−5), and (iii) increasing age (p-value = 0.003). Seropositivity rates between the different populations were homogeneous after age stratification. This cross-sectional study indicates a high anti-HEV IgG seroprevalence in the Corsican adult population, not significantly different between women and men and increasing with age. This serosurvey also showed homogeneity regarding the exposure to HEV among three different types of populations. Finally, we confirmed the endemicity of Corsica with respect to HEV and identified a strong association between consumption of figatellu/fittonu and the practice of skinning and butchering with the detection of anti-HEV IgG.


Author(s):  
Rakhee Ambade ◽  
Mohan Sagdeo

Background: Population studies on characteristics of menstrual cycles are scarce. Knowledge on this variability is necessary for patient education and to guide clinical evaluation.Methods: A cross sectional study was conducted and 622 school girls were selected randomly. A pretested questionnaire was used to gather data.Results: Mean age of participants was 16.9 ± 1 years. About 92.2% had attained menarche. Probit analysis of the status-quo data yielded median age at menarche of 14.8 (13.9-15.3) years and by recall method to be 15.8 ± 1 years. The mean age at menarche was, significantly, 0.3 years younger for urban females compared with rural ones. Cycle length between 21-35 days was observed in 70.3% of the girls. Mean duration of flow was 4 ± 1.3 days. Menstrual cycles were irregular in 42.8% of the subjects. Overall prevalence of dysmenorrhoea was 72%. and of PMS was 75.4%.Conclusions: Age of menarche was found to be significantly delayed. Considerable number of students complained of dysmenorrhoea and premenstrual symptoms.


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