scholarly journals A community based study on age of menarche among adolescent girls in Aligarh

Author(s):  
Farha Tarannum ◽  
Najam Khalique ◽  
Uzma Eram

Background: Age at menarche reflects the health status of a population. This marks the beginning of sexual maturation and is affected by various factors. This study measured the menarcheal age of adolescent girls in Aligarh and explored factors that could influence the onset of menarche.Methods: A descriptive cross-sectional study in schools under Aligarh Muslim University, Aligarh was undertaken. A total of 422 girls were taken by systematic random sampling with probability proportionate to size. Data was analysed statistically by ANOVA and post hoc Scheffe test using SPSS Version 20.Results: Majority of the study population (69.9%) had attained menarche between 12-14 years. The mean age of menarche is 12.52±1.415. On analysis of variance (ANOVA) testing, the age of menarche was significantly associated with socioeconomic class (p=0.002). On applying post hoc Scheffe test there was a significant difference in the mean age of menarche between class 1 and class 5 (p=0.01).Conclusions: In this study most of the girls attained menarche between 12-14 years. Socio economic class and birth order had influenced the age of menarche. Mothers were main source of information on attainment of menarche. 

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.


2021 ◽  
Author(s):  
Muh Isral Marlis

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.Keywords: Menarche, adolescent, nutritional status.


2011 ◽  
Vol 51 (4) ◽  
pp. 213
Author(s):  
Syamsir Alam ◽  
Hakimi Hakimi ◽  
Tiangsa Sembiring ◽  
Melda Deliana ◽  
Siska Mayasari Lubis

Background Dysmenorrhea is a common gynecological symptom reported in adolescent girls. Prevalence of the condition has been reported to be 45 - 75%. Absenteeism from work and school as a result of dysmenorrhea is common (13 - 51% of women have been absent at least once, and 5 - 14% are often absent due to the severity of symptoms).Objective To compare school performance in pubertal adolescent girls with and without dysmenorrhea.Methods This cross-sectional study was conducted in June 2010 in adolescent females aged 12 - 18 years from the Musthafawiyah School, Mandailing Natal district, North Sumatera. Adolescent females with and without dysmenorrhea were recruited for this study. All participants completed questionnaires including age of menarche, length of menstrual cycle, length of bleeding, number of sanitary napkins used daily and school absences. School reports from two consecutive semesters in one year were used to evaluate subjects’ academic performance. An academic score of higher than 7.5 was considered good performance while scores of less than 7.5 were considered poor. We used the chi-square test to analyze differences in school performance between girls with and without dysmenorrhea.Results One hundred and sixteen participants were divided into 2 groups, those with and without dysmenorrhea, of 58 subjects each. We found no significant difference in school performance between the two groups, P=0.176 (95% CI -0.009 to -0.048 and P=0.08 (95%CI -0.052 to 0.024).Conclusion There was no significant difference in school performance of girls with and without dysmenorrhea.


Author(s):  
Shantanu Sharma ◽  
Devika Mehra ◽  
Charu Kohli ◽  
M. M. Singh

Background: Menarche is an important milestone in the life of a girl which signifies the onset of fertility in a woman. To understand the health consequences and importance of menstrual hygiene practices among adolescent girls, it is important to study the current practices about the same so that future interventions can be planned accordingly.Methods: This study adopted a cross-sectional study design. A total of 85 adolescent girls (10-19 years old) were interviewed by the investigator over a period of 3 months (Jan-Mar 2015). Data were analyzed using the software SPSS version 17.Results: Out of 85 adolescent girls studied, the majority was between 15 to 19 years. In our study 71(83.5%) out of 85 adolescent girls had already started their menstruation. The mean (±SD) age of menarche in the study subjects was 11.4±5.3 years. Around 33 out of 71 (46.4%) girls practiced different restrictions during menstruation. Out of 71 (85.9%) girls used sanitary pads during menstruation. In cases of reused cloth, the place of its drying was observed, responses stated were; outside the house in sunlight in 1 (5.8%) girl, 14 (82.2%) dried them inside the house, and 2 (11.7%) girls dried them outside in a dark place.Conclusions: It is imperative to strengthen the menstrual hygiene management (MHM) programs of the country and have a greater outreach. Multiple strategies need to be used to address this such as education on reproductive health and menstruation provided in schools, media campaign’s and improving water and sanitation for improving school retention of adolescent girls and their overall health.


1970 ◽  
Vol 7 (1) ◽  
pp. 24-29
Author(s):  
Shama Nawaz ◽  
Rozina Khalid ◽  
Nandlal Serani

Background: Menstruation is a major stage of puberty in girls, one of the many physical signs that a girl is turning into a woman. Women having better knowledge about menstrual hygiene and safe practices are less vulnerable to RTI and its consequences. Therefore, increased knowledge about menstruation right from childhood may escalate practices and may help in mitigating the suffering of millions of women. This study carried out to gather information regarding menstruation, hygiene related practices and its related problems among adolescent girls along with to review perceptions, belief and expectations regarding menstruation among adolescent girls. Methods: A Cross-sectional study was conducted, 314 girls of 12 to 15 years were identified as sample from 5 girls high schools. Pre tested pre designed questionnaire was used. Data were analyzed by using SPSS (Version 22). Descriptive statistics used to determine mean age of the subjects, age at menarche, frequency of menstrual disorders and activities affected by this condition. Results: Mean age of the sample was 14.25 years, with mean age of menarche 12.6 years. 52.6% of the girls belong to the mothers who are illiterate. 50.7% girls were aware of menstruation before menarche with major source of the information is mother (71.2%). 97.8% perceived menstruation as a normal process. 55.1% participants said they missed their school during menstruation. 96.4% experiencing pain and cloth was most common source of absorbent used by 60.2%. Conclusion: Mothers are the main source of information for young girls. Major reason for absenteeism from school was fear of stain, it has been suggested through cleanliness available for changing absorbent (pad/cloth) the ratio of absenteeism can be reduce.


2020 ◽  
Vol 32 (2) ◽  
pp. 444-446
Author(s):  
Narayan Namboothri G ◽  
Varghese Iybu Chacko ◽  
Anusha Rashmi ◽  
Shreyaswi Sathyanath ◽  
Manjula Anil

Hormones, life style, animal proteins etc are factors that influence menarche. Like-wise a declining trend in age at menarche has been noticed over the past few years. This study was taken up with the objectives to study factors that are associated with menarche in our study population. Hence a school-based cross-sectional study was undertaken for the same which showed the mean age of menstruation was 12.5 years. It was significantly influenced by milk intake (p <.05). Mothers’ age at menarche was also found to be significantly associated with their daughters’ age at menarche. Conclusion: This study provides an insight into determining factors affecting age of menarche, focusing on dietary and maternal factors. Milk consumption was found to be an important factor.


Author(s):  
Lukman Pura ◽  
Ria Bandiara ◽  
Rubin S Gondodiputro

Sclerostin is a glycoprotein expressed by osteocytes and plays a role in bone turnover in themetabolism of the bone. Sclerostin blocks the formation of a ligand with its receptor on theWnt/β-catenin pathway, and influences the activity of osteoblasts. Sclerostin also influencesmineral and bone disturbances in CKD via the interaction between kidney, bone and vascularaxis. The concentration of sclerostin will rise especially in patients with ESRD undergoingdialysis. Concentration of sclerostin has not been reported yet in non-dialysis CKD patientstage 3-5 and the aim of this study is to see sclerostin concentration on those population. Methods This is a descriptive and cross-sectional study designed to measure sclerostinconcentration in non dialysis patients with CKD stage 3-5. The sclerostin concentration ismeasured using an enzyme-linked immunosorbent assay kit. CKD stages are diagnosed usingthe KDIGO-2012 criteria which measures the estimated GFR (eGFR) with the formulation of EPICKD. Fifty six patients with CKD stage 3-5 were enrolled in this study and one way ANOVA comparative test followed with a post hoc analysis using Benferroni test to analysethe data. Results The mean concentration level of serum sclerostin in this population is (79.7+ 41.2) pmol/L, and in patients with CKD stage 3, CKD stage 4, and CKD stage 5 are (59.6 +28.5) pmol/L, (71.9 + 42.2) pmol/L and (96.7 + 39.8) pmol/L respectively. The comparativetest of mean concentrations of the serum sclerostin between stages of CKD are statisticallysignificant with a p=0.022. The post hoc analysis of serum sclerostin concentration betweenCKD stage 3 and CKD stage 5 have a significant difference with a mean of 37 pmol/L andp=0.037. Conclusion, The serum sclerostin concentration rise in accordance with the declineof kidney function in patients with pre-dialysis CKD stage 3-5.


2021 ◽  
Vol 48 (1) ◽  
Author(s):  
Eman A. Baraka ◽  
Mona G. Balata ◽  
Shereen H. Ahmed ◽  
Afaf F. Khamis ◽  
Enas A. Elattar

Abstract Background This study aimed to measure the serum and synovial interleukin (IL)-37 levels in rheumatoid arthritis (RA) patients compared to patients with primary knee osteoarthritis (PKOA) and healthy controls and to detect its relation to RA disease activity. Results This cross-sectional study included 50 RA patients with a mean age of 40.24 ± 8.62 years, 50 patients with PKOA with a mean age of 56.69 ± 4.21, and 40 healthy controls with a mean age of 41.75 ± 7.38 years. The mean serum IL-37 level in the RA patients (382.6 ± 73.97 pg/ml) was statistically significantly (P < 0.001) the highest among the studied groups; however, it showed a non-significant difference between the PKOA patients (70.38 ± 27.49 pg/ml) and the healthy controls (69.97 ± 25.12 pg/ml) (P > 0.94). Both serum and synovial IL-37 levels were significantly positively correlated with disease activity scores (r = 0.92, P< 0.001 and r = 0.85, P < 0.001), tender joint counts (r = 0.83, P < 0.001 and r = 0.82, P < 0.001 ), swollen joint counts (r = 0.72, P < 0.001 and r = 0.60, P < 0.001), visual analog scale (r = 0.82, P < 0.001 and r = 0.82, P < 0.001), erythrocyte sedimentation rate (r = 0.75, P < 0.001 and r = 0.65, P < 0.001), and C-reactive protein (r = 0.93, P < 0.001 and r = 0.79, P < 0.001), respectively. Conclusion Serum and synovial IL-37 were significantly elevated in the RA patients, and they were closely correlated. Being less invasive, the serum IL-37 could be a marker of disease activity and could reflect the effective disease control by drugs. Having an anti-inflammatory effect could not suggest IL-37 as the key player to control inflammation alone, but its combination with other anti-proinflammatory cytokines could be investigated.


2017 ◽  
Vol 30 (2) ◽  
pp. 219-226
Author(s):  
Marcia Regina da Silva ◽  
Lucimare Ferraz ◽  
Fátima Ferretti ◽  
Cristiane Sfredo

Abstract Introduction: Flexibility is an essential component of physical aptitude that reduces the incidence of muscle distention and improves movement efficiency and posture. Objective: To analyze posterior chain flexibility and lower back pain (LBP) in farm workers from a city in western Santa Catarina state, Brazil. Methods: Quantitative and cross-sectional study conducted with 185 rural workers, average age of 44.24 (±10.83) years. The Rural Worker Health Questionnaire, containing individual issues related to work; sit and reach box, goniometer, visual analog scale (VAS) and Oswestry and Roland-Morris questionnaires were used to evaluate posterior chain flexibility, hamstring muscle length, pain and lumbar spine dysfunction, respectively. Flexibility was compared with the degree of dysfunction using one-way ANOVA followed by the Bonferroni post hoc test. Results: 181 (97.8%) workers reported LBP symptoms: 100% of the women and 95.2% of the men. The average Oswestry score was 7.09 (±8.25), Roland-Morris 1.22 (±1.63), and VAS 5.81 (±2.5). Average flexibility by the sit and reach test (SRT) was 23.91cm (±18.81); straight leg raise (SLR), 66° (±11.77) and popliteal angle 123.21° (±12.45). There was a significant difference in the popliteal angle (p = 0.003) and SLR (0.001) when compared with the degree of dysfunction. Women showed significant differences in all tests; however, the post hoc test showed a significant difference only in the SRT (p = 0.013), and women with minimal dysfunction had greater flexibility in relation to those with severe dysfunction. Conclusion: Self-reported LBP was severe and women with higher levels of dysfunction exhibited less posterior chain flexibility.


2019 ◽  
Vol 41 (1) ◽  
pp. 83-88 ◽  
Author(s):  
Fabiana Baggio Nerbass ◽  
Edcléia Regina Canzi ◽  
Renata dos Anjos Araujo ◽  
Dyane Corrêa ◽  
Rafaela Gonzaga dos Santos ◽  
...  

Abstract Introduction: Hyperphosphatemia is associated with unfavorable outcomes, and the percentage of patients presenting with this condition in hemodialysis (HD) in kidney foundation units in the state of Santa Catarina (SC) is historically higher than that of patients in the state of Tocantins (TO). Objective: To assess the frequency of consumption of the main dietary sources of phosphorus and to compare them between the two states. Methodology: A cross-sectional study was carried out involving 123 patients, 66 of SC and 57 of TO: 52% were men, average age was 46.9 ± 15.7 years, and mean HD time 48 (57-71) months. A food frequency questionnaire (FFQ) with 33 items that are dietary sources of phosphorus was applied. A consumption score was calculated for sources of organic, inorganic, and total phosphorus, and the six-month average of phosphatemia was obtained. Results: The mean phosphatemia of SC patients was higher (6.2 ± 1.5 vs 4.7 ± 1.3 mg/dL, p <0001) than TO patients, as well as the prevalence of hyperphosphatemia (62% vs 28%; p <10001). In the total sample, the foods most frequently consumed were milk and beans. Comparing the frequency of consumption between the two states, a significant difference was found in 17 items. In TO, beef and beans were the foods most frequently consumed, and in SC, fourteen other items of the FFQ (pork, sausages, dairy products, etc.) were the most frequently consumed. Phosphatemia correlated with the frequency of consumption of inorganic phosphorus sources. Conclusion: the frequency of consumption of several items was different between the states, and this explains the differences in phosphatemia between the two regions.


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