FACTORS AFFECTING THE RECEDING AGE OF ONSET OF MENARCHE IN YOUNG GIRLS – AN OBSERVATIONAL STUDY

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.

Download Full-text

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182887 ◽

2018 ◽

Vol 7 (7) ◽

pp. 2813

Author(s):

Noor Dharmarha ◽

Anuradha Konda

Keyword(s):

Age Of Onset ◽

Strong Association ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Age At Menarche ◽

P Value ◽

Cross Sectional ◽

Factors Associated ◽

Urban Indian ◽

Age Of Menarche

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.

Download Full-text

Age at menarche in urban school-going girls: association between socio-economic status, BMI and physical activity

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20210219 ◽

2021 ◽

Vol 8 (2) ◽

pp. 666

Author(s):

Amrita Behel ◽

Leena Raje

Keyword(s):

Physical Activity ◽

Socioeconomic Status ◽

Disease Risk ◽

Age Of Onset ◽

Economic Status ◽

Pubertal Development ◽

Age At Menarche ◽

Older Children ◽

Activity Data ◽

Genetic And Environmental Factors

Background: Menarche, one of the most reliable markers of pubertal maturity, is a result of a complex interplay between genetic and environmental factors. Since accelerated pubertal development is an important determinant of prognostic disease risk, especially in developing countries, attention must be focused on this important public health aspect. Methods: Total 200 school-going girls aged between 10-15 years studying in municipal, public-funded and private schools in Mumbai were included in the study based on the inclusion criteria of having attained menarche only in the last three months. Sociodemographic and anthropometric details were collected using a structured schedule and physical activity data was collected using the physical activity questionnaire for older children and adolescents.Results: Socioeconomic status and family size were found to significantly influence the age of onset of menarche (p<0.001). Anthropometric indices of height, weight and BMI were found to have significant negative correlations indicating that taller, heavier girls reached menarche earlier than their shorter and lighter peers (p<0.000). Level of physical activity was also found to be an important contributing factor to age at menarche such that a higher level of physical activity was observed in girls with higher mean menarcheal age (p<0.000). Conclusions: Age at menarche was found to be influenced by factors such as socioeconomic status, BMI and physical activity.

Download Full-text

Prevalence and factors affecting tobacco use among urban adolescents in Bhilai city, central India

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20181223 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1492 ◽

Cited By ~ 1

Author(s):

Snehamayee Nayak ◽

Abhisek Mishra

Keyword(s):

Tobacco Use ◽

Age Of Onset ◽

Economic Status ◽

Smoking Habit ◽

Central India ◽

Indian States ◽

Factors Affecting ◽

Predicting Factors ◽

Premature Deaths ◽

Part Time

Background: Most tobacco users initiate their smoking habit quite young, upto 10 yrs of age. The physiological and psychological changes in this phase of life with an inquisitiveness to become autonomous enhance their vulnerability for addiction, tobacco use and dependency. its use during adolescence are likely to continue the use into adulthood and contribute to the 90 per cent of premature deaths among tobacco users. In this context the prevalence, patterns and correlates of tobacco use are studied among adolescent of urban slums of Bhilai city, Chhattisgarh India.Methods: Total 172 adolescents within the age group of 10-19 yrs, across 30 slums of Bhilai city are taken by cluster random sampling. They have been administered a self-administered questionnaire incorporating standardized instruments.Results: Of the 172 study respondents, the overall lifetime prevalence of tobacco use is 25 per cent (18% boys and 7% girls). Among users category the prevalence of tobacco use increased from 2.3 per cent at 10-14 yrs to 58.2 per cent at 18-19 yr. The mean age of onset of tobacco use was 14.8±3.1 yr. The prevalence is higher among subjects belong to lower socio-economic status and those with part-time jobs. Tobacco users had significantly higher rates of use of alcohol (90%) than tobacco non users (7.8%). They are having any form of stress in family (55% vs. 31.5%), more severe psychological distress (65 vs. 25.6%) and a sense of hopelessness (40 vs. 19%).Conclusions: The prevalence of tobacco use in adolescents reported in this study is relatively higher than those reported from other Indian States. However, it correlates with multiple socio-demographic and familial predicting factors suggesting a need to promote health and holistic interventions to prevent adolescent tobacco use.

Download Full-text

Factors Associated with Age of Menarche Junior High School Student PGRI Pekanbaru

Jurnal Kesehatan Komunitas ◽

10.25311/jkk.vol2.iss1.42 ◽

2012 ◽

Vol 2 (1) ◽

pp. 40-44

Author(s):

Novita Lusiana

Keyword(s):

High School ◽

Socioeconomic Status ◽

Nutritional Status ◽

Junior High School ◽

Junior High ◽

Female Students ◽

P Value ◽

Local Health ◽

Factors Associated ◽

Age Of Menarche

Some recent research suggests the likelihood of an accelerated teenage girls experience menarche, which means the faster entering the reproductive period. The purpose of this study to determine the factors associated with age of menarche girls, including maternal age of menarche, nutritional status and socioeconomic status. This study uses quantitative analytical methods, with cross sectional design, are carried out from March-April 2012 in Junior High School PGRI Pekanbaru. Sampling technique is done by simple random sampling simple random The subject of this study was grade VII and VIII SMP PGRI Pekanbaru numbered 62 people. Measuring instrument used was quesionnaire. Data for bivariate analysis with ChiSquare test. The results obtained most of the girls experienced menarche at normal age of female students by 43 people (69.4%), women who experienced menarche at normal age of mothers was 49 students (79.0%), with significantly by 0.015 (p value <0, 05) with OR = 5,52. Normal nutritional status of as many as 48 students (77.4%), with significantly by 0.022 (p value <0.05) with OR=4,48 and high socioeconomic status of 40 female students (64.5%), amounting to 0.004 exhibited significantly (p value <0, 05 )with OR = 5,65. It is expected to work with officers Care Health Services Youth (PKPR) from the local health center to provide counseling on reproductive health, especially adolescents aged 12-18 years of menarche

Download Full-text

AN OBSERVATIONAL STUDY ON THE FACTORS AFFECTING THE AGE OF MENARCHE

10.36106/ijsr/0821254 ◽

2020 ◽

pp. 31-32

Author(s):

Rahul Kewal Kumar ◽

Anurag Kesarwani

Keyword(s):

Simple Random Sampling ◽

Developed Countries ◽

School Principal ◽

Age At Menarche ◽

Female Doctor ◽

Factors Affecting ◽

Lower Socioeconomic ◽

Effect Of Food ◽

Mother’S Age ◽

Age Of Menarche

INTRODUCTION : Various studies indicate that the average age of menarche has decreased significantly in the last 150 years, which there has been a secular (time-related) trend towards an earlier onset of menarche in most developed countries. In recent years, such a decline has also been observed in developing countries like India. The purpose of the present study was to asses the effect of food and social status on age of menarche in this region. METHODS: Study included 200 girls of age group between 9 to 14 on Voluntary basis after Simple Random Sampling around the schools . After obtaining permission and consent from the school Principal/ class teacher, a predesigned questionnaire was administered and girls were briefly examined by a female doctor. . Detail information about girls and their parents were taken to know the mother’s age at menarche and also to know the socioeconomic status of the family along with other details. RESULTS: Our study shows that age at menarche in higher socioeconomic classes is lower as compare to Lower Socioeconomic class. No significant association between BMI & type of food and average age of menarche was found in our study. CONCLUSIONS: The trend of lowering of age at menarche is well marked as we moved from lower and middle to higher socioeconomic stratum. There is paucity on such data from this region of India; hence further study needs to be done among girls from other areas of the state before the data can be extrapolated to the Indian statistics.

Download Full-text

Age of attainment of menarche and factors affecting it amongst school girls of Gangtok, Sikkim, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20174754 ◽

2017 ◽

Vol 4 (6) ◽

pp. 2187

Author(s):

Madhulata Pandey ◽

Ashish Pradhan

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Age Of Onset ◽

Scientific Data ◽

Age At Menarche ◽

International Studies ◽

Cross Sectional ◽

Indian States ◽

General Physical Examination ◽

Mother’S Age

Background: Studies have shown trends of decreasing age at menarche in most of the Indian states. However, there are no such studies reported from the state of Sikkim.Methods:It was a cross sectional prospective study done in four school across Gangtok town. 430 menstruating girls between the age group 10-19 years were the participants. Data regarding chronological age, menstrual age, diet, mother’s age at menarche and socioeconomic status was collected using self-administered pre-tested questionnaire from the girls and their parents. Height, weight and general physical examination of the girls were done.Results: Mean age of attainment of menarche was 12.52 years. 3% girls were undernourished and 20.70% girls had their body mass index more than 85th percentile. A positive correlation between age of onset of menarche with height (r = 0.282), weight (r = 0.130) and mothers age at menarche (r = 0.549) and negative correlation with body mass index (r = -0.155). Menarche was earlier in girls belonging to lower socioeconomic classes (P <0.001). Peak incidence of menarche was noticed in winter months in this hilly area. Diet, ethnicity and sibling order did not show statistically significant effect.Conclusions:The mean age of menarche in this region is comparable to many Indian states. The major determinant of age at menarche in this study was body mass index and mother’s age at menarche similar to other Indian and international studies. Further similar studies on girls from other parts of Sikkim are needed for scientific data.

Download Full-text

Age at Onset of Menarche and Puberty of Girls in Aydin Region and the Factors Affecting Them

Trends in Pediatrics ◽

10.5222/tp.2021.65375 ◽

2021 ◽

Author(s):

Ebru Ataş Aslan

Keyword(s):

Rural Areas ◽

Age At Onset ◽

Female Students ◽

Age At Menarche ◽

Early Age ◽

Onset Age ◽

Factors Affecting ◽

The Mean ◽

Experienced Physician ◽

Age Of Menarche

INTRODUCTION: In this study, we aimed to determine the range of mean age at onset of menarche (AOM) and puberty (AOP) of girls living in Aydin province and to determine the factors affecting the onset age of menarche. METHODS: A total of 1891 girls aged between 8 and 16 years attending primary, secondary and high schools in Aydin province were planned to be included in the study. A questionnaire that was prepared in line with the literature was delivered to the parents in a closed envelope. The subjects who accepted to participate in the study were examined by an experienced physician by measuring height and weight and pubertal status was defined according to Tanner scale. BMI values were calculated. RESULTS: In total, 1520 female students were accepted to the study with the permission of their families. The mean AOM of participants was 12.11±1.32 years. The mean AOM was 13.12±1.46 years for their mothers, and 12.73±1.25 years for their sisters. June was the month that menarche occurred most frequently. We observed that the children living in rural areas had an earlier age of menarche. The mean age at onset of puberty was 9.71±1.46 years. DISCUSSION AND CONCLUSION: Our study is important in terms of being the first study conducted in Aydin province that determined the mean AOM and AOP of girls aged between 8 and 16. In our study, we showed that the age of menarche shifted to an early age, while the age of puberty did not shift. The age at onset of menarche and puberty were similar to the results obtained in other studies conducted in neighboring regions. We believe that larger scale studies may contribute to assess the actual mean age at menarche of girls living in Turkey.

Download Full-text

Retrospective longitudinal analysis of the effects of postnatal weight gain on the timing and tempo of puberty and menarche in a cohort of Italian girls

10.21203/rs.3.rs-858121/v1 ◽

2021 ◽

Author(s):

Stefano Stagi ◽

Vittorio Ferrari ◽

Simona Stefanucci ◽

Marta Ferrari ◽

Daniele Ciofi

Keyword(s):

Weight Gain ◽

Birth Weight ◽

Weight Change ◽

Age Of Onset ◽

Pubertal Development ◽

Age At Menarche ◽

Z Score ◽

Score Change ◽

Postnatal Weight Gain ◽

Age Of Menarche

Abstract Objectiveover the last few decades there has been a progressive decline in the average age of onset of pubertal development stages in both sexes. The increase in the prevalence of childhood obesity seems to play an important role in this phenomenon.Designwe undertook a retrospective, longitudinal evaluation of the average age of thelarche and menarche to evaluate the relationship between BMI and weight change during the first years of life and the timing and tempo of puberty.Methodswe evaluated data for 577 Italian girls born between 1995 and 2003. We collected the main auxological and clinical parameters, including age at B2 and at menarche, BMI SDS at B2 and menarche, gestational age and birth weight and Z-score change from birth weight (BW) to BMI at B2 and menarche.Resultsthe mean age of B2 was 10.06 ± 1.03 years and the mean age of menarche was 12.08 ± 1.02 years. Age at B2 and menarche were inversely correlated with BMI SDS (p < 0.0001). Both age at menarche and at thelarche have an inverse relationship with the Z-score change from birth weight and BMI at menarche and thelarche respectively (p < 0.0001).Conclusionsour data confirm a significant relationship between BMI and age of B2 and menarche. We observed a clear relationship among weight change during the first years of life, age at thelarche and menarche and the duration of puberty, demonstrating the importance of weight and weight gain in determining the timing and tempo of pubertal changes and growth.

Download Full-text

Factors influencing age at menarche – a school based cross sectional study

Indian Journal of Community Health ◽

10.47203/ijch.2020.v32i02.025 ◽

2020 ◽

Vol 32 (2) ◽

pp. 444-446

Author(s):

Narayan Namboothri G ◽

Varghese Iybu Chacko ◽

Anusha Rashmi ◽

Shreyaswi Sathyanath ◽

Manjula Anil

Keyword(s):

Cross Sectional Study ◽

Age At Menarche ◽

Sectional Study ◽

Cross Sectional ◽

Factors Affecting ◽

School Based ◽

Determining Factors ◽

Study Population ◽

The Mean ◽

Age Of Menarche

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.

Download Full-text