Body mass index and age of menarche in young girls

  • Dina Olivia Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Melda Deliana Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Supriatmo Supriatmo Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Hakimi Hakimi Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
  • Siska Mayasari Lubis Department of Child Health, University of Sumatera Utara Medical School/H. Adam Malik Hospital, Medan, North Sumatera
Keywords: BMI, menarche, young girl, puberty, nutritional status

Abstract

Background Currently the age at onset of menarche is earlier
than in the past. Nutritional status has an important role in
the onset of menarche. Past studies have shO\vn an association
between body mass index (BMI) in young girls and earlier onset
of menarche.
Objective To assess an association between BMI and age at onset
of menarche.
Methods This crossô€ˆsectional study was conducted in young
girls aged 10 to 15 years from Immanuel Elementary and Junior
High School, Medan in June 2010. We used purposive sampling
to recruit subjects. After subjects underwent height and weight
measurements, we calculated their BMIs. The association between
BMI and initial age of menarche was assessed by Chi square test
(P<O.05 v.ith a 95% confidence interval).
Results Eightyô€ˆfive subjects participated in this study. There were
44 subjects in the 5th􀀊85th percentile ofBMI (nonnoweight), 19
subjects with 85th􀀊95th percentile of BMI (overweight) and 12
subjects in the> 95th percentile ofBMI (obese). All obese subjects
had an earlier onset of menarche at ages 1Oô€ˆ 11 years, compared
to that of nonô€ˆobese subjects (P=O.OOOl).
Conclusion Young girls v.ith BMI > 95th percentile had an
earlier age at onset of menarche than young girls v.ith lower BMls.
[Paediatr lndanes. 2012,52:309-12].

References

1. Pulungan AB. Pubertas dan gangguannya. In: Batubara JBRL,
Tridjaja B, Pulungan AB, editors. Buku ajar endokrinologi
anak. 1 Hed. Jakarta: UKK EndokrinologiAnak dan Remaja
IDA!; 2010. p. 85 ·121.
2. Ozdemir F, Nazik E, Pasinlioglu T. Determination of the
motherly reactions to adolescents' experience of menarche.
J Pediatr Adolese Gyneeol. 2010;23,153·7.
3. Berenjy S, Hanachi P. Relation of obesity and menarche
age among adolescent students. J Fam Reprod Health.
2008;2,173·7.
4. Herman􀁋Giddens ME, Slora EJ, Wasserman RC, Bourdony
CJ, Bhapkar MV, Koch GG, et al. Secondary sexual
characteristics and menses in young girls seen in office
practice: a study from Pediatric Research in Office Settings
ne twork. Pediatrics. 1997;99:505-12.
5. Dattani MT, Hindmarsh PC. Normal and abnormal puberty.
In: Brook CGD, Clayton PE, Bro\Vll RS, editors. Clinical
pediatric endocrinology.5 thed.O xford: Blackwell Publishing;
1995. p. 183-20.
6. Styne DM. Normal growth and pubertal development. In
: Sanfilippo JS, Muram D, Dewhurst J, Lee PA, editors.
Pediatric and adolescent gynecology.2 nd edition.P hiladelphia
Toronto: WB Saunders Company, 2002. p. 2345-55.
7. Ekerbicer HC, Celik M, Kiran H, Kiran G. Age at menarche
in Turkish adolescents in Kahramanmaras, Eastern
Mediterranian region of Turkey. Eur J Contracept Reprod
Health Care. 2007;12,289-93.
8. Golub MS, Collman Gw, Foster PMD, Kimmel CA, De Meyts
ER, Reiter EO, et al. Public health implications of altered
puberty timing.P ediatrics.2 008; 121,S218-30.
9. Euling SY, Herman􀁣Gidden ME, Lee PA, Selevan SG, Juul
A, Sorensen TI, et al. Examination of US puberty􀁣timing
data from 1940 to 1994 for secular trends: panel findings.
Pediatrics.2008;121,SI72-91.
10. Ersoy B, Balkan C, Gunay T, Egemen A. The factors affecting
the relation between the menarcheal age of mother and
daughter. Child Care Health Dev. 2005;31;303-8.
11. Anderson SE, Dallal GE, Must A. Relative weight and
race influence average age at menarche: results from two
nationally representative surveys of US girls studied 25 years
apart. Pediatrics. 2003; 111,844-50.
12. Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan
SR, Berenson GS. Relation of age at menarche to race, time
period, and anthropometric dimensions: the Bogalusa heart
study. Pediatrics. 2002;110:e43.
13. Wyshak G, Frisch RE. Evidence for a secular trend in age of
menarche. N Eng j Med. 1982;306,1033-5.
14. Gam SM, Haskell jA. Fat and growth duting childhood.
Science. 1959;130,1711-2.
15. Kaplowitz PB, Slora EJ, Wasserman RC, Pedlow SE,
Herman􀁣Giddens ME. Earlier onset of puberty in girls:
relation to increased body mass index and race. Pediatrics.
2001; 108,347-53.
16. Rosenfield RL, Lipton RB, Drum ML. Thelarche, pubarche,
and menarche attainment in children with normal and
elevated body mass index.P ediatrics.2 009; 123:84􀁣8.
17. JM Tanner. Growth of adolescents. Oxford:Blackwell
Scientific Publications; 1962. p. 232􀁣6.
18. Frisch RE, Revelle R. Height and weight at menarche and a
hypothesis of menarche. Arch Dis Child. 1971;46,695-701.
19. Musaiger AO. Height, weight, and menarcheal age of
adolescent girls in Oman. Ann Hum Biol. 1991;18:71A.
20. Chang SH, T ,eng Sj, Cheng jY, Chie WC.H eight and weight
change across menarche of schoolgirls with early menarche.
Arch Pediatr Adolesc Med. 2000; 154,880-4.
21. Bau AM, Ernert A, Schenk L, Wiegand S, Martus P, Gruters
A, et al.I s there a further acceleration in the age at onset of
menarche? A cross􀁣sectional study in 1840 school children
focusing on age and bodyweight at the onset of menarche.
Euro j Endoctino!. 2009; 160,107-13.
22. De La Punte ML, Canela J, Alvarez J, Salleras L, Vincens􀁣
Calvet E. A cross􀁣sectional growth study in 954 of the child
and adolescent population of Catalonia (Spain). Ann Hum
Bio!. 1997;240435-52.
23. Wu T, Mendola P, Buck GM. Ethnic differences in the
presence of secondary sex characteristics and menarche
among US girls: the T hird National Health and Nutrition
Examination Survey, 1988􀁣 1994. Pediatrics. 2002; 110:
752-7.
24. Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM,
Johnson CL. Overweight prevalence and trends for
children and adolescents: the national health and nutrition
examination surveys, 1963 to 1991. Arch Pediatr Adolesc
Med.1995;149,1085-91.
25. Yalcin SS, Kinik E. The impact of the sexual maturation
stage of body mass index in adolescent girls.T urk J Pediatr.
1999;41;315-21.
26. Garibaldi L. Physiology of puberty. In: Behrman RE,
Kliegman RM, Jenson HB, editors. Nelson textbook of
pediatrics. 18th ed. Philadelphia: Saunders Elsevier; 2008.
p.2308-9.
27. Stavrou I, Zois C, Chatzikyriakidou A, Georgiou I, Tsatsoulis
A. Combined estrogen receptor a and estrogen receptor jJ
genotypes influence the age of menarche. Hum Reprod.
2006;21;554-7.
28. Stavrou I, Zois C, Ioannidis JPA, Tsatsoulis A. Association
of polymorphism of the oestrogen receptor a gene Mth the
age of menarche. Hum Reprod. 2002;17:1101􀁣5.
29. Burt SA, McGue M, DeMarte JA, Krueger RF, Iacono WG.
Timing of menarche and the origins of conduct disorder.A rch
Gen Psychiatry. 2006;63,890-6.
Published
2012-12-31
How to Cite
1.
Olivia D, Deliana M, Supriatmo S, Hakimi H, Lubis S. Body mass index and age of menarche in young girls. PI [Internet]. 31Dec.2012 [cited 22Dec.2024];52(6):309-2. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/492
Received 2016-09-08
Accepted 2016-09-08
Published 2012-12-31