DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20221931

Study of correlation between age of menarche and body mass index in adolescent

Megha Agrawal, Anshul Agrawal

Abstract


Background: Younger age at menarche is associated with higher body mass index (BMI) for adolescents. Obesity has a strong association with infertility and menstrual irregularities. Higher BMI at menarche is associated with an earlier occurrence of menarche.  The timing of menarche was associated with the BMI, waist circumference, thickness of skin fold, but more strongly so with the BMI.

Methods: This cross-sectional study was conducted at Durgapur (West Bengal), where total 600 adolescent girls aged 12-17 years from DAV Model School, Durgapur and GMPS High School, Durgapur were selected.

Results: In studied girls, maximum girls 267 (44.5%) attained menarche at age of 13 years. 129 girls (21.5%) had menarche at age of 12 years. 87 girls (14.5%) had menarche at age of 11 years. 77 girls (12.8%) had menarche at age of 14 years. 39 girls (6.5%) had menarche at age of 15 years. Only 1 girl (0.2%) had menarche at age of 10 years. 119 girls with BMI of <18.5 kg/m2 had mean age of menarche 12.92±1.03 years. 357 girls with BMI of 18.5-24.99 kg/m2 had mean age of menarche 12.74±1.07 years. 124 girls with BMI of >25 kg/m2 had mean age of menarche 12.60±1.07 years.

Conclusions: Mean age of menarche in adolescent girls was 12.75±1.06 year. Mean BMI was found 21.6±3.64 kg/m2. High BMI girls had earlier menarche, comparatively to normal BMI girls and underweight girls.


Keywords


Menarche, BMI, Adolescent girls

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References


Cheng G, Buyken AE, Shi L, Karaolis-Danckert N, Kroke A, Wudy SA, Degen GH and Remer T. Beyond overweight: nutrition as an important lifestyle factor influencing timing of puberty. Nutr Rev. 2012;70(3):133-52.

Begum J, Hossain AM, Nazneen SA. Menstrual pattern and common menstrual disorders among students in Dinajpur College. Dinajpur Med Col J. 2009;2:37-43.

Padubidri VG, Daftary SN. Shaw’s textbook of gynaecology. 14th Edition. Noida: Reed Elsevier India Pvt. Ltd. Chapter 4, Paediatric Gynaecology, Adolescent Problems & Puberty. 2008;44-5.

Wiksten-Almströmer M, Hirschberg AL and Hagenfeldt K. Menstrual disorders and associated factors among adolescent girls visiting a youth clinic. Acta Obstet Gynecol Scand. 2007;86:65-72.

Kantachuvessiri A. Obesity in Thailand. J Med Assoc Thai. 2005;88(4);554-62.

Program for Appropriate Technology in Health (PATH). Adolescent Reproductive Health. Seattle: PATH. 2004.

United Nations. World population prospects: The 1998 revision. Volume I: Comprehensive tables. New York: United 82 Nations, Department of Economic and Social Affairs, Population Division 1999.

Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002;110:903-10.

Larsen GP. Obesity related knowledge, attitudes and behaviours in obese and non-obese urban Philadelphia female adolescents. Obesity Research. 2001;9:112-18.

United Nations. World Population Prospects: The 2000 revision. Volume II: The sex and age distribution of the world population. New York: United Nations. 2001.

He Q, Karlberg J. BMI in childhood and its association with height gain, timing of puberty and final height. Pediatr Res. 2001;49:244-51.

Chowdhury S, Shahabuddin AK, Seal AJ, Talukder KK, Hassan Q and Begum RA. Nutritional status and age at menarche in a rural area of Bangladesh. Ann Hum Biol. 2000;27:249-56.

World Health Organization. Programming for adolescent health and development. Report of a WHO/UNFPA/UNICEF study group on programming for adolescent health. Geneva: World Health Organization. 1999.

International Institute for Population Sciences (IIPS) & ORC Macro. National Family Health Survey (NFHS-2), 1998- 99: India, Mumbai: IIPS. 2000.

Herman-Giddens ME, Slora EJ, Wasserman RC, Bourdony CJ, Bhapkar MV, Koch GG. Secondary sexual characteristics and menses in young girls seen in office practice: A study from the paediatric research in office settings network. Pediatrics. 1997;99(4):505-12.

World Health Organization task force on adolescent reproductive health. World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls. A multicenter cross-sectional study of menarche. J Adolesc Health Care. 1986;7:229-35.