BibTex RIS Cite

Determination of the mean age at menarche and factors affecting menarche in girls in Isparta Original Article

Year 2008, Volume: 43 Issue: 2, 50 - 54, 01.06.2008

Abstract

Aim: To determine nbsp; the mean age at menarche MAM nbsp; factors affecting menarche and nbsp; menstrual cycle properties of girls living in Isparta Material and Method: After obtaining nbsp; approval from The Ethics Committee 948 girls who had nbsp; menarche and attended 7 primary and 3 high schools nbsp; were included in the study All participants were given questionnaire forms which queried the MAM of their own and their members family and menstrual cycle properties life style nutritional properties and socio economical status The Children were asked to fill out the forms with their parents Weight and height measurements were made by using standard devices and body mass index was calculated In addition breast development of all subjects were evaluated according to Tanner Classification Results: The MAM were determined as 12 6 ± 0 03 years The MAM values of the participants were found to be significantly lower than the MAM values of the mothers and elder sisters There was a positive correlation between the age at menarche of individuals and both nbsp; their mothers and elder sisters A negative correlation was found between the age at menarche and body mass index values of the subjects 2 and 2 SDS values for the age at menarche were found 10 6 and 14 7 years respectively No menarche was observed in any individual with Tanner nbsp; breast stages 1 and 2; menarche was detected in 16 8 of the subjects with Tanner stage 3 and 50 8 of the subjects with Tanner nbsp; stage 4 The season of the menarche was winter and summer in most of the subjects 62 1 of the participants expressed that their menstrual cycle was irregular The rate of the complaint of irregular menstrual cycle was significantly higher in girls having menstruation less than 3 years Conclusions: These results show a shift nbsp; to earlier ages in the MAM when the MAM values of the mothers and elder sisters are taken into consideration and nbsp; indicate that the age limits for the menarche of Turkish children need to be reevaluated nbsp; Turk Arch Ped 2008; 43: 50 4 Key words: Age at menarche affecting factors Turkish children

References

  • Styne DM. The physiology of puberty. In: Brook CG, Hindmarsh PC (eds). Clinical Pediatric Endocrinology. 4th Ed. London: Black- wall Science Ltd, 2001: 140-64.
  • Rosenfeld R. Puberty in female and its disorder. In: Sperling MA (ed). Pediatric Endocrinology. Philadelphia: Sounders Comp, 2002: 455-518.
  • Öcal G. Pediatrik Endokrinoloji. Günöz H, Öcal G, Yordam N, Kur- toğlu S (eds). Pubertal fizyoloji. 1.Baskı. Ankara: Kalkan Matbaacı- lık, 2003: 137-55.
  • Bielicki T, Welon Z. Growth data as indicators of social inequaliti- es: the case of Poland. Yearb Phys Antropol 1982; 25:153-67.
  • Laksa-Mierzejewska T, Milicer H, Piechaczek H. Age at menarche and secular trend in urban and rural girls in Poland. Ann Hum Bi- ol 1982; 9: 227-33.
  • Loesch DZ, Huggins R, Rogucka E, et al. Genetic correlates of menarcheal age: a multivariate twin study. Ann Hum Biol 1995; 22: 479-90.
  • Pasquet P, Manguell-Dicoum Biyong A, Rikong-Adie H, et al. Age at menarche and urbanization in Cameroon: current status and secular trends. Ann Hum Biol 1999; 26: 89-97.
  • Henneberg M, Louw GJ. Average menarcheal age of higher soci- oeconomic status urban Cape colored girls assessed by means of status quo and recall methods. Am J Phys Antropol 1995; 96: 1-5.
  • Simodon KB, Simon Y, Simodon F. Nutritional status and age at menarche of Senegalese adolescents. Ann Hum Biol 1997; 24: 521-32.
  • Boldsen JL. Season of birth and recalled age at menarche. JBios Sci 1992;24:167-73.
  • Tanner JM. The secular trend towards earlier maturation. T Soc Geneesk 1966: 524-38.
  • Wyshak G, Frish RE. Evidence for a secular trend in age of me- narche. N Engl J Med 1982; 306: 1003-5.
  • Saka NH, Neyzi O. Puberte başlangıç yaşı değişiyor mu? Türk Pe- diatri Arşivi 2005, 40:7-14.
  • Hermann-Giddens ME, Slora EJ, Wasserman RC, et al. Secon- dary sexual characteristics and menses in young girls seen in of- fice practice: a study from the Pediatric Research in Office Set- tings network. Pediatrics 1997; 99: 505-12.
  • Harlan WR, Harlan EA, Grillo Cp. Secondary sex characteristics of girls 12 to 17 years of age: the U.S. Health Examination Survey. J Pediatr 1980; 96: 1074- 8.
  • MacMahon B. Age at menarche : United States, 1973. Rockville, MD : National Center for Health Statistics; DHEW publication (HRA) 1974; 74: 1615.
  • Chumlea WC, Schubert CM, Roche AF, et al. Age at menarche and racial comparisons in US girls. Pediatrics 2003; 111: 110-3.
  • Anderson SE, Dallal GE, Must A. Relative weight and race influen- ce average age at menarche: results from two nationally represen- tative surveys of US girls studied 25 years apart. Pediatrics 2003; 111: 844- 50.
  • Wattigney WA, Srinivasan SR, Chen W, et al. Secular trend of ear- lier onset of menarche with increasing obesity in black and white girls : the Bogalusa Heart study. Ethn Dis 1999; 9: 181- 9.
  • Babay ZA, Addar MH, Shahid K, Meriki N. Age at menarche and the reproductive performance of Saudi women. Ann Saudi Med 2004;24:354–6.
  • Silva HP, Padez C. Secular trends in age at menarche among Ca- boclo populations from Pará, Amazonia, Brazil: 1930-1980. Am J Hum Biol 2006;18:83-92.
  • Ersoy B, Balkan C, Gunay T, et al. Effects of different socioecono- mic conditions on menarche in Turkish female students. Early Hu- man Development 2004; 76: 115-25.
  • Vicdan K, Kukner S, Dabakoglu T, et al. Demographic and epide- miologic features of female adolescents in Turkey. J Adolesc He- alth 1996; 18: 54-8.
  • Tanner JM. A history of the study of human growth. Cambridge, Cambridge University Pres, 1981: 286-98.
  • Neyzi O, Alp H, Orhon A. Sexual maturation in Turkish girls. An Hum Biol 1975; 2: 49-59.
  • Styne DM. Childhood and adolescent obesity: prevalence and sig- nificance. Pediatr Clin North Am 2001; 48: 823-54.
  • Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys and girls. Pediat- rics 2002; 110: 903-10.
  • Anderson S, Dallal G, Must A. Relative weight and race influence average age at menarche: results from two nationally representa- tive surveys of US girls studied 25 years apart. Pediatrics 2003; 111: 844-50.
  • Garn S, Lavelle M, Rosenberg K, et al. Maturational timing as a factor in female fatness and obesity. Am J Clin Nut 1986; 43: 879- 83.
  • Ersoy B, Balkan C, Gunay T, et al. The factors affecting the relati- on between the menarcheal age of mother and daughter. Child Care Health Dev 2005; 31: 303-8.
  • Papadımıtrıou A, Gousia E, Pıtaoulı E, et al. Age at menarche in Grek girls. An Hum Biol 1999; 26: 175-7.
  • Gueresi P. Monthly distribution of menarche in three provinces of North Italy. An Hum Biol 1997; 24: 157-68.
  • Kantero RL, Wıdholm O. The age of menarche in Finnish girls in 1969. Acta Obstet Gynecol Scand, 1971; 14: S7-18.
  • Brundtland GH, Liestol K. Seasonal variation of menarche in Os- lo. An Hum Biol 1982; 9: 35-43.
  • Ayatollahı SMT, Dowlatabadı E, Ayataollahi SA. Age at menarche in Iran. An Hum Biol 2002; 29: 355-62.
  • Adams Hillard PJ. Menstruation in young girls: a clinical perspec- tive. Obstet Gynecol 2002; 99: 655-62.
  • Ekerbicer HC, Celik M, Kiran H, Kiran G. Age at menarche in Turkish adolescents in Kahramanmaras, Eastern Mediterranean region of Turkey. Eur J Contracept Reprod Health Care 2007;12:289-93.

Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma

Year 2008, Volume: 43 Issue: 2, 50 - 54, 01.06.2008

Abstract

Amaç: Isparta’da yaşayan kız çocuklarının ortalama menarş yaşı MY menarşı etkileyen etmenler ve “menstrüel” özelliklerin belirlenmesi Gereç ve Yöntem: Etik kurul onayı alındıktan sonra; nbsp; yedi ilköğretim ve üç liseden menarşın gerçekleştiği saptanan 948 olgu çalışmaya alındı Tüm olgulara kendilerinin ve aile fertlerinin MY ve “menstrüel” özellikleri yaşam tarzları beslenme özellikleri ve sosyoekonomik durumlarını sorgulayan anket formları verildi Olguların ağırlık ve boy ölçümleri yapılarak vücut kitle indeksleri hesaplandı nbsp; Ayrıca tüm olguların meme gelişimleri Tanner sınıflamasına göre değerlendirilerek kaydedildi Bulgular: Ortalama MY 12 6 ± nbsp; 0 03 olarak saptandı Ortalama MY anne ve abla ortalama MY’lerinden anlamlı olarak düşük bulundu Olguların ortalama MY’leri nbsp; ile anne ve abla MY arasında anlamlı pozitif ilişki vardı Olguların vücut kitle indeksleri ile ortalama MY’leri arasında anlamlı negatif ilişki bulundu MY 2 nbsp; ve 2 SSS değerleri sırasıyla 10 6 ve 14 7 olarak bulundu Meme gelişimi Tanner Evre 1 ve 2 olan hiçbir hastada menarş saptanmazken Tanner Evre 3 olanların 16 8’inde ve Evre 4 olan olguların 50 8’inde menarş saptandı Olguların çoğunda menarş görülme mevsimi kış ve yaz aylarıydı Olguların 62 1’i kanamalarının düzensiz olduğunu belirtmişti Düzensiz “menstrüel” nbsp; kanama yakınması üç yıldan daha az süredir menstruasyon görenlerde belirgin olarak yüksek saptandı Çıkarımlar: Bu sonuçlar anne ve abla MY’leri göz önüne alındığında Türk kız çocuklarında MY’de bir erkene kayma olduğunu göstermekte ve nbsp; erken ve gecikmiş MY sınırlarının nbsp; yeniden gözden geçirilmesi gerekliliğine işaret etmektedir Türk Ped Arş 2008; 43: 50 4 Anahtar kelimeler: Etkileyen etmenler menarş yaşı Türk çocukları

References

  • Styne DM. The physiology of puberty. In: Brook CG, Hindmarsh PC (eds). Clinical Pediatric Endocrinology. 4th Ed. London: Black- wall Science Ltd, 2001: 140-64.
  • Rosenfeld R. Puberty in female and its disorder. In: Sperling MA (ed). Pediatric Endocrinology. Philadelphia: Sounders Comp, 2002: 455-518.
  • Öcal G. Pediatrik Endokrinoloji. Günöz H, Öcal G, Yordam N, Kur- toğlu S (eds). Pubertal fizyoloji. 1.Baskı. Ankara: Kalkan Matbaacı- lık, 2003: 137-55.
  • Bielicki T, Welon Z. Growth data as indicators of social inequaliti- es: the case of Poland. Yearb Phys Antropol 1982; 25:153-67.
  • Laksa-Mierzejewska T, Milicer H, Piechaczek H. Age at menarche and secular trend in urban and rural girls in Poland. Ann Hum Bi- ol 1982; 9: 227-33.
  • Loesch DZ, Huggins R, Rogucka E, et al. Genetic correlates of menarcheal age: a multivariate twin study. Ann Hum Biol 1995; 22: 479-90.
  • Pasquet P, Manguell-Dicoum Biyong A, Rikong-Adie H, et al. Age at menarche and urbanization in Cameroon: current status and secular trends. Ann Hum Biol 1999; 26: 89-97.
  • Henneberg M, Louw GJ. Average menarcheal age of higher soci- oeconomic status urban Cape colored girls assessed by means of status quo and recall methods. Am J Phys Antropol 1995; 96: 1-5.
  • Simodon KB, Simon Y, Simodon F. Nutritional status and age at menarche of Senegalese adolescents. Ann Hum Biol 1997; 24: 521-32.
  • Boldsen JL. Season of birth and recalled age at menarche. JBios Sci 1992;24:167-73.
  • Tanner JM. The secular trend towards earlier maturation. T Soc Geneesk 1966: 524-38.
  • Wyshak G, Frish RE. Evidence for a secular trend in age of me- narche. N Engl J Med 1982; 306: 1003-5.
  • Saka NH, Neyzi O. Puberte başlangıç yaşı değişiyor mu? Türk Pe- diatri Arşivi 2005, 40:7-14.
  • Hermann-Giddens ME, Slora EJ, Wasserman RC, et al. Secon- dary sexual characteristics and menses in young girls seen in of- fice practice: a study from the Pediatric Research in Office Set- tings network. Pediatrics 1997; 99: 505-12.
  • Harlan WR, Harlan EA, Grillo Cp. Secondary sex characteristics of girls 12 to 17 years of age: the U.S. Health Examination Survey. J Pediatr 1980; 96: 1074- 8.
  • MacMahon B. Age at menarche : United States, 1973. Rockville, MD : National Center for Health Statistics; DHEW publication (HRA) 1974; 74: 1615.
  • Chumlea WC, Schubert CM, Roche AF, et al. Age at menarche and racial comparisons in US girls. Pediatrics 2003; 111: 110-3.
  • Anderson SE, Dallal GE, Must A. Relative weight and race influen- ce average age at menarche: results from two nationally represen- tative surveys of US girls studied 25 years apart. Pediatrics 2003; 111: 844- 50.
  • Wattigney WA, Srinivasan SR, Chen W, et al. Secular trend of ear- lier onset of menarche with increasing obesity in black and white girls : the Bogalusa Heart study. Ethn Dis 1999; 9: 181- 9.
  • Babay ZA, Addar MH, Shahid K, Meriki N. Age at menarche and the reproductive performance of Saudi women. Ann Saudi Med 2004;24:354–6.
  • Silva HP, Padez C. Secular trends in age at menarche among Ca- boclo populations from Pará, Amazonia, Brazil: 1930-1980. Am J Hum Biol 2006;18:83-92.
  • Ersoy B, Balkan C, Gunay T, et al. Effects of different socioecono- mic conditions on menarche in Turkish female students. Early Hu- man Development 2004; 76: 115-25.
  • Vicdan K, Kukner S, Dabakoglu T, et al. Demographic and epide- miologic features of female adolescents in Turkey. J Adolesc He- alth 1996; 18: 54-8.
  • Tanner JM. A history of the study of human growth. Cambridge, Cambridge University Pres, 1981: 286-98.
  • Neyzi O, Alp H, Orhon A. Sexual maturation in Turkish girls. An Hum Biol 1975; 2: 49-59.
  • Styne DM. Childhood and adolescent obesity: prevalence and sig- nificance. Pediatr Clin North Am 2001; 48: 823-54.
  • Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys and girls. Pediat- rics 2002; 110: 903-10.
  • Anderson S, Dallal G, Must A. Relative weight and race influence average age at menarche: results from two nationally representa- tive surveys of US girls studied 25 years apart. Pediatrics 2003; 111: 844-50.
  • Garn S, Lavelle M, Rosenberg K, et al. Maturational timing as a factor in female fatness and obesity. Am J Clin Nut 1986; 43: 879- 83.
  • Ersoy B, Balkan C, Gunay T, et al. The factors affecting the relati- on between the menarcheal age of mother and daughter. Child Care Health Dev 2005; 31: 303-8.
  • Papadımıtrıou A, Gousia E, Pıtaoulı E, et al. Age at menarche in Grek girls. An Hum Biol 1999; 26: 175-7.
  • Gueresi P. Monthly distribution of menarche in three provinces of North Italy. An Hum Biol 1997; 24: 157-68.
  • Kantero RL, Wıdholm O. The age of menarche in Finnish girls in 1969. Acta Obstet Gynecol Scand, 1971; 14: S7-18.
  • Brundtland GH, Liestol K. Seasonal variation of menarche in Os- lo. An Hum Biol 1982; 9: 35-43.
  • Ayatollahı SMT, Dowlatabadı E, Ayataollahi SA. Age at menarche in Iran. An Hum Biol 2002; 29: 355-62.
  • Adams Hillard PJ. Menstruation in young girls: a clinical perspec- tive. Obstet Gynecol 2002; 99: 655-62.
  • Ekerbicer HC, Celik M, Kiran H, Kiran G. Age at menarche in Turkish adolescents in Kahramanmaras, Eastern Mediterranean region of Turkey. Eur J Contracept Reprod Health Care 2007;12:289-93.
There are 37 citations in total.

Details

Primary Language Turkish
Journal Section Original Article
Authors

Bumin Dündar This is me

Hülya Anıl This is me

Pınar Akyol This is me

Erdal Eren This is me

Nihal Olgaç Dündar This is me

Publication Date June 1, 2008
Published in Issue Year 2008 Volume: 43 Issue: 2

Cite

APA Dündar, B., Anıl, H., Akyol, P., Eren, E., et al. (2008). Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma. Türk Pediatri Arşivi, 43(2), 50-54.
AMA Dündar B, Anıl H, Akyol P, Eren E, Dündar NO. Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma. Türk Pediatri Arşivi. June 2008;43(2):50-54.
Chicago Dündar, Bumin, Hülya Anıl, Pınar Akyol, Erdal Eren, and Nihal Olgaç Dündar. “Isparta’daki kız çocuklarında Ortalama Menarş yaşının Ve menarşı Etkileyen Etmenlerin Saptanması Orijinal Araştırma”. Türk Pediatri Arşivi 43, no. 2 (June 2008): 50-54.
EndNote Dündar B, Anıl H, Akyol P, Eren E, Dündar NO (June 1, 2008) Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma. Türk Pediatri Arşivi 43 2 50–54.
IEEE B. Dündar, H. Anıl, P. Akyol, E. Eren, and N. O. Dündar, “Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma”, Türk Pediatri Arşivi, vol. 43, no. 2, pp. 50–54, 2008.
ISNAD Dündar, Bumin et al. “Isparta’daki kız çocuklarında Ortalama Menarş yaşının Ve menarşı Etkileyen Etmenlerin Saptanması Orijinal Araştırma”. Türk Pediatri Arşivi 43/2 (June 2008), 50-54.
JAMA Dündar B, Anıl H, Akyol P, Eren E, Dündar NO. Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma. Türk Pediatri Arşivi. 2008;43:50–54.
MLA Dündar, Bumin et al. “Isparta’daki kız çocuklarında Ortalama Menarş yaşının Ve menarşı Etkileyen Etmenlerin Saptanması Orijinal Araştırma”. Türk Pediatri Arşivi, vol. 43, no. 2, 2008, pp. 50-54.
Vancouver Dündar B, Anıl H, Akyol P, Eren E, Dündar NO. Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma. Türk Pediatri Arşivi. 2008;43(2):50-4.