Ann Pediatr Endocrinol Metab.  2013 Sep;18(3):116-121. 10.6065/apem.2013.18.3.116.

Relationship of age at menarche on anthropometric index and menstrual irregularity in late adolescent girls in Seoul

• Lee SE
• Yang JY
• Lee JH
• Kim HW
• Kim HS
• Lee HJ
• Oh JY
• Sung YA

• KMID: 2266362
• DOI: http://doi.org/10.6065/apem.2013.18.3.116

Abstract

PURPOSE
To examine the relationship between menarcheal age and anthropometric indices and menstrual irregularity in late adolescent girls in Seoul.
METHODS
We surveyed 4,218 fertile adolescent girls between the ages of 16 and 18 years to determine their anthropometric indices and menarcheal age. Measurements were taken from June 2008 to October 2009 at seven girl's high schools in Seoul, Korea. Participants were offered self-report questionnaire as a survey tool that included questions on anthropometric indices (height, weight, waist circumference), menarcheal age, menstrual pattern, frequency of menstruation per year.
RESULTS
The participants were categorized into three groups based on menarcheal age: early menarche group (younger than 2 standard deviations [SD]), mid menarche group (within +/-2 SD), late menarche group (older than 2 SD). The mean age of early menarche group was 9.9+/-0.2 years, mid menarche group 12.5+/-0.9 years, late menarche group 15.1+/-0.3 years (P < 0.001). Heights were recorded as 160.4+/-5.2 cm, 161.8+/-4.9 cm, 162.3+/-4.7 cm in early, mid, and late menarche group, respectively (P = 0.001). Body mass index (BMI) and waist circumference significantly were lager in early menarche group than mid and late menarche ones (P < 0.001). The menarcheal age had a positive correlation with height and negative correlations with weight, BMI, waist circumference (P < 0.001). The prevalence of oligomenorrhea was more frequent in late menarche group than early and mid menarche group.
CONCLUSION
The menarcheal age have positive relationship with height and inverse relationship with BMI and waist circumference in late adolescent girls in Seoul. Late menarcheal girls are disposed to have menstrual irregularity compared to early menarcheal girls.

Keyword

Menarche; Body mass index; Body height; Oligomenorrhea

MeSH Terms

Adolescent*
Body Height
Body Mass Index
Female
Humans
Korea
Menarche*
Menstruation
Oligomenorrhea
Prevalence
Waist Circumference
Surveys and Questionnaires

Figure

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  Fig. 1 Age at menarche and height (A), body mass index (BMI, B), and waist circumference (C) of late adolescent girls.

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  Fig. 2 Yearly frequency of menstruation in late adolescent girls according to menarcheal group.

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