Document
A study of menarcheal age in Northern Iran (Rasht).
Contributors
Publisher
Oman Medical Specialty Board.
Gregorian
2009-04
Language
English
English abstract
Objectives: The event of menarche is an exceptional phenomenon,
which occurs once in a lifetime. It is the precursor of future
fertility. The onset of menarche is mainly dependent on genetic
factors, however geographical and nutritional factors among
other factors have been attributed to the events of menarche. The
aim of this study is to determine the age of onset of menarche and
the factors which induce it in northern Iran.
Methods: This is a cross sectional study which will assess the
onset of menarche in girls between the age of 11-16 years. The
subjects were either in middle or high school and had experienced
menarche within 6 months prior to the study. This study revolves
around 600 girls who were selected using stratified randomized
sampling techniques. The data was collected in the form of a
questionnaire which focused on age, weight (was measured
to the nearest 0.1 kg using a balance beam scale), height (was
measured to nearest 0.1cm with a manual height board), and
Body Mass Index (BMI: kg/m2) was used as an index of relative
weight. Principal Component Analysis (PCA) was applied to
analyze Socio-economic Status (SES). The defined standard
age of the first menstrual event was applied as the standard. The
data collected was analyzed using the Statistical Package for
the Social Sciences (SPSS.10) statistical analysis software and
the Chi-square and Analysis of Variance (ANOVA) tests were
applied. In an effort to establish the factors associated with the
age of menarche, multivariate analysis was performed based on
linear logistic regression which was performed using a model
where all the variables changing the risk estimated by more than
10%. Statistical significance was determined at P<0.05.
Results: The mean age at menarche was observed to be
12.99±1.33yrs (ranging from 10.16 to 15.91 yrs). The study showed
that menarche occurred during the summer for 270 (45%) patients
making it the most common season for menarche while winter was
the least common season. The mean age of menarche was delayed
in patients from low SES groups and it occurred earlier in patients
from high SES. In girls with low BMI, menarche occurred earlier
in comparison to girls with high BMI. There was a significant
correlation between session and age of menarche (p<0.05). There
was no significant relationship statistically between BMI and age
of menarche (p>0.05). Linear regressions showed no significant
effect of BMI on the age of menarche but there was a significant
correlation between season and SES on the age of menarche.
Conclusion: The age of menarche and the most common seasons
for menarche were similar to previous studies. Results from this
study showed that the age of menarche decreased with higher
SES, and also the age of menarche in girls with high and low BMI
occurred earlier. However, previous studies showed that it ocurred
earlier in high BMI and later in low BMI. It appears that genetic
and environmental factors have influenced these differences.
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Citation
Asgharnia, Maryam, Faraji, Roya, Sharami, Hajar, Yadak, Merhnoosh, & Oudi, Mona (2009). A study of menarcheal age in Northern Iran (Rasht). Oman Medical Journal, 24 (2), 95-98.
Category
Journal articles