Nutritional Status and Menarche in Adolescents of Punjab

Goyal, Reena; Mehta, Promila; Kaur, Gurpreet

doi:10.1080/09751270.2012.11885197

Cited by 11 publications

(10 citation statements)

References 3 publications

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“…In modern developmental studies, age at first menarche is recorded from personal accounts of the girl or their mother, either at the time that they have their first 'period', or less accurately, from memory (Bean et al 1979). Studies have consistently shown a link between poor nutritional status and a delay in menarche regardless of the child's ancestry or climate (Gluckman and Hanson 2006;Goyal et al 2012;Karapanou and Papadimitriou 2010;Zacharias and Wurtman 1969). Swenne (2008) noted that girls with eating disorders and severe undernutrition were slow to progress through puberty and menarcheal delays have been demonstrated in times of famine (Van Noord and Kaaks 1991).…”

Section: Discussionmentioning

confidence: 99%

“…Menarche is a standard measure of adolescent development in clinical practice and the historical data, and precedes fertility in women by about a year (Zhang et al 2008). Studies have consistently shown a link between poor nutritional status and a delay in menarche regardless of the child's ancestry or climate (Gluckman and Hanson 2006;Goyal et al 2012;Zacharias and Wurtman 1969). Given the intricate link between malnutrition and disease, the age at which menarche was achieved in our medieval samples was estimated as follows (Buehl and Pyle 1942;Frisancho et al 1969):…”

Section: Menarchementioning

confidence: 99%

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The influence of chronic conditions and the environment on pubertal development. An example from medieval England

Lewis

Shapland

Watts

2016

International Journal of Paleopathology

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Adolescence is a unique period in human development encompassing sexual maturation (puberty) and the physical and psychological transition into adulthood. It is a crucial time for healthy development and any adverse environmental conditions, poor nutrition, or chronic infection can alter the timing of these physical changes; delaying menarche in girls or the age of peak height velocity in boys. This study explores the impact of chronic illness on the tempo of puberty in 607 adolescent skeletons from medieval England (AD 900-1550). A total of 135 (22.2%) adolescents showed some delay in their pubertal development, and this lag increased with age. Of those with a chronic condition, 40.0% (n=24/60) showed delay compared to only 20.3% (n=111/547) of the non-pathology group. This difference was statistically significant. A binary logistic regression model demonstrated a significant association between increasing delay in pubertal stage attainment with age in the pathology group. This is the first time that chronic conditions have been directly associated with a delay in maturation in the osteological record, using a new method to assess stages of puberty in skeletal remains.

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Section: Discussionmentioning

confidence: 99%

Section: Menarchementioning

confidence: 99%

The influence of chronic conditions and the environment on pubertal development. An example from medieval England

Lewis

Shapland

Watts

2016

International Journal of Paleopathology

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“…This decrease is usually ascribed to improvements in health, nutrition, and environmental conditions (de Muinck Keizer‐Schrama and Mul, ), and there is evidence that this decline has now begun to stabilize (Coleman and Coleman, ; Dorn and Biro, ). Thomas et al () argue that variability in the age at menarche is largely determined by extrinsic factors, and studies have consistently shown a link between poor nutritional status and a delay in menarche regardless of the child's ancestry or climate (Gluckman and Hanson, ; Goyal et al, ; Karapanou and Papadimitriou, ; Zacharias and Wurtman, ). In addition, acute and chronic illness and accumulated childhood hardships (e.g., poverty, poor nutrition, exposure to alcoholism or tobacco smoke, physical neglect, death of a parent) delay menarche as a stress response (Boynton‐Jarrett and Harville, ; Dossus et al, ; Karapanou and Papadimitriou, ).…”

Section: Introductionmentioning

confidence: 99%

On the threshold of adulthood: A new approach for the use of maturation indicators to assess puberty in adolescents from medievalEngland

Lewis

Shapland

Watts

2015

American J Hum Biol

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This research provides the first attempt to directly assess the age of pubertal development in adolescents during the 10th-17th centuries. Poor diet, infections, and physical exertion may have contributed to delayed development in the medieval adolescents, particularly for those living in the city of London. This study sheds new light on the nature of adolescence in the medieval period, highlighting an extended period of physical and social transition.

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“…This study is in line with the similar studies conducted wherein similar results were obtained. [16][17][18][19] Thus, it is evident that the BMI is the influencing factor of the age of menarche. Similarly, the regression analysis showed that there is a negative correlation between the waist to height ratio and age of menarche.…”

Section: Discussionmentioning

confidence: 99%

Nutritional status and age of menarche in adolescent girls in urban and rural area schools

Ramamani

Rajendiran

Kannan

2020

Int J Contemp Pediatr

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Background: There are various factors that influences the age of menarche which includes genetic, nutritional status, socioeconomic status and environmental conditions. Further it has also proved that the malnutrition has delayed the age of menarche. Thus, the present study focuses on the study of relation between the nutritional status and age of menarche among the adolescent girls in a rural and urban area in Tamil Nadu, India.Methods: It is a community based cross-sectional study done in the adolescent girls of age between 11 to 15 years studying in school in the city of Chennai, India and surrounding rural areas. A total of 602 post-menarcheal adolescent girls were included in the study. The participants who were post-menarcheal were asked to recall the year and month of menarche and was noted. To assess the nutritional status, the parameters weight, height and waist circumference were determined.Results: The association between the age of menarche and BMI was studied. The study showed that there was an association with a Pearson coefficient (r) value of - 0.252 which is statistically significant (p˂0.001). The association between the age of menarche and waist to height ratio was studied. The study showed that there was an association with a Pearson coefficient (r) value of - 0.261 which is statistically significant (p˂0.001).Conclusions: This study has confirmed that the nutritional status has association with the age of menarche and is the contribution to the reduction in the mean of age of menarche in this geographical area.

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Nutritional Status and Menarche in Adolescents of Punjab

Cited by 11 publications

References 3 publications

The influence of chronic conditions and the environment on pubertal development. An example from medieval England

The influence of chronic conditions and the environment on pubertal development. An example from medieval England

On the threshold of adulthood: A new approach for the use of maturation indicators to assess puberty in adolescents from medievalEngland

Nutritional status and age of menarche in adolescent girls in urban and rural area schools

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