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A 12-year study of menarcheal age.

Data on menarcheal age were collected on girls admitted to the University College of Swansea over a 12-year period. It appears that the downward trend in menarcheal age ceased in girls born about 1946 (the 1965 student intake) and that an upward swing may have since occurred. This change in the secular trend is not due to the association of menarcheal age with family size or of position in sibship, or to changes in the regional composition of the student intake. The well established effect of physique remains, but there is no effect of socio-economic status as assessed by the Registrar-General's classification of the father's occupation.

Adolescent

Menarcheal age in girls with congenital dislocation of the hip.

The age at menarche was recorded in a series of girls with congenital dislocation of the hip and compared with a control sample drawn from the population at risk. The menarcheal age of the CDH patients was decreased by, on average, six months, the decrease being caused by the presence among the CDH girls of a few individuals with a very early menarche. These girls were heavier and taller than other CDH girls, who in their turn, are taller and heavier than other girls. The findings support the concept of CDH as a manifestation of some hormonal deviation, which also causes early physical maturation.

Adolescent

Menarcheal age in Norway in the 19th century: a re-evaluation of the historical sources.

A fall in the age of menarche during the last fifty years is well documented from many parts of the world, among them Norway. Tanner says that this trend can be extended back at least to the middle of the last century, and he uses Norwegian sources to support this hypothesis. Re-examination of these Norwegian sources indicates that there was no fall at all during the ninetheenth century, and that the age at menarche was constant at approximately 16.0 years for the lower social classes throughout this period. It is also suggested that the age at menarche was constant at approximately 14 years for the higher social classes.

Adolescent

A study of menarcheal age in India.

A study of menarcheal age was carried out in southern India. A logit method of analysis was applied to status quo data on 1267 Tamil and Telugu speaking girls aged 9 to 18 years in 3 schools catering for different socio-economic groups. There appears to be no relationship of menarcheal age with dietary pattern classified simply as vegetarian and non-vegetarian. Differences in median age at menarche between schools correspond well with the socio-economic differences between them. The median age in the most advantaged school (12-86 years) is comparable with that in recent studies in southern and eastern Europe, and may perhaps be in advance of some recent north-west European samples.

Adolescent

Menarcheal age in Stockholm girls, 1967.

Using the status quo method on 917 girls aged 10-17 years in 1967, mean age at menarche was computed to be 13-09 +/- 0-08 years (SD 1-10). There was no difference in mean age at menarche between girls from different social groups defined by father's or mother's occupation. The menstrual periods evoked severe discomfort in 9 per cent of the individuals. These were on an average significantly younger at menarche than the other girls. The percentage of the girls feeling discomfort during the menstrual periods as well as its intensity increased with time since menarche.

Adolescent

Menarcheal age in Northumberland.

A second survey of age at menarche in north-east England, how it is affected by family environment and how it affects physique, was carried out in 1960-70 on a large sample of schoolgirls in the suburbs of Newcastle. Age at menarche shows no independent effect of social class or of position in sibship, but is strongly influenced by the size of family in which a girl grows up. Menarche is associated with pronounced increments in height and weight, in the presence of which no consistent effects of variables of the family environment on physique can be clearly identified. The results are very similar to those from the first study in South Shields, County Durham.

Adolescent

Menarcheal age in Oslo during the last 140 years.

Data from maternity clinics have been used to study the trend in menarcheal age among girls born in Oslo after 1840. The investigation was based on recordings from approximately 50 women from each year. The women were divided into social categories according to their own or their husband's occupation. The results show a trend toward earlier maturation within the working class, which is characterized by two periods of rapid fall in menarcheal age. The first period covers women born between 1860 and 1880, and shows a fall in menarcheal age from about 15.6 to about 14.6 years. During the second period of rapid fall, which covers women born between 1905 and 1940, the menarcheal age was further reduced from about 14.6 to 13.3 years. The age at menarche has been stable at about 13.3 years for women born after 1940. These results contrast with those of some earlier studies of the menarcheal age in Norway. However, it is shown that the discrepancies between these investigations and our own disappear when the same computational methods and the same interpretation of the age recordings are used.

Adolescent

Menarchal age in Nigerian schoolgirls: its relationship to their height, weight and menstrual profile.

Interviews with 119 students in a girls' residential secondary school in Ondo, Nigeria, revealed that 105 of them had menstruated, their mean age at menarche being 13.85 years, their mean height 156.8 cm and their mean weight 51.13 kg. The duration of menstrual bleeding was 4.43 days, the heaviest occurring at 1.82 days. Dysmenorrhea was reported by 32%. There was no correlation between the weight/height ratio and the mean age of the study group who were menstruating and the 14 students who were not. However, the difference in mean weight and height of those who had and had not attained menarche was significant. It is suggested that certain levels of weight and height are critical to achievement of spontaneous menstruation.

Adolescent

[A map on recent menarcheal age research in Europe (author's transl)].

Publications on menarcheal age from 1965 to 1974 are reviewed. The menarcheal data are shown on a map, in comparison to a former map, published 1967. It seems, that presently socio-economic conditions are more strongly modifying the action of genetic factors of sexual development than "natural" factors of environment as climate, level of height a.s.o.

Adolescent

[Relations between some measures of the human body and menarcheal age (author's transl)].

It is considered which relations may exist between certain measures of the body (KM) and the moment of menarche (MZ). Statistical evaluations are based on the results of interrogations and anthropometry of Karl-Marx-Stadt school-girls, registered in 1974 under the main-topic "Fluoridation of drinking-water (TWF) and its possible effects on the physical process of growth and puberty of children and teen-agers". Considered measurements (height, weight, width of shoulders and pelvis, neck circumference as well as the Rohrer-index show higher means in menstruated individuals (M) than at non-menstruated ones (NM). The same comes true to girls of the same age and - concerning the width of shoulders and pelvis and neck circumference - also to girls of the same height. Advantage in development of M against NM individuals is 1-3 years, depending respectively on the considered dimensions of the body. Girls with an early MZ have also higher measurements of the body in their later physical development.

Adolescent

Skeletal maturity and the prediction of age at menarche.

The regression of age at menarche on the difference between bone age and chronological age was estimated using hand/wrist radiographs taken between the ages of 10 and 15 years of 352 British girls whose ages at menarche were known. The regression was used to determine, in the case of girls who had not yet menstruated at a given chronological age and bone age, (a) the most probable age at menarche, and (b) the age by which 95 per cent would have experienced menarche. The results were compared with predictions made on the basis of chronological age alone. The range of error of predictions based on chronological age only decreases as age increases. This is true also when bone age is taken into account but, at all ages, the error of prediction using bone age as well as chronological age was less than that of prediction based on chronological age alone.

Adolescent

Prediction of adult height from height, bone age, and occurrence of menarche, at ages 4 to 16 with allowance for midparent height.

Multiple regression equations for predicting the adult height of boys and girls from height and bone age at ages 4 and upwards are presented. There is a separate equation for each half year of chronological age; and for pre- and postmenarcheal girls at ages 11 to 14. These are based on longitudinal data from 116 boys and 95 girls of the Harpenden Growth Study and the London group of the International Children's Centre longitudinal study. The bone age used is the revised version of the Tanner-Whitehouse standards, omitting the score for carpal bones (RUS age, TW 2 system). Boys aged 4 to 12 are predicted in 95% of instances to within plus or minus 7 cm of true height, and at ages 13 and 14 to within plus or minus 6 cm. Girls ages 4 to 11 are predicted to within plus or minus 6 cm; premenarcheal girls aged 12 and 13 to within plus or minus 5 and plus or minus 4 cm, respectively; and postmenarcheal girls aged 12 and 13 to within plus or minus 4 and plus or minus 3 cm, respectively. Prediction can be somewhat imporved by allowing for midparent height. One-third of the amount that midparent height differs from mean midparent height is added or subtracted. An alternative system of equations which are based on initial classification by bone age rather than chronological age is given. These have about the same accuracy as the equations based on initial classification by chronological age, but allowance for bone age retardation is less. It is not clear which system is preferable. The equations probably apply to girls complaining of tall stature and boys or girls complaining of shortness and needing reassurance as to normality. In clearly pathological children, such as those with endocrinopathies, they do not apply.

Adolescent

The age of menarche in Nigerian girls.

The median ages at menarche were obtained from a sample of 2029 urban and 328 rural Nigerian girls by the status quo method, and calculated by probits. The median age at menarche for the urban girls was 13-70 +/- 0-03 years whilst it was 14-50 +/- 0-09 years for the rural girls. There were significant differences in the median menarcheal ages of the girls according to the level of education and the occupation of the parents, and their geographical residence. The number of siblings and the birth rank of the girls did not influence the age of onset of menstruation. A secular trend towards earlier menarcheal age at a rate of 5 to 6 months per decade was observed amongst children of the professionally privileged group. The earliest menarche occurred amongst girls with university-educated fathers or mothers; in this group the median was 13-26 +/- 0-06 years, a value comparable with current European medians.

Adolescent

The age of menarche in Nigerian urban school girls.

In March and April 1978, a sample of 1365 girls from three secondary schools within and near Enugu (capital of Anambra State of Nigeria) were interviewed regarding date of birth and menstrual status. Using probit analysis, the mean age at menarche was 13.54 +/- 0.07 years, implying, when compared with earlier studies, a rate of decline in the average menarcheal age of about four months per decade. Significant differences were observed in the menarcheal ages of the girls with respect to their geographical residence and the occupation of their fathers. The results obtained in the study are similar to those reported by Oduntan et al. (1976) for south-western Nigeria, and they lend support to the proposition that improvements in nutrition and the elimination of infectious diseases (characteristic associated with socioeconomic development) tend to reduce the average menarcheal age.

Adolescent