Age at Menarche and Menstrual Abnormalities in Adolescence: Does it Matter? The Evidence from a Large Survey among Italian Secondary Schoolgirls
| Autor: | F. Rigon, Luigi Bianchin, Egle Perissinotto, Gianni Bona, Carlo De Sanctis, Vincenzo De Sanctis, G. Tonini, Giorgio Radetti, Sergio Bernasconi, Mauro Bozzola, Fabio Buzi |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Parents medicine.medical_specialty Multivariate analysis Adolescent media_common.quotation_subject Menstrual irregularity Young Adult 03 medical and health sciences 0302 clinical medicine Dysmenorrhea Surveys and Questionnaires 030225 pediatrics Prevalence Humans Age at menarche Dysmenorrheal Gynecological age Menstrual pattern Schoolgirls Medicine Age of Onset Students Polymenorrhea Menstrual Cycle Menstruation Disturbances Menstrual cycle media_common Menarche Schools Abnormal bleeding business.industry Obstetrics Age Factors Outcome measures Menstruation Large sample Oligomenorrhea Cross-Sectional Studies Logistic Models Italy Multivariate Analysis Pediatrics Perinatology and Child Health Female business 030217 neurology & neurosurgery |
| Zdroj: | The Indian Journal of Pediatrics. 86:34-41 |
| ISSN: | 0973-7693 0019-5456 |
| DOI: | 10.1007/s12098-018-2822-x |
| Popis: | To explore the independent role of age at menarche on menstrual abnormalities among adolescents. The present study was a multicenter cross-sectional study on a large sample (n = 3782) of Italian girls aged 13–21 y attending secondary school who already had menarche. Girls were asked to fill in a questionnaire on menarcheal age and menstrual features during the latest three menses. The gynecological age was computed as the difference between age at the survey and the age at menarche. Main outcome measures were: prevalence of oligomenorrhea, polymenorrhea, menstrual cycle irregularity, abnormal bleeding length and dysmenorrhea. Irregularity in the recent past and since menarche was also studied. Multiple logistic models were used to identify any independent association between each abnormal feature and age at menarche or gynecological age. Adjusted ORs and 95%CI were performed. After adjusting for covariates, menarcheal age was not independently associated with polymenorrhea (OR = 0.81; 95%CI 0.63–1.04), oligomenorrhea (OR = 1.16; 95%CI 0.94–1.43), menstrual cycle irregularity (OR = 0.99; 95%CI 0.86–1.14), abnormal bleeding length (OR = 0.96; 95%CI 0.87–1.06) and dysmenorrhea (OR = 1.03; 95%CI 0.85–1.24). The multivariate analysis suggests that the higher prevalence of oligomenorrhea and menstrual cycle irregularity among the girls who were older at menarche might be purely explained by their younger gynecological age. No evidence of any independent influence of age at menarche on menstrual abnormalities among young girls was shown by the investigation. The findings suggest that, after menarche, adolescent girls’ menstrual health should be checked to monitor the endocrine system maturation and to early intercept latent disorders becoming symptomatic. |
| Databáze: | OpenAIRE |
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