Overweight and lower age at menarche: evidence from the Italian HBSC cross-sectional survey
Autor: | Alberto Borraccino, Gianmarco Troiano, Stefano Luisi, Andrea Pammolli, Alessio Vieno, Paola Dalmasso, Claudia Tosti, Felice Petraglia, Patrizia Lemma, Natale Canale, Giacomo Lazzeri |
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Jazyk: | angličtina |
Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Time Factors Adolescent Cross-sectional study Reproductive medicine 030209 endocrinology & metabolism Overweight Early puberty lcsh:Gynecology and obstetrics Body Mass Index 03 medical and health sciences BMI 0302 clinical medicine Surveys and Questionnaires Humans Medicine Obesity 030212 general & internal medicine Child lcsh:RG1-991 Menarche business.industry lcsh:Public aspects of medicine Puberty Age Factors Obstetrics and Gynecology lcsh:RA1-1270 General Medicine medicine.disease Confidence interval Cross-Sectional Studies Italy Reproductive Medicine Female medicine.symptom business Body mass index Research Article Demography |
Zdroj: | BMC Women's Health BMC Women's Health, Vol 18, Iss 1, Pp 1-7 (2018) |
Popis: | Background A unique standardized national dataset on adolescent girls (21 regions) participating in the Italian Health Behaviour in School-aged Children Study (HBSC) was used to investigate the correlation between body mass index (BMI) and age at menarche. Methods Two independent nationally representative survey datasets: one on 15-year-olds (n = 6907, in 21 regions, year 2013/2014) and one on 11-year-olds (n = 10,128, in 20 regions, year 2009/2010) were analysed. The survey instrument was a self-report questionnaire. Median age at menarche and 95% confidence intervals (CIs) were estimated by means of Kaplan–Meier analysis. Hierarchical models were used to assess the relationship between BMI and age at menarche (months). “Region-level obesity” was measured as the prevalence of overweight/obesity (%) in each region. Results Region-level median age at menarche ranged between 12 years/3 months and 13 years/4 months. Region-level prevalence of overweight among 15-year-old girls ranged between 4 and 19%. Age at menarche was inversely associated with individual BMI (unstandardized regression coefficient beta = − 0.70; 95% CI, − 0.84 to − 0.56). Individual- and class-level measures of BMI accounted for 50% of the region-level variance in age at menarche. Conclusions The results show that overweight in childhood is in relation with the early puberty in girls. Future surveys may take into account this report to clarify if overweight is the cause or consequence of early menarche. |
Databáze: | OpenAIRE |
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