Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-23T08:34:55.028Z Has data issue: false hasContentIssue false

ADULT ANTHROPOMETRIC MEASURES AND SOCIO-DEMOGRAPHIC FACTORS INFLUENCING AGE AT MENARCHE OF UNIVERSITY STUDENTS IN MALAYSIA

Published online by Cambridge University Press:  12 March 2013

MD. GOLAM HOSSAIN*
Affiliation:
Department of Statistics, University of Rajshahi, Bangladesh
AI-SZE WEE
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia
MAEIRAH ASHAIE
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia
T. KAMARUL
Affiliation:
National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Department of Orthopaedic Surgery, University of Malaya, Kuala Lumpur, Malaysia
*
1Corresponding author. Email: [email protected]

Summary

Early onset of menarche has been shown to be associated with breast cancer and ischaemic heart disease. Studies on age at menarche of the Malaysian population are poorly documented. This study aimed to determine the influence of anthropometric and socio-demographic factors on the age at menarche of university students in Malaysia. Data were obtained in 2010–11 from 961 students between the ages of 18 and 25 years from the University of Malaya using stratified sampling, and multiple regression analysis was applied. Sixty-three per cent of students reached menarche at the age of 12 or 13 years, with the mean and median of age at menarche being 12.45±1.17 and 12.01 years, respectively. Menarcheal age was positively associated with height (p<0.05) and negatively associated with BMI (p<0.001). Students from urban areas attained menarche earlier than those from rural areas (p<0.05). Students from small-sized families attained menarche earlier than those from larger families (p<0.05). First-born students experienced menarche earlier than those who were seventh-born or later. Obese and overweight students reached menarche earlier than students who were underweight or of normal weight (p<0.01). The variations in age at menarche among the Malaysian ethnic groups were statistically insignificant. The results suggest that heavier and first-born students from small families are more likely to attain menarche earlier than their counterparts.

Type
Articles
Copyright
Copyright © Cambridge University Press 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abioye-Kuteyi, E. A., Ojofeitimi, E. O., Aina, O. I., Kio, F., Aluko, Y. & Mosuro, O. (1997) The influence of socioeconomic and nutritional status on menarche in Nigerian school girls. Nutrition and Health 11(3), 185195.CrossRefGoogle ScholarPubMed
Adalı, T. & Koç, I. (2011) Menarcheal age in Turkey: secular trend and socio-demographic correlates. Annals of Human Biology 38(3), 345353.CrossRefGoogle ScholarPubMed
Al-Sahab, B., Ardern, C. I., Hamadeh, M. J. & Tamim, H. (2010) Age at menarche in Canada: results from the National Longitudinal Survey of Children & Youth. BMC Public Health 10, 736.CrossRefGoogle ScholarPubMed
Anai, T., Miyazaki, F., Tomiyasu, T. & Matsuo, T. (2001) Risk of irregular menstrual cycles and low peak bone mass during early adulthood associated with age at menarche. Pediatrics International 43(5), 483488.CrossRefGoogle ScholarPubMed
Anderson, S. E., Dallal, G. E. & Must, A. (2003) Relative weight and race influence average age at menarche: results from two nationally representative surveys of US girls studied 25 years apart. Pediatrics 111 (4Pt 1), 844850.CrossRefGoogle ScholarPubMed
Batubara, J. R., Soesanti, F. & van de Waal, H. D. (2010) Age at menarche in Indonesian girls: a national survey. Acta Medica Indonesiana 42(2), 7881.Google ScholarPubMed
Bharati, S. & Bharati, P. (1998) Relationship between menarcheal age and nutritional anthropometry in urban girls of the Howrah District, West Bengal, India. Anthropologischer Anzeiger 56(1), 5761.CrossRefGoogle ScholarPubMed
Braithwaite, D., Moore, D. H., Lustig, R. H., Epel, E. S., Ong, K. K., Rehkopf, D. H.et al. (2009) Socioeconomic status in relation to early menarche among black and white girls. Cancer Causes & Control 20(5), 713720.CrossRefGoogle ScholarPubMed
Cabanes, A., Ascunce, N., Vidal, E., Ederra, M., Barcos, A., Erdozain, N.et al. (2009) Decline in age at menarche among Spanish women born from 1925 to 1962. BMC Public Health 4(9), 449.CrossRefGoogle Scholar
Chatterjee, S. & Hadi, A. S. (2006) Regression Analysis by Example, 4th edition. John Wiley and Sons.CrossRefGoogle Scholar
Chavarro, J., Villamor, E., Narváez, J. & Hoyos, A. (2004) Socio-demographic predictors of age at menarche in a group of Colombian university women. Annals of Human Biology 31(2), 245257.CrossRefGoogle Scholar
Cho, G. J., Park, H. T., Shin, J. H., Hur, J. Y., Kim, Y. T., Kim, S. H.et al. (2010) Age at menarche in a Korean population: secular trends and influencing factors. European Journal of Pediatrics 169(1), 8994.CrossRefGoogle Scholar
Cooper, G. S., Ephross, S. A., Weinberg, C. R., Baird, D. D., Whelan, E. A. & Sandler, D. P. (1999) Menstrual and reproductive risk factors for ischemic heart disease. Epidemiology 10(3), 255259.CrossRefGoogle ScholarPubMed
Delavar, M. A. & Hajian-Tilaki, K. O. (2008) Age at menarche in girls born from 1985 to 1989 in Mazandaran, Islamic Republic of Iran. East Medical Health Journal 14(1), 9094.Google ScholarPubMed
Dogan, L., Kalaylioglu, Z., Karaman, N., Ozaslan, C., Atalay, C. & Altinok, M. (2011) Relationships between epidemiological features and tumor characteristics of breast cancer. Asian Pacific Journal of Cancer Prevention 12(12), 33753380.Google ScholarPubMed
Ersoy, B., Balkan, C., Gunay, T., Onag, A. & Egemen, A. (2004) Effects of different socioeconomic conditions on menarche in Turkish female students. Early Human Development 76(2), 115125.CrossRefGoogle ScholarPubMed
Flegal, K. M., Graubard, B. I., Williamson, D. F. & Gail, M. H. (2005) Excess deaths associated with underweight, overweight, and obesity. Journal of the American Medical Association 93(15), 18611867.CrossRefGoogle Scholar
Georgiadis, E., Mantzoros, C. S., Evagelopoulou, C. & Spentzos, D. (1997) Adult height and menarcheal age of young women in Greece. Annals of Human Biology 24(1), 5559.CrossRefGoogle ScholarPubMed
Gharravi, A. M., Gharravi, S., Marjani, A., Moradi, A. & Golalipour, M. J. (2008) Correlation of age at menarche and height in Iranian student girls living in Gorgan – northeast of Iran. Journal of the Pakistan Medical Association 58(8), 426429.Google ScholarPubMed
Goon, D. T., Toriola, A. L., Uever, J., Wuam, S. & Toriola, O. M. (2010) Growth status and menarcheal age among adolescent school girls in Wannune, Benue State, Nigeria. BMC Pediatrics 19, 1060.Google Scholar
Helm, P., Münster, K. R. & Schmidt, L. (1996) Menarche in relation to infertility and adult height and weight. Ugeskrift for Laeger 158(47), 67636765.Google ScholarPubMed
Hossain, M. G., Islam, S., Aik, S., Zaman, T. K. & Lestrel, P. E. (2010) Age at menarche of university students in Bangladesh: secular trends and association with adult anthropometric measures and socio-demographic factors. Journal of Biosocial Science 42(5), 677687.CrossRefGoogle ScholarPubMed
Hossain, M. G., Sabiruzzaman, M., Islam, S., Hisyam, R. Z., Lestrel, P. E. & Zaman, T. K. (2011) Influence of anthropometric measures and socio-demographic factors on menstrual pain and irregular menstrual cycles among university students in Bangladesh. Anthropological Science 119(3), 239246.CrossRefGoogle Scholar
Kac, G., Auxiliadora de Santa Cruz, C. & Velasquez-Melendez, G. (2000) Secular trend in age at menarche for women born between 1920 and 1979 in Rio de Janeiro, Brazil. Annals of Human Biology 27(4), 423428.CrossRefGoogle ScholarPubMed
Keim, S. A., Branum, A. M., Klebanoff, M. A. & Zemel, B. S. (2009) Maternal body mass index and daughters' age at menarche. Epidemiology 20(5), 677681.CrossRefGoogle ScholarPubMed
Kelsey, J. L. (1993) Breast cancer epidemiology: summary and future directions. Epidemiologic Reviews 15(1), 256263.CrossRefGoogle ScholarPubMed
Kotsopoulos, J., Lubinski, J., Lynch, H. T., Neuhausen, S. L., Ghadirian, P., Isaacs, C.et al. (2005) Age at menarche and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. Cancer Causes & Control 16(6), 667674.CrossRefGoogle ScholarPubMed
Laitinen, J., Power, C. & Järvelin, M. R. (2001) Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity. American Journal of Clinical Nutrition 74(3), 287294.CrossRefGoogle ScholarPubMed
Lakshman, R., Forouhi, N. G., Sharp, S. J., Luben, R., Bingham, S. A., Khaw, K. T.et al. (2009) Early age at menarche associated with cardiovascular disease and mortality. Journal of Clinical Endocrinology & Metabolism 94(12), 49534960.CrossRefGoogle ScholarPubMed
Lawan, U. M, Yusuf, N. W. & Musa, A. B. (2010) Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. African Journal of Reproductive Health 14(3), 201207.Google ScholarPubMed
Lee, L. K., Chen, P. C., Lee, K. K. & Kaur, J. (2006) Menstruation among adolescent girls in Malaysia: a cross-sectional school survey. Singapore Medical Journal 47(10), 869874.Google ScholarPubMed
Macsali, F., Real, F. G., Plana, E., Sunyer, J., Anto, J., Dratva, J.et al. (2011) Early age at menarche, lung function, and adult asthma. American Journal of Respiratory and Critical Care Medicine 183(1), 814.CrossRefGoogle ScholarPubMed
Marrodán, M. D., Mesa, M. S., Aréchiga, J. & Pérez-Magdaleno, A. (2000) Trend in menarcheal age in Spain: rural and urban comparison during a recent period. Annals of Human Biology 27(3), 313319.Google Scholar
Merzenich, H., Boeing, H. & Wahrendorf, J. (1993) Dietary fat and sports activity as determinants for age at menarche. American Journal of Epidemiology 138(4), 217224.CrossRefGoogle ScholarPubMed
Okasha, M., McCarron, P., McEwen, J. & Smith, G. D. (2001) Age at menarche: secular trends and association with adult anthropometric measures. Annals of Human Biology 28(1), 6878.Google ScholarPubMed
Padez, C. (2003) Social background and age at menarche in Portuguese university students: a note on the secular changes in Portugal. American Journal of Human Biology 15(3), 415427.CrossRefGoogle Scholar
Sanyal, S. & Ray, S. (2008) Variation in the menstrual characteristics in adolescents of West Bengal. Singapore Medical Journal 49(7), 542550.Google ScholarPubMed
Shangold, M. M., Kelly, M., Berkeley, A. S., Freedman, K. S. & Groshen, S. (1989) Relationship between menarcheal age and adult height. Southern Medical Journal 82(4), 443445.CrossRefGoogle ScholarPubMed
Shin, A., Song, Y. M., Yoo, K. Y. & Sung, J. (2011) Menstrual factors and cancer risk among Korean women. International Journal of Epidemiology 40(5), 12611268.CrossRefGoogle ScholarPubMed
Silva, dos Santos I., De Stavola, B. L., Mann, V., Kuh, D., Hardy, R. & Wadsworth, M. E. (2002) Prenatal factors, childhood growth trajectories and age at menarche. International Journal of Epidemiology 31(2), 405412.CrossRefGoogle Scholar
Song, Y., Ma, J., Hu, P. J. & Zhang, B. (2011) Geographic distribution and secular trend of menarche in 9–18 year-old Chinese Han girls. Beijing Da Xue Xue Bao 43(3), 360364.Google ScholarPubMed
Subramanian, S. V., Perkins, J. M. & Khan, K. T. (2009) Do burdens of underweight and overweight coexist among lower socioeconomic groups in India? American Journal of Clinical Nutrition 90(2), 369376.CrossRefGoogle ScholarPubMed
Tan, B. A., Othman, R., Butz, W. P. & Davanzo, J. (1983) Age at menarche in Peninsular Malaysia: time trends, ethnic differentials, and association with ages at marriage and at first birth. Malaysian Journal of Reproductive Health 1(2), 91108.Google Scholar
Terry, M. B., Ferris, J. S., Tehranifar, P., Wei, Y. & Flom, J. D. (2009) Birth weight, postnatal growth, and age at menarche. American Journal of Epidemiology 170(1), 7279.CrossRefGoogle ScholarPubMed
Windham, G. C., Bottomley, C., Birner, C. & Fenster, L. (2004) Age at menarche in relation to maternal use of tobacco, alcohol, coffee, and tea during pregnancy. American Journal of Epidemiology 159(9), 862871.CrossRefGoogle ScholarPubMed
Wronka, I. (2010) Association between BMI and age at menarche in girls from different socio-economic groups. Anthropologischer Anzeiger 68 (1), 4352.CrossRefGoogle ScholarPubMed
Wronka, I. & Pawlińska-Chmara, R. (2005) Menarcheal age and socio-economic factors in Poland. Annals of Human Biology 32(5), 630638.CrossRefGoogle ScholarPubMed
Zegeye, D. T., Megabiaw, B. & Mulu, A. (2009) Age at menarche and the menstrual pattern of secondary school adolescents in northwest Ethiopia. BMC Womens Health 5, 929.Google Scholar