Volume : 2, Issue : 12, DEC 2016

RELATIONSHIP OF GROWTH RATE AND ANTHROPOMETRIC MEASUREMENTS WITH MENARCHE IN A LONGITUDINAL STUDY

Maria Aparecida Zanetti Passos, Mauro Fisberg, Roberta de Lucena Ferretti, Gérson Luiz Moraes Ferrari, Isa de Pádua Cintra Sampaio

Abstract

The objective of this longitudinal study was to analyze the relationship of growth rate and anthropometric measurements with menarche. A total of 301 girls were divided into three groups: G1 (before menarche), G2 (menarche ≤4 months before or after data collection), and G3 (menarche >4 months before or after data collection). Height, body weight, and body mass index (BMI) were collected and their relationships with the following variables were analyzed: age, waist and hip circumferences (WC and HC), percentage of body fat (%BF), sexual maturation, and menarche date. At baseline, 31.2% of the girls were in Tanner stage M2 (61.4% had already menstruated). At the end of the study, 40.5% of the girls were in Tanner stage M4, and 89.4% had already menstruated. The mean age at menarche was 11.8 years, and 23.8% and 11.1% of the sample were overweight and obese, respectively. The mean height and body weight at baseline and end of study were 152.2 vs 158.9 cm, and 47.3 vs 54.7 Kg, respectively. G1 (23.2%) and G2 (23.4%) had similar mean %BF. G1 presented the greatest anthropometric changes, especially in WC (4.9 cm) and HC (6.3 cm). Girls in the pubertal stages M1 to M3 had the highest growth rates. This study stresses the importance of monitoring adolescents continuously to promote a healthy body weight and optimal timing of pubertal events.

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References

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