Nutritional status and age at menarche in a rural area of Bangladesh
Nutritional status and age at menarche in a rural area of Bangladesh
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DOI：
10.1080/030144600282136
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发表时间：
2000-05-01
影响因子：
1.7
通讯作者：
Talukder, MQK
中科院分区：
文献类型：
--
作者：
Chowdhury, S;Shahabuddin, AKM;Talukder, MQK
确定了孟加拉国农村地区的月经初潮年龄及其与营养状况的关系。在Narayanganj区Rupganj Thana的四个村庄进行了横断面研究。数据收集从1996年10月到12月，使用预先测试的结构化问卷访谈计划，营养状况通过体重、身高、身体质量指数(BMI)和体检来衡量。获得了436名10-17岁青春期女孩的数据。其中，已开始月经初潮的女孩165人，占37.8%。经回顾确定的初潮平均年龄为13岁SD0.89(n=165)。现状法确定的初潮年龄中位数为13.0岁。在青少年中，60.1%的人瘦(BMI<；5百分位数世卫组织推荐的参考值)，48.2%的青少年发育迟缓(<；3百分位数NCHS/WHO)。13、14和15岁月经期女孩的平均体重和BMI显著高于未来月经期女孩(P<；0.01)。月经女孩的平均身高在11-14岁时显著增加(p<；0.05)。月经期青春期女孩口角炎患病率为36.4%，低于非月经期女孩的46.5%，但差异无统计学意义(优势比=0.66，95%可信区间0.43~1.00)。对于舌炎，没有发现有显著差异。月经女孩中月经过多占12.1%，痛经占31.5%。我们的结论是，这个孟加拉农村社区的月经初潮年龄并没有像预期的那样延迟。毫不奇怪，月经初潮与更好的营养状况有关。接受调查的人口营养不良的比率极高，这表明处于这种和类似情况下的青少年需要具体的干预方案来改善他们的营养状况。
The age at menarche and its association with nutritional status in a rural area of Bangladesh was determined. A cross-sectional study was conducted in four villages of Rupganj Thana of Narayanganj district. Data was collected through October to December 1996 using a pre-tested structured questionnaire interview schedule, and nutritional status was measured by weight, height, body mass index (BMI) and physical examination. Data were obtained on 436 adolescent girls aged 10-17 years. Among them, 165 (37.8%) girls had commenced menarche. The mean age at menarche as determined by retrospective recall was 13 years SD 0.89 (n=165). The median age at menarche determined by the status quo method was 13.0. Among the adolescents 60.1% were thin (BMI < 5th centile WHO recommended reference) and 48.2% were stunted(< 3rd centile NCHS/WHO). The mean weight and BMI were significantly higher among the menstruating girls of 13, 14 and 15 years (p < 0.01) than non-menstruating girls. The mean height was found to be significantly higher at 11-14 years among the menstruating girls (p < 0.05). A lower prevalence of angular stomatitis was found among the menstruating adolescent girls compared with the non-menstruating girls, 36.4% versus 46.5%, although this was statistically non-significant (odds ratio = 0.66, 95% CI 0.43-1.00). For glossitis, no significant difference was found. Among the menstruating girls 12.1% were suffering from menorrhagia and 31.5% from dysmenorrhoea. We conclude that the age of menarche among this rural Bangladeshi community is not as delayed as expected. Not surprisingly, menarche is associated with better nutritional status. The surveyed population had extremely high rates of undernutrition which suggests that adolescents in this and similar situations require specific intervention programmes to improve their nutritional status.