Association between Nutritional Status and Age at Menarche

Asrika Sari, Heru Santosa, Albiner Siagian


Masters Program in Public Health, Universitas Sumatera Utara



Background: The menarche age is often considered for various reasons. It is one of the major indices of the female fertility which includes the period up to the meno­pause. More critically, menarche marks the onset of ovarian activity asso­ciated with reproduction, and affects breast cancer risk. Some earlier studies reported that subjects who had menarche before 13 years of age were at a signi­ficantly higher risk of cancer cervix. Nutrition has an important bearing on age at me­­narche. Menarche is attained earlier by well nourished adolescents. This study aimed to assess the relationship between menarche age and body mass index.

Subjects and Method:This was a cross sectional study conducted at Ki Hajar De­wantara Foundation Junior High School, Kota Pinang, Labuhanbatu Selatan, North Sumatera, in December 2017. A sample of 58 school girls attending the Junior High School were selected for this study. The dependent variable was menarche age. The independent variable was body mass index (BMI). Body weight was measured by a scale. Body height was measured by micro toise. Other varia­bles were measured by questionnaire. The data were analyzed by a simple logistic regres­sion.

Results:BMI ≥25 was associated with an earlier menarche age (OR= 0.71; 95%CI= 0.20 to 0.85; p= 0.046).

Conclusion:BMI ≥ 25 is associated with an earlier menarche age.

Keywords: menarche age, body mass index.

Correspondence: Asrika Sari. Masters Program in Public Health, Universitas Sumatera Utara, Jl.Universitas, Padang Bulan, Medan Baru, North Sumatera. Email: asrikasari­ Mobile: 082274134348


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