佳木斯地区女生月经初潮年龄及体脂含量的相关性研究
|
摘要
目的:通过对佳木斯地区月经初潮年龄及体脂含量进行调查研究,分析该地区月经初潮年龄(age at menarche,AAM)的分布特征以及体脂含量与月经初潮之间的相关性。方法:对佳木斯地区10~14岁女生共计2367名就其月经是否来潮进行问卷调查,测量其身高、体重、腰围、臀围、皮褶厚度(肩胛部、上臂、腹部),并计算体重指数(body mass index,BMI)。结果:佳木斯地区月经初潮平均年龄(mean menarche age,MMA)为12. 56±1. 43岁。月经来潮组与未来潮组比较,不同年龄段月经来潮组的体重、身高、BMI、腰围、臀围及总皮褶厚度均高于未来潮组,且差异有统计学意义(P <0. 05)。结论:月经初潮年龄与体脂相关指数密切相关,并呈负相关,今后应积极引导青春期女生通过合理控制饮食、增加运动量等,将体重控制在合理的范围,以减缓AAM提前的趋势。
Objective: By means of researching the age at menarche and body fat in Jiamusi region,Analysis the distribution characteristics of AAM( age at menarche,AAM) and the link between body fat and AAM in Jiamusi region. Methods: A total of 2368 puberty girls from 10 to 14 years old in Jiamusi region were conducted a questionnaire on whether or not they have experienced menarche. The height,weight,waist circumference,hip circumference,as well as skinfold thickness( scapular,upper arm,abdomen) were measured.And we also calculated the BMI( body mass index,BMI). Results: The mean menarche age( mean menarche age,MMA) of Jiamusi region was 12. 56 ± 1. 43 years. In different age groups the mean values of height,weight,waist circumference,hip circumference,BMI and the total skinfold thickness in menstruation group were higher than those in non-menstruation groups( P < 0. 05). Conclusion: Age at menarche is negatively related to body fat-related index. In the future,we should guide the puberty girls to control their weight in a reasonable range by keeping a reasonable diet and increasing physical activity,in order to slow down the trend of AAM.
Objective: By means of researching the age at menarche and body fat in Jiamusi region,Analysis the distribution characteristics of AAM( age at menarche,AAM) and the link between body fat and AAM in Jiamusi region. Methods: A total of 2368 puberty girls from 10 to 14 years old in Jiamusi region were conducted a questionnaire on whether or not they have experienced menarche. The height,weight,waist circumference,hip circumference,as well as skinfold thickness( scapular,upper arm,abdomen) were measured.And we also calculated the BMI( body mass index,BMI). Results: The mean menarche age( mean menarche age,MMA) of Jiamusi region was 12. 56 ± 1. 43 years. In different age groups the mean values of height,weight,waist circumference,hip circumference,BMI and the total skinfold thickness in menstruation group were higher than those in non-menstruation groups( P < 0. 05). Conclusion: Age at menarche is negatively related to body fat-related index. In the future,we should guide the puberty girls to control their weight in a reasonable range by keeping a reasonable diet and increasing physical activity,in order to slow down the trend of AAM.
引文
[1]中华人民共和国国家卫生和计划生育委员会.学龄儿童青少年营养不良筛查WS/T 456-2014[S]. 2014.
[2]中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[3]罗珊,廉启国.中国中小学学生月经初潮年龄和月经模式调查分析[J].中华生殖与避孕杂志,2017,37(3):208-212.
[4] Frisch RE,Revelle R. Height and weight at menarche and a hypothesis of critical body weights and adolescent events[J]. Science,1970,169(3943):397-9.
[5] Cole TJ. The secular trend in human physical growth:a biological view[J]. Econ Hum Biol,2003,1(2):161-8.
[6] Bratke,et al. Timing of menarche in Norwegian girls:associations with body mass index,waist circumference and skinfold thickness[J]. BMC Pediatrics,2017,17(1):138.
[7] Cheng G,Buyken AE,Shi L,Karaolis-Danckert N,et al.Beyond overweight:nutrition as an important lifestyle factor influencing timing of puberty[J]. Nutr Rev,2012,70(3):133-152.
[8] Gaudineau A,Ehlinger V,et al. Factors associated with early menarche:results from the French Health Behaviour in School-aged Children(HBSC)study[J]. BMC Publ Health,2010,10:175.
[9] Biro FM,McMahon RP,Striegel-Moore R,Crawford PB,Obarzanek E,et al. Impact of timing of pubertal maturation on growth in black and white female adolescents:The National Heart,Lung and Blood Institute Growth and Health Study[J]. J Pediatr,2001,138(5):636-43.
[10]唐玲,朱鹏,郝加虎,等.安徽省汉族女生月经初潮与肥胖度关系的研究[J].中国妇幼保健,2012,7(33):5275-5279.
[11] Odongkara Mpora,et al. Age at menarche in relation to nutritional status and critical life events among rural and urban secondary school girls in post-conflict Northern Uganda[J]. BMC Women's Health,2014,14:66.
[12] Bj rkelund C,et al. Reproductive history in relation to relative weight and fat distribution[J]. Int J Obes Relat Metab Disord,1996,20(3):213-219.
[13] Veldhuisv JD,Roemmichr JN,Richmond EJ,et al. Endocrine control of body composition in infancy,childhood,and puberty[J]. Endocr Rev,2006,26(1):114-116.
[14]齐秀玉,芳标,宇辉.月经初潮年龄与中心性肥胖的相关性研究[J].中国学校卫生,2008,9(3):196-199.
[15]王雅斐,万宇辉,张辉,等.安徽省女生月经初潮年龄与体脂指标关联的生态学研究[J],中国学校卫生,2016,7(3):331-334.
[2]中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[3]罗珊,廉启国.中国中小学学生月经初潮年龄和月经模式调查分析[J].中华生殖与避孕杂志,2017,37(3):208-212.
[4] Frisch RE,Revelle R. Height and weight at menarche and a hypothesis of critical body weights and adolescent events[J]. Science,1970,169(3943):397-9.
[5] Cole TJ. The secular trend in human physical growth:a biological view[J]. Econ Hum Biol,2003,1(2):161-8.
[6] Bratke,et al. Timing of menarche in Norwegian girls:associations with body mass index,waist circumference and skinfold thickness[J]. BMC Pediatrics,2017,17(1):138.
[7] Cheng G,Buyken AE,Shi L,Karaolis-Danckert N,et al.Beyond overweight:nutrition as an important lifestyle factor influencing timing of puberty[J]. Nutr Rev,2012,70(3):133-152.
[8] Gaudineau A,Ehlinger V,et al. Factors associated with early menarche:results from the French Health Behaviour in School-aged Children(HBSC)study[J]. BMC Publ Health,2010,10:175.
[9] Biro FM,McMahon RP,Striegel-Moore R,Crawford PB,Obarzanek E,et al. Impact of timing of pubertal maturation on growth in black and white female adolescents:The National Heart,Lung and Blood Institute Growth and Health Study[J]. J Pediatr,2001,138(5):636-43.
[10]唐玲,朱鹏,郝加虎,等.安徽省汉族女生月经初潮与肥胖度关系的研究[J].中国妇幼保健,2012,7(33):5275-5279.
[11] Odongkara Mpora,et al. Age at menarche in relation to nutritional status and critical life events among rural and urban secondary school girls in post-conflict Northern Uganda[J]. BMC Women's Health,2014,14:66.
[12] Bj rkelund C,et al. Reproductive history in relation to relative weight and fat distribution[J]. Int J Obes Relat Metab Disord,1996,20(3):213-219.
[13] Veldhuisv JD,Roemmichr JN,Richmond EJ,et al. Endocrine control of body composition in infancy,childhood,and puberty[J]. Endocr Rev,2006,26(1):114-116.
[14]齐秀玉,芳标,宇辉.月经初潮年龄与中心性肥胖的相关性研究[J].中国学校卫生,2008,9(3):196-199.
[15]王雅斐,万宇辉,张辉,等.安徽省女生月经初潮年龄与体脂指标关联的生态学研究[J],中国学校卫生,2016,7(3):331-334.