重庆市中小学女生月经初潮与体力活动睡眠时间的关联
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摘要
目的了解重庆市主城区女生月经初潮现状,探讨女生月经来潮时间早晚与体力活动和睡眠时间的关系,为开展女生青春期健康教育和健康效应研究提供建议。方法采用分层随机整群抽样方法,抽取重庆市主城区中小学女生5 393名进行体格检查和问卷调查。结果共有1 848名女生经历了月经初潮,月经来潮女生平均月经初潮年龄为(12.5±1.1)岁。控制体质量指数和年龄等协变量后,月经初潮年龄提前组的女生平均每周进行≥5 d的高、中等强度体力活动时间分别是非提前组的1.35(1.07~1.70)和1.38(1.06~1.66)倍;月经初潮年龄提前组女生平均每天静态行为时间≥2h是非提前组0.76(0.59~0.97)倍;女生月经初潮提前组与非提前组在睡眠时间构成上差异有统计学意义(χ~2=82.61,P<0.05)。结论月经初潮时间的早晚会影响女生的体力活动和静态行为时间,且月经初潮提前组睡眠时间长于非提前组。学校和家庭应该采取针对性干预措施,促进青春期女生健康成长。
Objective To determine the age at menarche among middle school girls in two urban districts of Chongqing,explore the relationship between early or later menarche and physical activity or sleeping, and to provide suggestions for study of health education and health effect. Methods With a stratified random cluster sampling, 1 848 middle school girls were investigated anonymously with the method of physical examination and questionnaire survey. t-test, Chi square test, and binary Logistic regression were used for data analyses. Results Menarche was attained at the age of( 12.5±1.1) years for middle school girls in urban district of Chongqing. Controlling for body mass index and age, early menarche among girls was associated with a higher likelihood of engaging in high( OR = 1.35) or moderate( OR = 1.38) physical activity and a lower likelihood of engaging in sedentary behavior( OR = 0.76), and there was statistically significant in sleeping( χ~2= 82.61, P< 0.05) between two groups( early or non-early menarche). Conclusion Age at menarche may affect the physical activity among girls, and there was a significantly discrepancy in sleeping between early and non-early menarche groups. It is critical for school and parents to take effective actions to promote children' health.
Objective To determine the age at menarche among middle school girls in two urban districts of Chongqing,explore the relationship between early or later menarche and physical activity or sleeping, and to provide suggestions for study of health education and health effect. Methods With a stratified random cluster sampling, 1 848 middle school girls were investigated anonymously with the method of physical examination and questionnaire survey. t-test, Chi square test, and binary Logistic regression were used for data analyses. Results Menarche was attained at the age of( 12.5±1.1) years for middle school girls in urban district of Chongqing. Controlling for body mass index and age, early menarche among girls was associated with a higher likelihood of engaging in high( OR = 1.35) or moderate( OR = 1.38) physical activity and a lower likelihood of engaging in sedentary behavior( OR = 0.76), and there was statistically significant in sleeping( χ~2= 82.61, P< 0.05) between two groups( early or non-early menarche). Conclusion Age at menarche may affect the physical activity among girls, and there was a significantly discrepancy in sleeping between early and non-early menarche groups. It is critical for school and parents to take effective actions to promote children' health.
引文
[1]季成叶.儿童少年卫生学[M].7版.北京:人民卫生出版社,2005.
[2]陈天娇,季成叶.中国省会市女生月经初潮年龄的地域分布及变化趋势[J].中国预防医学杂志,2003,4(4):264-266.
[3]AMIGO H,BUSTOS P,MUZZO S,et al.Age of menarche and nutritional status of indigenous and non-indigenous adolescents in the Araucanía Region of Chile[J].Annals Human Biol,2010,37(4):554-561.
[4]RIGON F,BIANCHIN L,BERNASCONI S,et al.Update on age at menarche in Italy:toward the leveling off of the secular trend[J].JAdoles Health Offic Public Soc Adoles Med,2010,46(3):238-244.
[5]BRAITHWAITE D,DAN H M,LUSTIG R H,et al.Socioeconomic status in relation to early menarche among black and white girls[J].Canc Caus Contr,2009,20(5):713-720.
[6]TANNER J M.Growth at adolescence.With a general consideration of the effects of hereditary and environmental factors upon growth and maturation from birth to maturity[M].London:Oxford Blackwell Scientific Publications and Springfield,1962.
[7]KARAPANOU O,PAPADIMITRIOU A.Determinants of menarche[J].Reprod Biol Endocrinol,2010,8(1):115.
[8]SONG Y,MA J,WANG H J,et al.Trends of age at menarche and association with body mass index in Chinese school-aged girls,1985-2010[J].J Pediatr,2014,165(6):1172-1177.
[9]DEARDORFF J,CHAM H,GONZALES N A,et al.Pubertal timing and mexican-origin girls'internalizing and externalizing symptoms:the influence of harsh parenting[J].Dev Psychol,2013,49(9):1790-1804.
[10]BAROOTI E,KARIMIZARCHI M,SADEGHI N,et al.Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature[J].Clin Exper Obstetr Gynecol,2014,41(1):48-51.
[11]HEYS M,SCHOOLING M C,JIANG C,et al.Age of menarche and the metabolic syndrome in China[J].Epidemiology,2007,18(6):740-746.
[12]LAKSHMAN R,FOROUHI N,LUBEN R,et al.Association between age at menarche and risk of diabetes in adults:results from the EPIC-Norfolk cohort study[J].Diabetologia,2008,51(5):781-786.
[13]LAKSHMAN R,FOROUHI N,SHARP S J,et al.Early age at menarche associated with cardiovascular disease and mortality[J].J Clin Endocrinol Metab,2009,94(12):4953-4960.
[14]HOSSAIN M G,WEE A S,ASHAIE M,et al.Adult anthropometric measures and socio-demographic factors influencing age at menarche of university students in Malaysia[J].J Biosoc Sci,2013,45(5):705-717.
[15]全国学生体质健康调研组.2010年全国学生体质健康调研工作手册[M].北京:高等教育出版社,2010.
[16]中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[17]孙莹.中国儿童青春发动时相评定标准的建立及应用研究[D].合肥:安徽医科大学,2011.
[18]PARENT A S,TEILMANN G,JUUL A,et al.The timing of normal puberty and the age limits of sexual precocity:variations around the world,secular trends,and changes after migration[J].Endoc Rev,2003,24(5):668-693.
[19]中国学生体质与健康研究组.2010年中国学生体质与健康研究报告[M].北京:高等教育出版社,2012.
[20]MUL D,FREDRIKS A M,Van BUUREN S,et al.Pubertal development in the netherlands 1965-1997[J].Pediatr Res,2001,50(4):479-486.
[21]LARON Z.Is obesity associated with early sexual maturation[J].Pediatrics,2004,113(1):171-172.
[22]罗燕,刘琴,文一,等.重庆城区小学儿童青春发动时相提前影响因素分析[J].卫生研究,2016,45(3):1430-1435.
[23]U.S.Department of Health Human Services.The association between school-based physical activity,including physical education,and academic performance[J].Yearbook Sports Med,2012,35(2):358-359.
[24]BRADLEY R H,MCRITCHIE S,HOUTS R M,et al.Parenting and the decline of physical activity from age 9 to 15[J].Int J Behav Nut Physic Activ,2011,8(1):43-51.
[25]FREY S,BALU S,GREUSING S,et al.Consequences of the timing of menarche on female adolescent sleep phase preference[J].PLo S One,2009,4(4):e5217.
[26]EULING S Y,HERMANGIDDENS M E,LEE P A,et al.Examination of us puberty timing data from 1940-1994 for secular trend[J].Pediatrics,2008,3(2):172-191.
[27]李科琼,王宏,郭靖,等.重庆市中小学生首次遗精与月经初潮现状及相关因素研究[J].中华流行病学杂志,2016,37(2):169-173.
[28]RUBIN C,MAISONET M,KIESZAK S,et al.Timing of maturation and predictors of menarche in girls enrolled in a contemporary British cohort[J].Paediat Perinat Epidemiol,2009,23(5):492-504.
[29]CHO G J,PARK H T,SHIN J H,et al.Age at menarche in a Korean population:secular trends and influencing factors[J].Eur J Pediat,2010,169(1):89-94.
[2]陈天娇,季成叶.中国省会市女生月经初潮年龄的地域分布及变化趋势[J].中国预防医学杂志,2003,4(4):264-266.
[3]AMIGO H,BUSTOS P,MUZZO S,et al.Age of menarche and nutritional status of indigenous and non-indigenous adolescents in the Araucanía Region of Chile[J].Annals Human Biol,2010,37(4):554-561.
[4]RIGON F,BIANCHIN L,BERNASCONI S,et al.Update on age at menarche in Italy:toward the leveling off of the secular trend[J].JAdoles Health Offic Public Soc Adoles Med,2010,46(3):238-244.
[5]BRAITHWAITE D,DAN H M,LUSTIG R H,et al.Socioeconomic status in relation to early menarche among black and white girls[J].Canc Caus Contr,2009,20(5):713-720.
[6]TANNER J M.Growth at adolescence.With a general consideration of the effects of hereditary and environmental factors upon growth and maturation from birth to maturity[M].London:Oxford Blackwell Scientific Publications and Springfield,1962.
[7]KARAPANOU O,PAPADIMITRIOU A.Determinants of menarche[J].Reprod Biol Endocrinol,2010,8(1):115.
[8]SONG Y,MA J,WANG H J,et al.Trends of age at menarche and association with body mass index in Chinese school-aged girls,1985-2010[J].J Pediatr,2014,165(6):1172-1177.
[9]DEARDORFF J,CHAM H,GONZALES N A,et al.Pubertal timing and mexican-origin girls'internalizing and externalizing symptoms:the influence of harsh parenting[J].Dev Psychol,2013,49(9):1790-1804.
[10]BAROOTI E,KARIMIZARCHI M,SADEGHI N,et al.Age of menarche as a risk factor for gynecological cancer in Iranian women and review of the literature[J].Clin Exper Obstetr Gynecol,2014,41(1):48-51.
[11]HEYS M,SCHOOLING M C,JIANG C,et al.Age of menarche and the metabolic syndrome in China[J].Epidemiology,2007,18(6):740-746.
[12]LAKSHMAN R,FOROUHI N,LUBEN R,et al.Association between age at menarche and risk of diabetes in adults:results from the EPIC-Norfolk cohort study[J].Diabetologia,2008,51(5):781-786.
[13]LAKSHMAN R,FOROUHI N,SHARP S J,et al.Early age at menarche associated with cardiovascular disease and mortality[J].J Clin Endocrinol Metab,2009,94(12):4953-4960.
[14]HOSSAIN M G,WEE A S,ASHAIE M,et al.Adult anthropometric measures and socio-demographic factors influencing age at menarche of university students in Malaysia[J].J Biosoc Sci,2013,45(5):705-717.
[15]全国学生体质健康调研组.2010年全国学生体质健康调研工作手册[M].北京:高等教育出版社,2010.
[16]中国肥胖问题工作组.中国学龄儿童青少年超重、肥胖筛查体重指数值分类标准[J].中华流行病学杂志,2004,25(2):97-102.
[17]孙莹.中国儿童青春发动时相评定标准的建立及应用研究[D].合肥:安徽医科大学,2011.
[18]PARENT A S,TEILMANN G,JUUL A,et al.The timing of normal puberty and the age limits of sexual precocity:variations around the world,secular trends,and changes after migration[J].Endoc Rev,2003,24(5):668-693.
[19]中国学生体质与健康研究组.2010年中国学生体质与健康研究报告[M].北京:高等教育出版社,2012.
[20]MUL D,FREDRIKS A M,Van BUUREN S,et al.Pubertal development in the netherlands 1965-1997[J].Pediatr Res,2001,50(4):479-486.
[21]LARON Z.Is obesity associated with early sexual maturation[J].Pediatrics,2004,113(1):171-172.
[22]罗燕,刘琴,文一,等.重庆城区小学儿童青春发动时相提前影响因素分析[J].卫生研究,2016,45(3):1430-1435.
[23]U.S.Department of Health Human Services.The association between school-based physical activity,including physical education,and academic performance[J].Yearbook Sports Med,2012,35(2):358-359.
[24]BRADLEY R H,MCRITCHIE S,HOUTS R M,et al.Parenting and the decline of physical activity from age 9 to 15[J].Int J Behav Nut Physic Activ,2011,8(1):43-51.
[25]FREY S,BALU S,GREUSING S,et al.Consequences of the timing of menarche on female adolescent sleep phase preference[J].PLo S One,2009,4(4):e5217.
[26]EULING S Y,HERMANGIDDENS M E,LEE P A,et al.Examination of us puberty timing data from 1940-1994 for secular trend[J].Pediatrics,2008,3(2):172-191.
[27]李科琼,王宏,郭靖,等.重庆市中小学生首次遗精与月经初潮现状及相关因素研究[J].中华流行病学杂志,2016,37(2):169-173.
[28]RUBIN C,MAISONET M,KIESZAK S,et al.Timing of maturation and predictors of menarche in girls enrolled in a contemporary British cohort[J].Paediat Perinat Epidemiol,2009,23(5):492-504.
[29]CHO G J,PARK H T,SHIN J H,et al.Age at menarche in a Korean population:secular trends and influencing factors[J].Eur J Pediat,2010,169(1):89-94.