Authors :
Fathima Kani M.; Dr. Achamma Varghese
Volume/Issue :
Volume 9 - 2024, Issue 12 - December
Google Scholar :
https://tinyurl.com/2yu584sj
Scribd :
https://tinyurl.com/uyr6ucny
DOI :
https://doi.org/10.5281/zenodo.14613851
Abstract :
Introduction:-
Many developing and developed countries have seen
a decline in menarche age over the last century. Early
menarche is linked to physical and psychological
problems, and it poses pressure on the schooling of
adolescent girls. The major aim of the study is to examine
the best available evidence on the menstrual age trend in
India and its determinative factors.
Methodology:-
Systematic review with a narrative synthesis of the
available data was done. Data sources included
PUBMED, SCOPUS and Google Scholar from 2016 until
2024 published articles.
Results:-
The selected cross-sectional studies showed the
menarche age between 9 years to 16 years and the mean
age reported between 12 to 14 years. A considerable
number of girls from different studies attained menarche
earlier than 12 years. Declining menarche was seen as
more common among urban girls than the rural girls.
Socioeconomic status, Body Mass Index, height, weight,
lack of exercise, non-vegetarian diet, lack of sleep habits,
and birth order were identified as significant factors in
declining menarche. Common problems identified among
the girls were dysmenorrhea, tiredness, and back pain
with regards to menstruation.
Conclusion:-
This study found a secular decline in menarche age
among Indian women, as well as a variation in mean
menarche age between different studies from different
geographical locations with in India. Early menarche
necessities for joined efforts in early education for the
adolescent school girls.
Keywords :
Menarche, Age Of Menarche, Early Menarche, Menstruation, Secular Trend, Declining Menarche Age.
References :
- American Academy of Pediatrics Committee on Adolescence, American College of Obstetricians and Gynecologists Committee on Adolescent Health Care, Diaz A, Laufer MR, Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics. 2006;118(5):2245-2250. doi:10.1542/peds.2006-2481.
- UNESCO, https://healtheducationresources.unesco.org/pt-pt/library/documents/precocious-period-impact-early-menarche-schooling-india Accessed on January 10, 2024.
- Lim JS, Lee HS, Kim EY, Yi KH, Hwang JS. Early menarche increases the risk of type 2 diabetes in young and middle-aged Korean women. Diabet Med. 2015; 32: 521-525.
- Al-Awadhi, N., Al-Kandari, N., Al-Hasan, T., Almurjan, D., Ali, S., & Al-Taiar, A. (2013). Age at menarche and its relationship to body mass index among adolescent girls in Kuwait. BMC public health, 13, 29. doi: 10.1186/1471-2458-13-29
- Ameade EP, Garti HA. Age at menarche and factors that influence it: a study among female university students in Tamale, Northern Ghana. PLoS ONE. 2016;11(5):e0155310.
- Klis K, Majcher A, Paluchowska M, Wronka I. Determinants of BMI category changes during middle childhood and adolescence in girls. Folia Med Cracoviensia. 2016;56(2):25–36.
- Sowjanya T, Nagalla B. Early Menarche and its Possible Predictors: A Cross-Sectional Study in Southwestern Region of Karnataka, India. Natl J Community Med 2024;15(8):663-669. doi: 10.55489/njcm.150820244185
- Bajpai A, Bansal U, Rathoria R, Rathoria E, Singh V, Singh GK, Ahuja R. A Prospective Study of the Age at Menarche in North Indian Girls, Its Association With the Tanner Stage, and the Secular Trend. Cureus. 2023 Sep 16;15(9):e45383. doi: 10.7759/cureus.45383.
- Solanki S, Soni A, Randa V, Choudhary R. A study to determine age at menarche in adolescent school girls of Indore city, M. P. India. Int J Med Res Rev. 2021;9(2):72-77.
- Tarannum F, Khalique N, Eram U. A community based study on age of menarche among adolescent girls in Aligarh. Int J Community Med Public Health 2018;5:395-400.
- Omidvar S, Amiri FN, Bakhtiari A, Begum K. A study on menstruation of Indian adolescent girls in an urban area of South India. J Family Med Prim Care 2018;7:698-702.
- Dharmarha N, Konda A. A study of the factors affecting the receding age of onset of menarche in young girls. Int J Reprod Contracept Obstet Gynecol 2018;7:2813-9.
- Ambade R, Sagdeo M. Age at menarche and the menstrual pattern of secondary school adolescents in central India. Int J Res Med Sci 2017;5:3610-4.
- Pandey M, Pradhan A. Age of attainment of menarche and factors affecting it amongst school girls of Gangtok, Sikkim, India. Int J Contemp Pediatr 2017;4:2187-92.
- Patil SN, Joglekar CV, Mohite RB, Surve MM, Sonawane S, Chavan R. Menarche among rural adolescent girls in Dervan (Data from the KONKAN region of the state of Maharashtra, India). J Family Med Prim Care. 2020;9(10):5276-5281. doi:10.4103/jfmpc.jfmpc_509_20
- Meher T, Sahoo H. Secular trend in age at menarche among Indian women. Sci Rep. 2024 Mar 5;14(1):5398. doi: 10.1038/s41598-024-55657-7.
- Noipayak P, Rawdaree P, Supawattanabodee B, Manusirivitthaya S. Factors associated with early age at menarche among Thai adolescents in Bangkok: A cross-sectional study. BMC women's health. 2017;17(1):16.
Introduction:-
Many developing and developed countries have seen
a decline in menarche age over the last century. Early
menarche is linked to physical and psychological
problems, and it poses pressure on the schooling of
adolescent girls. The major aim of the study is to examine
the best available evidence on the menstrual age trend in
India and its determinative factors.
Methodology:-
Systematic review with a narrative synthesis of the
available data was done. Data sources included
PUBMED, SCOPUS and Google Scholar from 2016 until
2024 published articles.
Results:-
The selected cross-sectional studies showed the
menarche age between 9 years to 16 years and the mean
age reported between 12 to 14 years. A considerable
number of girls from different studies attained menarche
earlier than 12 years. Declining menarche was seen as
more common among urban girls than the rural girls.
Socioeconomic status, Body Mass Index, height, weight,
lack of exercise, non-vegetarian diet, lack of sleep habits,
and birth order were identified as significant factors in
declining menarche. Common problems identified among
the girls were dysmenorrhea, tiredness, and back pain
with regards to menstruation.
Conclusion:-
This study found a secular decline in menarche age
among Indian women, as well as a variation in mean
menarche age between different studies from different
geographical locations with in India. Early menarche
necessities for joined efforts in early education for the
adolescent school girls.
Keywords :
Menarche, Age Of Menarche, Early Menarche, Menstruation, Secular Trend, Declining Menarche Age.