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Risk Factors Associated with Very Early Menarche Among School Children: An Analytical Cross-Sectional Study


Authors : Dr. Vijaiyalakshmi Praveen; Dr. Harshana Devi; Dr. Induja S.; Dr. Pavithra K.; Dr. Arun Murugan

Volume/Issue : Volume 11 - 2026, Issue 4 - April


Google Scholar : https://tinyurl.com/473us6c5

Scribd : https://tinyurl.com/bddhtbkh

DOI : https://doi.org/10.38124/ijisrt/26apr2104

Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.


Abstract : Background The term puberty can be described as the stage during which an individual reaches his/her sexual maturity. Alternatively, the term menarche refers to the age during which women undergo their first menstrual cycle. In India, the average age at which women have their first menstruation is 13.76 years. Very early menarche, especially those who have menarche before 11 years, leads to numerous ailments including breast cancer, Type 2 diabetes, depression, metabolic syndrome, and psychosocial diseases. Consumption of sweet beverages is one of the risk factors for menarche. Nonetheless, there is no study conducted on the relationship between consumption of sweet beverages and menarche among girls in south India.  Objective To determine the prevalence rate of very early menarche (<11 years) among the government school-going females aged 8-16 years in Chennai, Tamil Nadu, India, as well as the different factors leading to menarche.  Methods An analytical cross-sectional study was carried out in January 2023-March 2023 among 361 government school girls within the age group of 8-16 years in Chennai, Tamil Nadu. Convenience sampling was done for schools while simple random sampling was employed to select study subjects. Data on beverage consumption, physical activity, sleeping patterns, and food preferences were obtained through a valid semi-structured questionnaire. Chi-square test was performed for bivariate analysis.

Keywords : Very Early Menarche; Early Menarche; Sugar-Sweetened Drinks; Eating Practices; Lifestyle Variables; Teenage Wellbeing; Chennai; Cross-Sectional Survey.

References :

  1. Lacroix AE, Gondal H, Shumway KR, Langaker MD. Physiology, Menarche. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470216/
  2. Lee HS. Why should we be concerned about early menarche? Clin Exp Pediatr. 2021;64(1):26–27. doi:10.3345/cep.2020.00521
  3. Ramraj B, Subramanian V, Vijayakrishnan. Study on age of menarche between generations and the factors associated with it. Clin Epidemiol Glob Health. 2021;11:100758. doi:10.1016/j.cegh.2021.100758
  4. Firdawati, Rahmatias F, Abdiana, Fitria H. Determinant Factors of Early Menarche among Primary School Girls. Contagion: Sci Period Public Health Coast Health. 2022;8(1):226–237. [Note: verify publication year with journal.]
  5. Liu X, Chen H, Liu ZZ, Fan F, Jia CX. Early Menarche and Menstrual Problems Are Associated with Sleep Disturbance in a Large Sample of Chinese Adolescent Girls. Sleep. 2017;40(9):zsx107. doi:10.1093/sleep/zsx107
  6. Adienbo O, Erigbali V. Age at Menarche, Menstrual Characteristics and Associated Factors among Adolescent Girls in Indigenous Population in Niger Delta Region, Nigeria. J Adv Med Med Res. 2021;33(10):24–32.
  7. Valeggia C, Nuñez-de la Mora A. Human Reproductive Ecology. In: Basics in Human Evolution. 2015:295–308. doi:10.1016/B978-0-12-802652-6.00021-9
  8. Behel A, Raje L. Age at menarche in urban school-going girls: association between socio-economic status, BMI and physical activity. Int J Community Med Public Health. 2021 Feb. doi:10.18203/2394-6040.ijcmph20210350
  9. Maclure M, Travis LB, Willett W, MacMahon B. A prospective cohort study of nutrient intake and age at menarche. Am J Clin Nutr. 1991;54(4):649–656.
  10. Calthorpe L, Brage S, Ong KK. Systematic review and meta-analysis of the association between childhood physical activity and age at menarche. Acta Paediatr. 2019;108(6):1008–1015.
  11. Chavarro J, Villamor E, Narváez J, Hoyos A. Socio-demographic predictors of age at menarche in a group of Colombian university women. Ann Hum Biol. 2004;31(2):245–257.
  12. Baker BL, Birch LL, Trost SG, Davison KK. Advanced pubertal status at age 11 and lower physical activity in adolescent girls. J Pediatr. 2007;151(5):488–493.
  13. Koprowski C, Ross RK, Mack WJ, Henderson BE, Bernstein L. Diet, body size and menarche in a multiethnic cohort. Br J Cancer. 1999;79(11–12):1907–1911.
  14. Moisan J, Meyer F, Gingras S. A Nested Case-Control Study of the Correlates of Early Menarche. Am J Epidemiol. 1990;132(5):953–961.
  15. Yang YD, Ma J, Fu LG, et al. Association between early onset of menarche and anthropometry measurements among adolescent girls in China. Zhonghua Yu Fang Yi Xue Za Zhi. 2013;47(8):724–729.
  16. Cheng M, Yao Y, Zhao Y, et al. The influence of socioeconomic status on menarcheal age among Chinese school-age girls in Tianjin, China. Eur J Pediatr. 2021;180(3):737–745.
  17. Diao H, Wang H, Yang L, et al. The association between sleep duration, bedtimes, and early pubertal timing among Chinese adolescents: a cross-sectional study. Environ Health Prev Med. 2020;25(1):21.
  18. Li W, Liu Q, Deng X, Chen Y, Liu S, Story M. Association between Obesity and Puberty Timing: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2017;14(10):1266.
  19. Hiatt RA, Stewart SL, Deardorff J, et al. Childhood Socioeconomic Status and Menarche: A Prospective Study. J Adolesc Health. 2021;69(1):84–90.
  20. Martínez-Arroyo A, Cantor E, Fisberg RM, Corvalán C. Lower adherence to a prudent dietary pattern is associated with earlier age at menarche in adolescents from the Growth and Obesity Chilean Cohort Study. Front Public Health. 2023;11:1112285.
  21. Mueller NT, Jacobs DR, MacLehose RF, et al. Consumption of caffeinated and artificially sweetened soft drinks is associated with risk of early menarche. Am J Clin Nutr. 2015;102(3):648–654.
  22. Pathak PK, Tripathi N, Subramanian SV. Secular Trends in Menarcheal Age in India — Evidence from the Indian Human Development Survey. PLoS One. 2014;9(11):e111027.
  23. Collaborative Group on Hormonal Factors in Breast Cancer. Menarche, menopause, and breast cancer risk: individual participant meta-analysis. Lancet Oncol. 2012;13(11):1141–1151.
  24. Elks CE, Ong KK, Scott RA, et al; InterAct Consortium. Age at Menarche and Type 2 Diabetes Risk. Diabetes Care. 2013;36(11):3526–3534.
  25. Tsai MC, Lee YL, Chen YC. Association of the consumption of common drinks with early puberty in both sexes. Front Public Health. 2022;10:1029125. doi:10.3389/fpubh.2022.1029125
  26. Carwile JL, Willett WC, Spiegelman D, et al. Sugar-sweetened beverage consumption and age at menarche in a prospective study of US girls. Hum Reprod. 2015;30(3):675–683.
  27. Rogers IS, Northstone K, Dunger DB, Cooper AR, Ness AR, Emmett PM. Diet throughout childhood and age at menarche in a contemporary cohort of British girls. Public Health Nutr. 2010;13(12):2052–2063.
  28. Nirupama AY, Ravivarman, Gupta S. Cross-sectional study on prevalence of early menarche and knowledge about menstrual hygiene practices among adolescent girls in rural Tamil Nadu. Researchgate. 2020 September.
  29. Breehl L, Caban O. Physiology, Puberty. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023.

Background The term puberty can be described as the stage during which an individual reaches his/her sexual maturity. Alternatively, the term menarche refers to the age during which women undergo their first menstrual cycle. In India, the average age at which women have their first menstruation is 13.76 years. Very early menarche, especially those who have menarche before 11 years, leads to numerous ailments including breast cancer, Type 2 diabetes, depression, metabolic syndrome, and psychosocial diseases. Consumption of sweet beverages is one of the risk factors for menarche. Nonetheless, there is no study conducted on the relationship between consumption of sweet beverages and menarche among girls in south India.  Objective To determine the prevalence rate of very early menarche (<11 years) among the government school-going females aged 8-16 years in Chennai, Tamil Nadu, India, as well as the different factors leading to menarche.  Methods An analytical cross-sectional study was carried out in January 2023-March 2023 among 361 government school girls within the age group of 8-16 years in Chennai, Tamil Nadu. Convenience sampling was done for schools while simple random sampling was employed to select study subjects. Data on beverage consumption, physical activity, sleeping patterns, and food preferences were obtained through a valid semi-structured questionnaire. Chi-square test was performed for bivariate analysis.

Keywords : Very Early Menarche; Early Menarche; Sugar-Sweetened Drinks; Eating Practices; Lifestyle Variables; Teenage Wellbeing; Chennai; Cross-Sectional Survey.

Paper Submission Last Date
31 - May - 2026

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