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Menarcheal age, length dimensions and
   body composition in a sample of
  schoolgirls in Rio de Janeiro, Brazil
Oliveira-Júnior, Astrogildo V.1 & Casimiro-Lopes, Gustavo1,2

1Universidade  do Estado do Rio de Janeiro – Instituto de Educação Física e
Desportos – Laboratório de Atividade Física e Promoção da Saúde – Brasil
2 Universidade Federal do Rio de Janeiro - Instituto de Bioquímica Médica – Brasil




 e-mail: avojr@uerj.br
Introduction


• Precocious menarche is commonly related with
  higher risk of obesity appearance in later years
  (Bratberg, Nilsen, Holmen & Vatten, 2007; van
  Lenthe, Kemper & van Mechelen, 1996; Wang,
  2002), a fact still not elucidated in Brazilian girls.
Objective


• To evaluate menarcheal age, length dimensions and
  body composition in a sample of schoolgirls in Rio de
  Janeiro.
Methods

• We evaluated 113 girls from a stratified sample of 5.643
  students from a traditional Federal school in Rio de Janeiro,
  which contains 13.000 students distributed in six school units.
  Total body mass was measured using an anthropometric scale
  with a 0.1 g precision while the stature was measured with a
  stadiometer with a 0.1 mm precision.

• Sum of five skinfold thickness (5ST) was obtained by Lange
  caliper in subescapular, triceps, medial calf, abdominal and
  iliac crest skinfolds sites. Length dimensions (acromial,
  dactiloidal, sitting, iliac and trochanteric height) were
  assessed with an anthropometer.
Methods

• Anthropometric measures were obtain according to ISAK
  (Norton et al., 1996). Percent of body fat, fat mass and lean
  body mass were calculated according to Slaughter equation.

• Obesity was calculated using the sum of subescapular and
  triceps (>85 percentile) as determine by Lohman (1986).
  Menarcheal age (MA) was calculated by retrospective self-
  report allowing us to divide girls in: Early (E, menarche <12
  years, n=61); Average (A, menarche 12.1 to 13.9 years, n=52),
  Late (L, menarche > 14 years, n=9) (McKay, Bailey, Mirwald,
  Davison & Faulkner, 1998).
Results
• E group presented higher levels of 5ST when compared with A
  group (+13%, p<0.05) and L group (+26%, p<0.05). The
  prevalence of obesity in all groups presented were extremely
  different, respectively I in groups E (90%), A (42%) and L
  (11%).


                       *
                *


                                                *

                                                      *#
Results

• Interestingly all the other parameters of growth and
  body composition did not show any statistical
  difference between groups.
Discussion/Conclusion


• Our results suggest that subcutaneous fat is related with
  menarche occurrence.

• Schoolgirls in E group presented higher levels of subcutaneous
  adiposity, which can pose an increased risk for disease
  occurrence in later life.

• Additionally, it comes into view that this group of girls need
  better nutritional care and more physical activity.
References

Bratberg, G. H., Nilsen, T. I., Holmen, T. L., & Vatten, L. J. (2007). Early sexual
   maturation, central adiposity and subsequent overweight in late adolescence. A
   four-year follow-up of 1605 adolescent Norwegian boys and girls: the Young HUNT
   study. BMC Public Health, 7, 54.
Lohman, T. G. (1986). Applicability of body composition techniques and constants for
   children and youths. Exercise and Sport Sciences Reviews, 14, 325-357.
McKay, H. A., Bailey, D. A., Mirwald, R. L., Davison, K. S., & Faulkner, R. A. (1998). Peak
   bone mineral accrual and age at menarche in adolescent girls: a 6-year
   longitudinal study. Journal of Pediatrics, 133(5), 682-687.
Norton, K., Whittingham, N., Carter, L., Kerr, D. A., Gore, C., & Marfell-Jones, M.
   (1996). Measurement techniques in anthropometry. Anthropometrica (pp. 25-75).
   Sidney: University of New South Wales Press.
van Lenthe, F. J., Kemper, C. G., & van Mechelen, W. (1996). Rapid maturation in
   adolescence results in greater obesity in adulthood: the Amsterdam Growth and
   Health Study. American Journal of Clinical Nutrition, 64(1), 18-24.
Wang, Y. (2002). Is obesity associated with early sexual maturation? A comparison of
   the association in American boys versus girls. Pediatrics, 110(5), 903-910.

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Menarcheal age, length dimensions and body composition in a sample of schoolgirls in Rio de Janeiro, Brazil

  • 1. Menarcheal age, length dimensions and body composition in a sample of schoolgirls in Rio de Janeiro, Brazil Oliveira-Júnior, Astrogildo V.1 & Casimiro-Lopes, Gustavo1,2 1Universidade do Estado do Rio de Janeiro – Instituto de Educação Física e Desportos – Laboratório de Atividade Física e Promoção da Saúde – Brasil 2 Universidade Federal do Rio de Janeiro - Instituto de Bioquímica Médica – Brasil e-mail: avojr@uerj.br
  • 2. Introduction • Precocious menarche is commonly related with higher risk of obesity appearance in later years (Bratberg, Nilsen, Holmen & Vatten, 2007; van Lenthe, Kemper & van Mechelen, 1996; Wang, 2002), a fact still not elucidated in Brazilian girls.
  • 3. Objective • To evaluate menarcheal age, length dimensions and body composition in a sample of schoolgirls in Rio de Janeiro.
  • 4. Methods • We evaluated 113 girls from a stratified sample of 5.643 students from a traditional Federal school in Rio de Janeiro, which contains 13.000 students distributed in six school units. Total body mass was measured using an anthropometric scale with a 0.1 g precision while the stature was measured with a stadiometer with a 0.1 mm precision. • Sum of five skinfold thickness (5ST) was obtained by Lange caliper in subescapular, triceps, medial calf, abdominal and iliac crest skinfolds sites. Length dimensions (acromial, dactiloidal, sitting, iliac and trochanteric height) were assessed with an anthropometer.
  • 5. Methods • Anthropometric measures were obtain according to ISAK (Norton et al., 1996). Percent of body fat, fat mass and lean body mass were calculated according to Slaughter equation. • Obesity was calculated using the sum of subescapular and triceps (>85 percentile) as determine by Lohman (1986). Menarcheal age (MA) was calculated by retrospective self- report allowing us to divide girls in: Early (E, menarche <12 years, n=61); Average (A, menarche 12.1 to 13.9 years, n=52), Late (L, menarche > 14 years, n=9) (McKay, Bailey, Mirwald, Davison & Faulkner, 1998).
  • 6. Results • E group presented higher levels of 5ST when compared with A group (+13%, p<0.05) and L group (+26%, p<0.05). The prevalence of obesity in all groups presented were extremely different, respectively I in groups E (90%), A (42%) and L (11%). * * * *#
  • 7. Results • Interestingly all the other parameters of growth and body composition did not show any statistical difference between groups.
  • 8. Discussion/Conclusion • Our results suggest that subcutaneous fat is related with menarche occurrence. • Schoolgirls in E group presented higher levels of subcutaneous adiposity, which can pose an increased risk for disease occurrence in later life. • Additionally, it comes into view that this group of girls need better nutritional care and more physical activity.
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