초경시기와 아동기 및 청소년기의 신체성장의 변화 : 강화연구

Timing of Menarche and Physical Growth during Childhood and Adolescence : The Kangwha Study

  • 김창수 (연세대학교 의과대학 예방의학교실) ;
  • 남정모 (연세대학교 의과대학 예방의학교실) ;
  • 김덕희 (연세대학교 의과대학 소아과학교실) ;
  • 김현창 (연세대학교 보건대학원) ;
  • 이강희 (연세대학교 의과대학 예방의학교실) ;
  • 지선하 (연세대학교 보건대학원) ;
  • 서일 (연세대학교 의과대학 예방의학교실)
  • Kim, Chang-Soo (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Nam, Chung-Mo (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Kim, Duck-Hi (Department of Public Health, Pediatrics, Yonsei University College of Medicine) ;
  • Kim, Hyun-Chang (Graduate School of Health Science and Management, Yonsei University) ;
  • Lee, Kang-Hee (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Jee, Sun-Ha (Graduate School of Health Science and Management, Yonsei University) ;
  • Suh, Il (Department of Preventive Medicine, Yonsei University College of Medicine)
  • 발행 : 2000.12.01

초록

Objectives : To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. Methods : $\lceil$The Kangwha Study$\rfloor$was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period$(1986\sim1997)$, were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late($\geq75$ percentile) maturers. Results : The average age at menarche was 12.7 years . early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between $6\sim8$ years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. Conclusions : Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.

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