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http://dx.doi.org/10.5392/JKCA.2016.16.03.319

Secular Trends and Influencing Factors for the Early Menarche among Korean Middle and High School Girls  

Han, Dallong (청주대학교 간호학과)
Lee, Jongeun (충북대학교 의과대학 간호학과)
Kim, Seonho (충북대학교 의과대학 간호학과)
Publication Information
The Journal of the Korea Contents Association / v.16, no.3, 2016 , pp. 319-327 More about this Journal
Abstract
The objective of this study is to identify the secular trend in age at menarche and to investigate the factors influence the early menarche(<12 years old) among Korean middle and high school girls. We analyzed data from the Korean Youth Risk Behavior Web-based Survey(KYRBWS) 2006-2014. This study was a descriptive study of 216,917 Korean middle and high school girls born between 1988 and 2002. Linear trends test performed to assess the trend age at menarche and percentage of early menarche. Multiple logistic regression analysis was to assess the risk factors influence the early menarche. Mean age at menarche decreased from $12.61{\pm}1.32$ years for middle and high school girls born 1988 to $11.88{\pm}0.75$ years for those born 2002(p for trends<.001). Percentage of early menarche increased from 19.7% to 25.2% between 1988 and 2002(p for trends<.001). Living in city, higher stress level, short sleep duration, and higher body mass index were associated with an early menarche among middle and high school girls(all p<.001). We found that age at menarche is still falling in the Korean adolescents, and it need intervention strategies to control the early menarche.
Keywords
Menarche; Trends; Adolescent;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 D. H. Morris, M. E. Jones, M. J. Schoemaker, A. Ashworth, and A. J. Swerdlow, "Secular trends in age at menarche in women in the UK born 1908-93: results from the Breakthrough Generations Study," Paediatr Perinat Epidemiol. Vol.25, No.4, pp.394-400, 2011.   DOI
2 J. H. Ahn, S. W. Lim, B. S. Song, J. Seo, J. A. Lee, D. H. Kim, and J. S. Lim, "Age at menarche in the Korean female: secular trends and relationship to adulthood body mass index," Ann Pediatr Endocrinol Metab, Vol.18, No.2, pp.60-64, 2013.   DOI
3 G. J. Cho, H. T. Park, J. H. Shin, J. Y. Hur, Y. T. Kim, S. H. Kim, K. W. Lee, and T. Kim, "Age at menarche in a Korean population: secular trends and influencing factors," Eur J Pediatr, Vol.169, No.1, pp.89-94, 2010.   DOI
4 최문정, 한국인의 초경연령에 영향을 주는 요인, 고려대학교 석사학위논문, 2011.
5 C. Joinson, J, Heron, G. Lewis, T. Croudace, and R. Araya, "Timing of menarche and depressive symptoms in adolescent girls from a UK cohort," Br J Psychiatry, Vol.198, No.1, pp.17-23, 2011.   DOI
6 M. B. Pierce and D. A. Leon, "Age at menarche and adult BMI in the Aberdeen children of the 1950s cohort study," Am J Clin Nutr, Vol.82, No.4, pp.733-739, 2005.   DOI
7 R. Lakshman, N. Forouhi, R. Luben, S. Bingham, K. Khaw, N. Wareham, and K. K. Ong, "Association between age at menarche and risk of diabetes in adults: results from the EPIC-Norfolk cohort study," Diabetologia, Vol.51, No.5, pp.781-786, 2008.   DOI
8 김창수, 남정모, 김덕희, 김현창, 이강희, 지선하, 서일, "초경시기와 아동기 및 청소년기의 신체성장의 변화 : 강화연구," 예방의학회지, 제33권, 제4호, pp.521-529, 2000.
9 O. Karapanou and A. Papadimitriou, "Determinants of menarche," Reprod Biol Endocrinol, Vol.30, No.8, p.115, 2010.
10 G. Kvale, I. Heuch, S. Nilssen, and V. Beral, "Reproductive factors and risk of ovarian cancer: a prospective study," Int J Cancer, Vol.42, No.2, pp.246-251, 1988.   DOI
11 B. K. Jacobsen, K. Oda, S. F. Knutsen, and G. E. Fraser, "Age at menarche, total mortality and mortality from ischaemic heart disease and stroke: the Adventist Health Study, 1976-88," Int J Epidemiol, Vol.38, No.1, pp.245-252, 2009.   DOI
12 L. S. Adair, "Size at birth predicts age at menarche," Pediatrics, Vol.107, No.4, p.E59, 2001.   DOI
13 오창모, 서울시 여학생의 초경관련인자에 관한 단면연구, 경희대학교, 석사학위논문, 2011.
14 D. Braithwaite, D. H. Moore, R. H. Lustig, E. S. Epel, K. K. Ong, D. H. Rehkopf, M. C. Wang, S. M. Miller, and R. A. Hiatt. "Socioeconomic status in relation to early menarche among black and white girls," Cancer Causes Control, Vol.20, No.5, pp.713-720, 2009   DOI
15 안경민, 홍경희, "여중생의 초경경험과 정신건강의 연관성 연구," 한국산학기술학회논문지, 제14권, 제11호, pp.5737-5744, 2013.   DOI
16 Y. Song, J. Ma, H. J. Wang, Z. Wang, P. Hu, B. Zhang, and A. Agardh, "Trends of age at menarche and association with body mass index in Chinese school-aged girls, 1985-2010," J Pediatr, Vol.165, No.6, pp.1172-1177, 2014.   DOI
17 R. L. Rosenfield, R. B. Lipton, and M. L. Drum. "Thelarche, pubarche, and menarche attainment in children with normal and elevated body mass index," Pediatrics, Vol.123, No.1, pp.84-88, 2009.   DOI
18 이복임, "우리나라 여고생의 초경연령 영향요인," 한국학교보건학회지, 제27권, 제3호, pp.121-129, 2014.   DOI
19 E. Abdulla and N. M. Ibraheem, "Assessment of the influencing factors on age of menarche among girls in Tikrit city," Tikrit Medical Journal, Vol.16, No.2, pp.129-133, 2010.
20 S. Y. Ku, J. W. Kang, H. Kim, Y. D. Kim, B. C. Jee, C. S. Suh, Y. M. Choi, J. G. Kim, S. Y. Moon, and S. H. Kim, "Age at menarche and its influencing factors in North Korean female refugees," Hum Reprod, Vol.21, No.3, pp.833-836, 2006.   DOI
21 F. Rigon, L. Bianchin, S. Bernasconi, G. Bona, M. Bozzola, and F. Buzi, et al. "Update on age at menarche in Italy: toward the leveling off of the secular trend," J Adolesc Health, Vol.46, No.3, pp.238-244, 2010.   DOI
22 Z. Atay, S. Turan, T. Guran, A. Furman, and A. Bereket, "Puberty and influencing factors in schoolgirls living in Istanbul: endof the secular trend?," Pediatrics, Vol.128, No.1, pp.40-45, 2011.
23 A. Papadimitriou, G. Fytanidis, K. Douros, C. Bakoula, P. Nicolaidou, and A. Fretzayas, "Age at menarche in contemporary Greek girls: evidence for levelling-off of the secular trend," Acta Paediatr, Vol.97, No.6, pp.812-815, 2008.   DOI
24 E. Hwang, K. W. Lee, Y. Cho, H. K. Chung, and M. J. Shin, "Association between age at menarche and diabetes in Korean post-menopausal women: results from the Korea National Health and Nutrition Examination Survey (2007-2009)," Endocr J, 2015 Jul 17. [Epub ahead of print].
25 C. M. Oh, I. H. Oh, K. S. Choi, B. K. Choe, T. Y. Yoon, and J. M. Choi, "Relationship between body mass index and early menarche of adolescent girls in Seoul," J Prev Med Public Health, Vol.45, No.4, pp.227-234, 2012.   DOI
26 질병관리본부, 대한소아과학회, 소아청소년 신체발육표준치 제정위원회, 2007년 소아.청소년 표준 성장도표 : 해설, 질병관리본부, 2007.
27 L. Zhai, J. Liu, J. Zhao, J. LiuJ, Y. Bai, L. Jia, and X. Yao, "Association of obesity with onset of puberty and sex hormones in Chinese girls: A 4-year longitudinal study," PloS One, Vol.10, No.8, e0134656, 2015.   DOI
28 S. Shalitin and M. Phillip, "Role of obesity and leptin in the pubertal process and pubertal growth : A review," Int J Obes Relat Metab Disord, Vol.27, No.8, pp.869-874, 2003.   DOI
29 오두남, 김은만, 김선호, "한국 청소년의 체중조절행동 영향요인," 한국콘텐츠학회논문지, 제13권, 제3호, pp.218-228, 2013.   DOI
30 권미경, 초경시기와 관련된 요인분석 : 초등학교 고학년 중심, 영남대학교, 석사학위논문, 2012.
31 하영미, 박현주, "고등학생의 수면 부족, 비만, 스크린 타임 사이의 관련성 연구," 기초간호자연과학회지, 제16권, 제2호, pp.80-89, 2014.