alexa Comparison of Menarcheal Status of Adolescent Girls | Open Access Journals
ISSN: 2376-127X
Journal of Pregnancy and Child Health
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Comparison of Menarcheal Status of Adolescent Girls

Kankana De*

Vidyasagar University, India

*Corresponding Author:
Kankana De
Vidyasagar University, India
Tel: +91-9474714273
E-mail: [email protected]

Received date: December 28, 2016; Accepted date: January 24, 2017; Published date: January 29, 2017

Citation: De K (2017) Comparison Menarcheal Status of Adolescent Girls. J Preg Child Health 4:299. doi:10.4172/2376-127X.1000299

Copyright: © 2017 De K. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Pregnancy and Child Health


Adolescence (from Latin adolescere, meaning "to grow up") is a transitional stage of physical and psychological human development that generally occurs during the period from puberty to legal adulthood (age of majority). The period of adolescence is most closely associated with the teenage years though its physical, psychological and cultural expressions may begin earlier and end later. For example, although puberty has been historically associated with the onset of adolescent development. Menarche is the first menstrual cycle, or first menstrual bleeding, in female humans. From both social and medical perspectives, it is often considered the central event of female puberty, as it signals the possibility of fertility. Girls experience menarche at different ages. The timing of menarche is influenced by female biology, as well as genetic and environmental factors, especially nutritional factors. The average age of menarche has declined over the last century, but the magnitude of the decline and the factors responsible remain subjects of contention. The worldwide average age of menarche is very difficult to estimate accurately, and it varies significantly by geographical region, race, ethnicity and other characteristics. Various estimates have placed it at 13. Some estimates suggest that the median age of menarche worldwide is 14 and that there is a later age of onset in Asian populations compared to the West. Secular trend in age at Menarche shows general improvement of nutrition status and living condition and better health services. Government of West Bengal of health services. Provide counselling services (e.g. Anwesha Clinic) which provide Adolescent Friendly Health Services Menarche is the most important biological event occurring girls during puberty. Girls experience menarche at different ages. The timing of menarche is influenced by female biology, as well as genetic and environmental factors, especially nutritional factors. The worldwide average age of menarche is very difficult to estimate accurately, and it varies significantly by geographical region, race, ethnicity and other characteristics. Age at menarche is a significant indicator of growth and sexual maturation in girls. During adolescence, anthropometry provides a tool for monitoring and evaluating the hormone-mediated changes in growth and reproductive maturation. Menarche is defined as the first menstrual period. It is considered to be the most obvious sign of puberty in girls. It has been regarded in many cultures as a transitional step to womanhood.


Adolescent; Nutrition; Menarche.


This is a cross sectional study which is done on 1009 school girls, study is done on Salboni block of district Paschim Medinipur of West Bengal, India. To study effect of nutrition on mean age at Menarche different anthropometric measurements are applied. The study had been done on 10-19 Adolescents school girls.


Objectives of study

• To study mean age at Menarche of studied population and to compare with others.

• To study whatever nutritional status effects mean age at menarche.

• To study anthropometric characteristics of studied population.

Materials and Method

Area of study

The investigation was carried out in a field survey among adolescent girls in an Adolescent Clinic (Anwesha Clinic) of Salboni Rural Hospital. This hospital is situated in the Salboni block of Paschim Medinipur, West Bengal, India.

The Hospital is situated in rural areas about 24 km to the north from the heart of the town Medinipur and which is conveniently located being connected by road and railways to Midnapur town. Salboni is located at 22.6°N 87.19°E. It has an average elevation of 25 metres (85 feet). It is on NH 60. As per 2001 census, Salboni CD Block had a population of 165,193, out of which 84,247 were males and 80,946 were females. Growth of population in the 1991-2001 decade was 16.71 per cent (Table 1).

Variable 10 years 11 years 12 years 13 years 14 years
Height (cm) 146.13 (5.0) 148.34 (3.8) 150.12 (3.8) 150.68 (3.8) 151.37 (4.4)
Post menarcheal          
Premenarcheal 145.88 (4.8) 147.45 (3.58) 148.65 (3.46) 148.61 (2.99) 153.32 (4.39)
combined 146.01 (4.94) 148.07 (3.76) 149.82 (3.82) 150.44 (3.70) 151.53 (4.41)
Weight (kg) 41.71 (4.16) 43.42 (3.92) 43.39 (3.32) 44.16 (3.47) 45.75 (3.34)
Post menarcheal          
Premenarcheal 36.01 (3.15) 37.46 (5.75) 36.72 (3.27) 37.00 (2.56) 37.38 (3.34)
combined 41.71 (4.16) 41.63 (5.29) 42.06 (4.25) 43.30 (4.09) 45.08 (4.03)
BMI (kg/m2) post menarcheal 19.53 (1.7) 19.72 (1.56) 19.25 (1.3) 19.44 (1.32) 19.98 (1.41)
Premenarcheal 16.93 (1.37) 17.20 (2.46) 17.20 (2.46) 16.76 (1.19) 15.87 (6.53)
Combined 18.23 (2.03) 18.96 (2.19) 18.72 (2.19) 19.12 (1.57) 19.65 (1.76)

Table 1: Age wise comparison of post menarcheal and premenarcheal of anthropometric variable.

Sample of the study

An Adolescent Counselling centre (Anwesha Clinic) of Salboni Rural Hospital of Salboni block has been chosen for present field survey for collecting required samples. All the girls of the school age ranging 10 to19 years were called to participate in present research survey; this short age range was designed, firstly to minimize the effect of age on anthropometric trait, secondly to access the immediate effect of menarche on anthropometric parameter under study; thirdly to reduce error of recalling age at menarche as it is evidenced from the typical menarcheal age range of Bengali speaking Hindu girls [1,2].

There were altogether 1009 Adolescents (aged 10-19 years) in Adolescent Clinic, they are voluntarily participated in this. The sample data are collected by one –year interval; in every age group there are 100 Adolescent girls, To collect data socio-economic data schedule questionnaire are used, anthropometric measurement is done through different instruments like anthropometric rod weighing machine, Skin fold Caliper (Table 2).

Nutritional categories Mean N Std. Deviation % of Total Sum % of Total N
CEDIII   2 0.353553 0.20% 0.20%
(CED II) 11.5 2 2.12132 0.20% 0.20%
(CED1) 11.70949 137 0.966641 15.10% 15.30%
Normal 11.92224 751 1.28051 84.10% 83.80%
Overweight 11.275 4 0.221736 0.40% 0.40%
Total 11.88214 896 1.239037 100.00% 100.00%

Table 2: Mean and body mass index of different body mass index.


Among studied sample 896 girls were experienced menarche, their mean age at menarche is 11.88 years (1.23) to compare anthropometric variable premenarchel and post-menarcheal girls that mean anthropometric measurement of premenarcheal girls is more higher than post menarcheal girls (at 10 mean height of premenarche girls is 145.88 cm, post-menarcheal girls is 146.33 cm), in studied girls minimum age at menarche is 9 years and maximum age at menarche is 17 years. The menarcheal age of the present sample was lower than the most of previous studies conducted among the bengalee Hindu girls of Kolkata [3,4]. The average age at menarche of this population is going down rapidly in 1920 and moderately in 1950s and currently a possible stability in age at menarche among the adolescent reproductive health, hygiene, nutrition). In the present study, median age at menarche of rural adolescent girls of Pinjore-Nalagarh dun Valley. Using probit analysis was found to be 12.88 ± 1.08 years (Table 3) [5].

Menarcheal status Nutritional categories Total
CED I CED II CED III Normal Overweight
Post Menarcheal 136 2 2 740 4 884
Premenarcheal 28 36 40 21 0 125
Total 164 38 42 761 4 1009

Table 3: Menearcheal status of studied group in different nutritional categories.

Age at menarche has been reported in several parts of the world and the most extensive summary of reported age at menarche in populations around the world based on status quo method and probit analysis is provided [6-8]. About 60% of the median ages at menarche range between 12.50 and 13.49 years. The average age at menarche estimated by probit analysis (using SPSS/PCt) for girls from LSE (15.4 year) was thus significantly higher (p<0.05) than that observed for girls from HSE (12.1 year). The probit estimate for menarcheal age for the girls who reported menarche at the start of the study was slightly higher (12.7 year) for girls from HSE and lower (14.3 year) for girls from LSE. Nevertheless, the estimates indicate that menarche was delayed significantly (p<0.01) among girls from LSE [8] (Table 4).

Author (Year of publication) Sample size Mean SD
Curjel (1920) 268 13.62 1.8
Sen (1953) 647 12.78 1.27
Sarkar and Roy (1968) 169 12.9 0.91
Sen (1988) 1837 12.48 1.27
Sen (1994) 35 11.94 1.09
Bhadra (2000) 123 12.04 1
Present study 896 11.88 1.23

Table 4: Age at menarche in Bengali populations: Indian context.


All anthropometric measurement has significantly increased by increasing with Age. Height, weight, Biceps Skin folds, Triceps are increasing with age because 10-19 years growing stage of human life cycle and human reach in pubertal growth stage.


Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 411
  • [From(publication date):
    February-2017 - Sep 24, 2017]
  • Breakdown by view type
  • HTML page views : 373
  • PDF downloads :38

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri, Food, Aqua and Veterinary Science Journals

Dr. Krish

[email protected]

1-702-714-7001 Extn: 9040

Clinical and Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals


[email protected]

1-702-714-7001Extn: 9042

Chemical Engineering and Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001 Extn: 9040

Earth & Environmental Sciences

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

General Science and Health care Journals

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics and Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001 Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Informatics Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Material Sciences Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Mathematics and Physics Journals

Jim Willison

[email protected]

1-702-714-7001 Extn: 9042

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001 Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

John Behannon

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001 Extn: 9042

© 2008-2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version