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Journal of Public Health

, Volume 19, Issue 3, pp 215–222 | Cite as

Relevance of age-related growth references: variations in body measurements among girls in relation to their menarche status

  • Anne-Madeleine BauEmail author
  • Angelika Schaffrath Rosario
  • Susanna Wiegand
  • Peter Martus
  • Liane Schenk
Original Article

Abstract

Aim

The objective of this study is to fill the information gap by providing detailed information on the development of girls’ BMI and hip and waist circumferences in correlation with their menarche status and to examine the impact of considering menarcheal age in addition to numerical age in the assessment of overweight and abdominal overweight.

Subjects and methods

The description of data is based on two recently conducted cross-sectional surveys: the German Health Interview and Examination Survey for Children and Adolescents (KiGGS, n = 1,942) and the Berlin School Children’s Cohort (BSCOC, n = 1,606). Anthropometric data are presented stratified by age in years (11–14) and menarche status. The frequency distribution of overweight and abdominal overweight was calculated according to German reference data. Group comparisons were performed with non-parametric tests.

Results

Changes regarding body composition occur mainly during pre-menarche and menarche. In girls in whom menarche had occurred more than 6 months ago, waist circumference and, to a lesser extent, BMI attained stable values, while the values for hip circumference were higher in post-menarche girls. The frequency distribution of overweight and abdominal overweight among post-menarche girls shows that they are more than twice as likely to be overweight and/or abdominally overweight as pre-menarche girls within the same age group.

Conclusion

The frequency distribution of overweight and abdominal overweight among girls in a similar age group but with a different menarche status demonstrates that misclassification of girls can arise when only age is taken into account. The progress of maturation is an important factor in assessing the growth and health of adolescents.

Keywords

BMI Waist circumference Hip circumference Menarche Adolescent girls 

Notes

Acknowledgements

The authors would like to express their highest gratitude to the participating girls and their parents, teachers and schools. Special thanks go to all the partners who were helpful in their critical discussions, especially Dr. Heidrun Kahl (Robert Koch Institute, retired). The BSCOC study (Berlin School Children’s Cohort) was funded by the EU FP 6 Network of Excellence “Environmental and endogenous factors influencing puberty onset. Programming effects of early nutrition on long-term health” 2005–2008 reference no. 513991 (PIONEER - Puberty onset - influence of environmental and endogenous regulators). We would like to thank Prof. Dr. Heiko Krude, team leader of the research project, for granting us access to the data set. The KiGGS study was financed by the German Ministry of Health, the Ministry of Education and Research, and the Robert Koch Institute.

Conflict of interest

There is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.

References

  1. Bau AM, Ernert A, Schenk L, Wiegand S, Martus P, Grüters A, Krude H (2009) Is there a further acceleration in the age at onset of menarche? A cross-sectional study in 1,840 school children focusing on age and bodyweight at the onset of menarche. Eur J Endocrinol 160:107–113PubMedCrossRefGoogle Scholar
  2. Cole TJ (2000) Secular trends in growth. Proc Nutr Soc 59:317–324PubMedCrossRefGoogle Scholar
  3. Cole TJ (2003) The secular trend in human physical growth: a biological review. Econ Hum Biol 1:161–168PubMedCrossRefGoogle Scholar
  4. Csábi G, Török K, Jeges S, Molnár D (2000) Presence of metabolic cardiovascular syndrome in obese children. Eur J Pediatr 159:91–94PubMedCrossRefGoogle Scholar
  5. de Onis M, Habicht JP (1996) Anthropometric reference data for international use: recommendations from a World Health Organization Expert Committee. Am J Clin Nutr 64:650–658PubMedGoogle Scholar
  6. Dobbelsteyn CJ, Joffres MR, MacLean DR, Flowerdew G (2001) A comparative evaluation of waist circumference, waist-to-hip ratio and body mass index as indicators of cardiovascular risk factors. The Canadian heart health surveys. Int J Obes 25:652–661CrossRefGoogle Scholar
  7. Fredriks AM, van Buuren S, Jeurissen S, Fekker FW, Verloove-Vanhorick SP, Wit JM (2003) Height, weight, body mass index and pubertal development reference values for children of Turkish origin in the Netherlands. Eur J Pediatr 162:788–793PubMedCrossRefGoogle Scholar
  8. Fredriks AM, van Buuren S, Fekkes M, Verloove-Vanhorick SP, Wit JM (2005) Are age references for waist circumference, hip circumference and waist-hip ratio in Dutch children useful in clinical practice? Eur J Pediatr 164:216–222PubMedCrossRefGoogle Scholar
  9. Freedman D, Serdula M, Srinivasan S, Berenson G (1999) Relation of circumference and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr 69:308–317PubMedGoogle Scholar
  10. Himes JH, Park K, Styne D (2009) Menarche and assessment of body mass index in adolescent girls. J Pediatr 155:393–397PubMedCrossRefGoogle Scholar
  11. Jordan SJ, Webb PM, Green AC (2005) Height, age at menarche, and risk of epithelial ovarian cancer. Cancer Epidemiol Biomak Prev 14:2045–2048CrossRefGoogle Scholar
  12. Kahl H, Schaffrath Rosario A, Schlaud M (2007) Sexuelle Reifung von Kindern und Jugendlichen in Deutschland. Ergeb Kinder Jugendgesundheitssurvey. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:677–685PubMedCrossRefGoogle Scholar
  13. Kaplowitz P, Slora E, Wassermann R, St P, Herman-Giddens M (2001) Earlier onset of puberty in girls: Relation to increased body mass index and race. Pediatr 108:347–353CrossRefGoogle Scholar
  14. Koo MM, Rohan TE (1997) Accuracy of short-term recall of age at menarche. Ann Hum Biol 24:61–64PubMedCrossRefGoogle Scholar
  15. Kromeyer-Hauschild K, Wabitsch M, Kunze D, Geller F, Geiß HC, Hesse V, Hippel vA, Jaeger U, Johnsen D, Korte W, Menner K, Müller G, Müller JM, Niemann-Pilatus A, Remer T, Schaefers F, Wittchen HU, Zabransky S, Zellner K, Ziegler A, Hebebrand J (2001) Perzentile für den Body-Mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 149:807–818CrossRefGoogle Scholar
  16. Kromeyer-Hauschild K, Gäßler N, Zellner K (2008) Perzentile für den Taillenumfang von Jenaer Kindern im Alter von 6 bis 18 Jahren. Aktuel Ernahrungsmed 33:116–122CrossRefGoogle Scholar
  17. Kurth BM, Schaffrath Rosario A (2007) Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Ergeb Kinder Jugendgesundheitssurvey. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:736–743PubMedCrossRefGoogle Scholar
  18. Kurth B-M, Kamtsiuris P, Hoelling H, Schlaud M, Dölle R, Ellert U et al (2008) The challenge of comprehensively mapping children's health in a nation-wide health survey: design of the German KiGGS-Study. BMC Public Health 8:196–204PubMedCrossRefGoogle Scholar
  19. Lakshman R, Forouhi N, Luben R, Bingham S, Khaw K, Wareham N, Ong KK (2008) Association between age at menarche and risk of diabetes in adults: results from EPIC Norfolk cohort study. Diabetologia 51:781–786PubMedCrossRefGoogle Scholar
  20. Maffeis C, Pietrobelli A, Grezzani A, Provera S, Tatò L (2001) Waist circumference and cardiovascular risk factors in prepubertal children. Obes Res 9:179–177PubMedCrossRefGoogle Scholar
  21. Marshal W, Tanner J (1969) Variations in the pattern of pubertal changes in girls. Arch Dis Child 44:291–303CrossRefGoogle Scholar
  22. McCarthy HD, Ellis SM, Cole TJ (2008) Central overweight and obesity in British youth aged 11–16 years: cross sectional surveys of waist circumference. BMJ 326:624–630CrossRefGoogle Scholar
  23. Moreno LA, Fleta J, Mur L, Rodriguez G, Sarria A, Bueno M (1999) Waist circumference values in Spanish children—Gender related differences. Eur J Clin Nutr 53:429–433PubMedCrossRefGoogle Scholar
  24. Moreno LA, Pineda I, Rodriguez G, Fleta J, Sarria A, Bueno M (2002) Waist circumference for the screening of the metabolic syndrome in children. Acta Pediatr 91:1307–1312CrossRefGoogle Scholar
  25. Savva SC, Tornaritis M, Savva ME et al (2000) Waist circumference and waist-to-height razio are better predictors of cardiovascular disease risk factors in children than body mass index. Int J Obes 24:1453–1458CrossRefGoogle Scholar
  26. Schaffrath Rosario A, Kurth BM, Stolzenberg H, Ellert U, Neuhauser H (2010) Body mass index percentiles for children and adolescents in Germany based on a nationally representative sample (KiGGS 2003-2006). Eur J Clin Nutr 64:341–349PubMedCrossRefGoogle Scholar
  27. Schenk L, Ellert U, Neuhauser H (2007) Kinder und Jugendliche mit Migrationshintergrund in Deutschland. Methodische Aspekte im Kinder- und Jugendgesundheitssurvey (KIGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:590–599PubMedCrossRefGoogle Scholar
  28. Siervogel RM, Demerath EW, Schubert Ch, Remsberg KE, Chumlea WC, Sun S, St C, Towne B (2003) Puberty and body composition. Horm Res 60(Suppl 1):S36–S45CrossRefGoogle Scholar
  29. Stolzenberg H, Kahl H, Bergmann KE (2007) Body measurements of children and adolescents in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50:659–669PubMedCrossRefGoogle Scholar
  30. Tanner JM, Whitehouse RH, Takaiski M (1966) Standards from birth to maturity, for height, weight, height velocity and weight velocity: British children 1965. Arch Dis Child 41:454–462PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Anne-Madeleine Bau
    • 1
    • 5
    Email author
  • Angelika Schaffrath Rosario
    • 2
  • Susanna Wiegand
    • 1
  • Peter Martus
    • 3
  • Liane Schenk
    • 4
  1. 1.Institute for Experimental Pediatric EndocrinologyCharité University Medicine BerlinBerlinGermany
  2. 2.Robert Koch-InstituteBerlinGermany
  3. 3.Institute for Biostatistic und Clinical EpidemiologyCharité University Medicine BerlinBerlinGermany
  4. 4.Institute for Medicine SociologyCharité University Medicine BerlinBerlinGermany
  5. 5.Charite-University-Medicine BerlinBerlinGermany

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