Abstract
OBJECTIVES: To examine the longitudinal changes in adiposity and related risk variables of Syndrome X from childhood to young adulthood with respect to early onset of menarche.
DESIGN: Community-based longitudinal cohort of female subject (65% white, 35% blacks subjects) who participated in two or more surveys from childhood to young adulthood and had reported their menarcheal age (<12 y, n=437 vs ≥12 y, n=1042).
RESULTS: In childhood (5–11 y), adolescence (12–18 y), and young adulthood (19–37 y), females with early menarche displayed significantly higher body mass index (BMI) and triceps skinfold thickness; higher stature in childhood and adolescence; higher fasting insulin and homeostasis model assessment index of insulin resistance (HOMA-IR) in childhood and adulthood; and higher fasting glucose in adulthood. Blood pressure and lipoprotein variables showed no early menarche-related differences. Longitudinal rates of change in BMI (P=0.002), triceps skinfold thickness (P=0.05), insulin (P=0.09), and HOMA-IR (P=0.05) were positive and faster among female subjects with early menarche; fasting glucose decreased slowly in this group (P=0.006). In a multivariate analysis, body fatness and insulin related independently to early menarche (P<0.001). This association was stronger in white subjects (P=0.0008). In adulthood, the prevalence of clustering of three to four risk factors of syndrome X (highest quartile of: (1) BMI, (2) fasting insulin, (3) systolic or mean arterial pressure, and (4) total cholesterol to HDL cholesterol or triglycerides to HDL cholesterol ratio specific for age, race, and study year) was higher among those with early menarche (10.7 vs 6.2%, P=0.002). The odds for developing such clustering in adulthood among those with early menarche was 1.54 (95% CI=1.14–2.07), regardless of race.
CONCLUSION: Early menarche is characterized by excess body fatness and insulin beginning in early childhood and higher prevalence of clustering of adverse levels of risk variables of metabolic Syndrome X in young adulthood.
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References
Herman-Giddens ME, Slora EJ, Wasserman RC, Bourdony CJ, Bhapkar MV, Koch GG, Hasemeier CM . Secondary sexual characteristics and menses in young girls seen in office practice: a study from pediatric research in office setting network. Pediatrics 1997; 99: 505–512.
Wattigney WA, Srinivasan SR, Chen W, Greenlund KJ, Berenson GS . Secular trend of earlier onset of menarche with increasing obesity in black and white girls: the Bogalusa Heart Study. Ethnicity Dis 1999; 9: 181–188.
Zacharis L, Rand WM . Adolescent growth in weight and its relation to menarche in contemporary American girls. Ann Hum Biol 1986; 13: 369–386.
Moisan J, Meyer F, Gingras S . A nested case–control of the correlates of early menarche. Am J Epidemiol 1990; 132: 953–961.
Wellens R, Malina RM, Rocher F et al. Body size and fatness in young adults in relation to age at menarche. Am J Hum Biol 1992; 4: 783–787.
Garn SM, La Velle M, Rosenburg KR, Hawthorne VM . Maturational timing as a factor in female fatness and obesity. Am J Clin Nutr 1986; 43: 879–883.
Kaplowitz PB, Slora EJ, Wasserman RC, Pedlow SE, Herman-Giddens ME . Earlier onset of puberty in girls: relation of increased body mass index and race. Pediatrics 2001; 108: 347–353.
Adair LS, Gordon-Larsen P . Maturation timing and overweight prevalence in US adolescent population girls. Am J Public Health 2001; 91: 642–644.
Garn SM, LaVelle M, Pilkington JJ . Comparison of fatness in premenarcheal and post menarcheal girls of the same age. J Pediatr 1983; 103: 328–331.
Frisch RE, Revelle R . Height and weight at menarche and a hypothesis of critical weights and adolescent events. Science 1970; 169: 397–399.
de Ridder CM, Thijssen JHH, Bruning PF, van den Brande JL, Zonderland ML, Erich WBM . Body fat mass, body fat distribution, and pubertal development: a longitudinal study of physical and hormonal sexual maturation of girls. J Clin Endocrinol Metab 1992; 75: 442–446.
Matkovic V, Ilich JZ, Skugor M et al. Leptin is inversely related to age at menarche in human females. J Clin Endocrinol Metab 1997; 82: 3239–3249.
Cooper C, Kuh D, Egger P, Wadsworth M, Barker D . Childhood growth and age at menarche. Br J Obstet Gynaecol 1996; 103: 814–817.
Genazzani AR, Pinton C, Corda R . Plasma levels of gonadotrophins, thyroxine, and adrenal and gonadal steroids in obese prepubertal girls. J Clin Endocrin Metab 1978; 47: 974–979.
Scott EC, Johnston FE . Critical fat, menarche, and the maintenance of menstrual cycles: critical review. J Adolesc Health Care 1982; 2: 249–260.
Malina RM, Bouchard C (eds). Growth, maturation, and physical activity. Human Kinetics Books: Champaign, IL; 1991. pp 1–501.
Troiano RP, Flegal KM, Kuczmarski RJ, Campbell SM, Johnson CL . Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. Arch Pediatr Adolesc Med 1995; 149: 1085–1091.
Freedman DS, Srinivasan SR, Valdez RA, Williamson DF, Berenson GS . Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. 1997; 99: 420–426.
National Institute of Health Consensus Development on the Health Implications of Obesity. Health implications of obesity. Ann Intern Med 1985; 103: 147–151.
Khoury P, Morrison JA, Kelly K, Mellies M, Horritz R, Glueck CJ . Clustering and interrelationships of coronary heart disease risk factors in schoolchildren ages 6–19. Am J Epidemiol 1979; 122: 524–538.
Arslanian S, Suprasongsin C . Insulin sensitivity, lipids and body composition in childhood: is “Syndrome X” present? J Clin Endocrinol Metab 1996; 81: 1058–1062.
Smoak CG, Burke GL, Webber LS, Harsha DW, Srinivasan SR, Berenson GS . Relation of obesity to clustering of cardiovascular disease risk factors in children and young adults: the Bogalusa Heart Study. Am J Epidemiol 1987; 125: 364–372.
Haffner SM, Valdez RA, Hazuda HP, Mitchell BD, Morales PA, Stern MP . Prospective analysis of the insulin resistance syndrome (syndrome X). Diabetes 1992; 41: 715–722.
Wilson PWF, Kannel WB, Silbershatz H, D'Agostino RB . Clustering of metabolic factors and coronary heart disease. Arch Intern Med 1999; 159: 1104–1109.
Liese AD, Mayer-Davis EJ, Tyroler HA, Davis CE, Kiel U, Duncan BB, Heiss G . Development of the multiple metabolic syndrome in the ARIC cohort: joint contribution of insulin, BMI, and WHR. Atherosclerosis Risk in Communities. Ann Epidemiol 1997; 7: 407–416.
Reaven GM . Role of insulin resistance in human disease. Diabetes 1988; 37: 1595–1607.
DeFronzo RA, Ferranini E . Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care 1991; 14: 173–194.
Liese AD, Mayer-Davis EJ, Haffner SM . Development of the multiple metabolic syndrome: an epidemiologic perspective. Epidemiol Rev 1998; 20: 157–172.
van Lenthe F, Kemper HCG, van Mechelen W . Rapid maturation in adolescence results in greater obesity in adulthood: the Amsterdam Growth and Health Study. Am J Clin Nutr 1996; 64: 18–24.
The Bogalusa Heart Study: 20th Anniversary Symposium. Am J Med Sci 1995; 310 (Suppl 1): S1–S138.
Berenson GS, McMahan CA, Voors AW et al. Cardiovascular risk factors in children: the early natural history of atherosclerosis and essential hypertension. Oxford University Press: New York, NY; 1980.
Lipids Research Clinic program. Manual of laboratory operations. Vol 1: lipids and lipoprotein analysis. National Institute of Health: Washington,DC; 1974 (DHEW Publication No. [NIH]75-628).
Srinivasan SR, Berenson GS . Serum lipoproteins in children and methods for study. In: Lewis LA (ed) CRC handbook of electrophoresis. Vol III: Lipoprotein methodology and human studies. CRC Press: Boca Raton, FL; 1983. pp 185–203.
Mathews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC . Homeostasis model assessment: insulin resistance and β-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985; 28: 412–419.
Haffner SM, Miettinen H, Stern MP . The Homeostasis model in the San Antonio Heart Study. Diabetes Care 1997; 20: 1087–1092.
Freedman DS, Khan LK, Serdula MK, Dietz WH, Srinivasan SR, Berenson GS . Relation of age at menarche to race, time period, and anthropometric dimensions: the Bogalusa Heart Study. Pediatrics 2002; 110: e43.
Rosner B, Prineas R, Loggie J, Danniels SR . Percentiles for body mass index in U.S. children 5 to 17 years of age. J Pediatr 1998; 132: 211–222.
Villarreal SF, Martorell R, Mendoza F . Sexual maturation of Mexican-American adolescents. Am J Hum Biol 1989; 1: 87–95.
Wu T, Mendola P, Buck GM . Ethnic differences in the presence of secondary sex characteristics and menarche among U.S. girls: the Third National Health and Nutritional Examination Survey, 1998–1994. Pediatrics 2002; 110: 752–757.
Morrison JA, Barton B, Biro FM, Sprecher DL, Falkner F, Obarzanek E . Sexual maturation and obesity in 9- and 10-year-old black and white girls: the National Heart, Lung, and Health Study. J Pediatr 1994; 124: 889–895.
St. George IM, Williams S, Silva PA . Body size and menarche: the Dunedin Study. J Adolesc Health 1994; 15: 573–576.
Koprowski C, Ross RK, Mack WJ, Henderson BE, Bernstein L . Diet, body size, and menarche in a multiethnic cohort. Br J Cancer 1999; 79: 1907–1911.
Biro FM, McMahon RP, Striegel-Moore R et al. Impact of timing of pubertal maturation on growth in black and white female adolescents: the National Heart, Lung, and Blood Institute. Growth and Health Study. J Pediatr 2001; 138: 636–643.
Ibanez L, Potau N, Zampolli M et al. Hyperinsulinemia in post-pubertal girls with a history of premature pubarche and functional ovarian hyperandrogenism. J Clin Endocrinol Metab 1996; 81: 1237–1243.
Vuguin P, Linder B, Rosenfeld RG, Saenger P, DiMartino-Nardi J . The roles of insulin sensitivity, insulin-like growth factor I (IGF-I), and IGF-binding protein-1 and -3 in the hyperandrogenism of African-American and Caribbean Hispanic girls with premature adrenarche. J Clin Endocrinol Metab 1999; 84: 2037–2042.
Oppenheimer E, Linder B, DiMartino-Nardi J . Decreased insulin sensitivity in prepubertal girls with premature adrenarche and acanthosis nigricans. J Clin Endocrinol Metab 1995; 80: 614–618.
Ibanez L, Potau N, Chacon P, Pascnal C, Carrascosa A . Hyperinsulinemia, dyslipidemia and cardiovascular risk in girls with a history of premature pubarche. Diabetologia 1998; 41: 1057–1063.
Koo MM, Rohan TE . Accuracy of short-term recall of age at menarche. Ann Hum Biol 1997; 24: 61–64.
Williams RL, Cheyne KL, Houtkooper LK, Lohman TG . Adolescent self-assessment of sexual maturation: effects of fatness classification and actual sexual maturation stage. J Adolesc Health Care 1988; 9: 480–482.
Post GB, Kemper HCG . Nutrient intake and biological maturation during adolescence. The Amsterdam Growth and Health Study. Eur J Clin Nutr 1993; 47: 400–408.
Acknowledgements
The Bogalusa Heart Study is a joint effort of many investigators and staff members, whose contributions are gratefully acknowledged. We especially thank the study cohort. This work was supported by National Institute of Health Grants HL-38844 from the National Heart, Lung, and Blood Institute, AG-16592 from the National Institute of Aging, and HD- 043820 from the National Institute of Child Health and Human Development.
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Frontini, M., Srinivasan, S. & Berenson, G. Longitudinal changes in risk variables underlying metabolic Syndrome X from childhood to young adulthood in female subjects with a history of early menarche: The Bogalusa Heart Study. Int J Obes 27, 1398–1404 (2003). https://doi.org/10.1038/sj.ijo.0802422
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DOI: https://doi.org/10.1038/sj.ijo.0802422
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