Bumin DÜNDAR, Hülya ANIL, Pınar AKYOL, Erdal EREN, Nihal Olgaç DÜNDAR

Isparta’daki kız çocuklarında ortalama menarş yaşının ve menarşı etkileyen etmenlerin saptanması Orijinal Araştırma

Amaç: Isparta’da yaşayan kız çocuklarının ortalama menarş yaşı MY menarşı etkileyen etmenler ve “menstrüel” özelliklerin belirlenmesi Gereç ve Yöntem: Etik kurul onayı alındıktan sonra; nbsp; yedi ilköğretim ve üç liseden menarşın gerçekleştiği saptanan 948 olgu çalışmaya alındı Tüm olgulara kendilerinin ve aile fertlerinin MY ve “menstrüel” özellikleri yaşam tarzları beslenme özellikleri ve sosyoekonomik durumlarını sorgulayan anket formları verildi Olguların ağırlık ve boy ölçümleri yapılarak vücut kitle indeksleri hesaplandı nbsp; Ayrıca tüm olguların meme gelişimleri Tanner sınıflamasına göre değerlendirilerek kaydedildi Bulgular: Ortalama MY 12 6 ± nbsp; 0 03 olarak saptandı Ortalama MY anne ve abla ortalama MY’lerinden anlamlı olarak düşük bulundu Olguların ortalama MY’leri nbsp; ile anne ve abla MY arasında anlamlı pozitif ilişki vardı Olguların vücut kitle indeksleri ile ortalama MY’leri arasında anlamlı negatif ilişki bulundu MY 2 nbsp; ve 2 SSS değerleri sırasıyla 10 6 ve 14 7 olarak bulundu Meme gelişimi Tanner Evre 1 ve 2 olan hiçbir hastada menarş saptanmazken Tanner Evre 3 olanların 16 8’inde ve Evre 4 olan olguların 50 8’inde menarş saptandı Olguların çoğunda menarş görülme mevsimi kış ve yaz aylarıydı Olguların 62 1’i kanamalarının düzensiz olduğunu belirtmişti Düzensiz “menstrüel” nbsp; kanama yakınması üç yıldan daha az süredir menstruasyon görenlerde belirgin olarak yüksek saptandı Çıkarımlar: Bu sonuçlar anne ve abla MY’leri göz önüne alındığında Türk kız çocuklarında MY’de bir erkene kayma olduğunu göstermekte ve nbsp; erken ve gecikmiş MY sınırlarının nbsp; yeniden gözden geçirilmesi gerekliliğine işaret etmektedir Türk Ped Arş 2008; 43: 50 4 Anahtar kelimeler: Etkileyen etmenler menarş yaşı Türk çocukları

Anahtar Kelimeler:

Etkileyen etmenler, menarş yaşı, Türk çocukları

Determination of the mean age at menarche and factors affecting menarche in girls in Isparta Original Article

Aim: To determine nbsp; the mean age at menarche MAM nbsp; factors affecting menarche and nbsp; menstrual cycle properties of girls living in Isparta Material and Method: After obtaining nbsp; approval from The Ethics Committee 948 girls who had nbsp; menarche and attended 7 primary and 3 high schools nbsp; were included in the study All participants were given questionnaire forms which queried the MAM of their own and their members family and menstrual cycle properties life style nutritional properties and socio economical status The Children were asked to fill out the forms with their parents Weight and height measurements were made by using standard devices and body mass index was calculated In addition breast development of all subjects were evaluated according to Tanner Classification Results: The MAM were determined as 12 6 ± 0 03 years The MAM values of the participants were found to be significantly lower than the MAM values of the mothers and elder sisters There was a positive correlation between the age at menarche of individuals and both nbsp; their mothers and elder sisters A negative correlation was found between the age at menarche and body mass index values of the subjects 2 and 2 SDS values for the age at menarche were found 10 6 and 14 7 years respectively No menarche was observed in any individual with Tanner nbsp; breast stages 1 and 2; menarche was detected in 16 8 of the subjects with Tanner stage 3 and 50 8 of the subjects with Tanner nbsp; stage 4 The season of the menarche was winter and summer in most of the subjects 62 1 of the participants expressed that their menstrual cycle was irregular The rate of the complaint of irregular menstrual cycle was significantly higher in girls having menstruation less than 3 years Conclusions: These results show a shift nbsp; to earlier ages in the MAM when the MAM values of the mothers and elder sisters are taken into consideration and nbsp; indicate that the age limits for the menarche of Turkish children need to be reevaluated nbsp; Turk Arch Ped 2008; 43: 50 4 Key words: Age at menarche affecting factors Turkish children

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