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Research Article Open access CC BY 3.0

Body Mass Index and Blood Pressure Pattern through Menarcheal Age in an Italian Village

Vincenzo Maggisano, Flavia Chiarotti, Anna Livia Loizzo, Alberto Loizzo

Journal of Advances in Medicine and Medical Research · pp. 5385–5397 · Published 26 Jul 2014

10.9734/BJMMR/2014/7006

Abstract

Aims: Recent investigations correlated early menarche to cardiovascular risk factors in adulthood, whereas others underlined relationship of menarcheal age to body mass index (BMI) and dysmetabolic conditions. Our aim was to assess whether early menarche could indicate an increased risk factor for enhanced blood pressure and/or hypertensive-range values (systolic/diastolic blood pressure beyond the 95th percentile) within the narrow window of the sexual maturation, 12y to 14y. Methodology: 463 Caucasian Italian girls were studied at both 12y and 14y: body height (BH), weight (BW), BMI, systolic-diastolic blood pressure (SBP, DBP), presence-absence of menarche were recorded. Results and Discussion: Lowest quartile for BH, BW, BMI in 12y girls was associated with lower probability (~-20%) of having menarche before 14y. Conversely, girls who developed menarche before 12y, at 12y showed higher average BH, BW, BMI, SBP/DBP values versus girls who developed menarche after 12y (about +3.2%;+16.2%;+8.8%;+5.5%;+9.2%, respectively). However, 14y girls of all groups showed similar average SBP and DBP and similar prevalence for hypertensive-range values. Interestingly, at 12y BMI was correlated to hypertensive values of both 12y and 14y (X2=17.5; X2=15.9; respectively; P<.001). Regression analysis showed that unitary increase of BMI at 12y yielded an increase of 1.04 mmHg for SBP and 0.55 mmHg for DBP in 14y girls. Conclusions: Early menarcheal age (before 12y) was accompanied by higher SBP and DBP at 12y, but also by higher BH, BW and BMI, versus girls with menarche after 12y. However, early menarcheal age did not influence average SBP/DBP and prevalence of hypertensive-range values in 14y girls. BMI was strongly related to menarcheal status at both 12y and 14y, thus indicating that within this age (12y to 14y) BMI influenced both menarcheal triggering and blood pressure. Further investigations are needed to verify whether cardiovascular risk factors are influenced also in adult age by early menarche, or by high BMI at 12y-14y.

Body mass index body height body weight hypertensive values pubertal age.

References (14)

  1. 1 Establishing a standard definition for child overweight and obesity worldwide: international survey [DOI]
  2. 2 Adolescent BMI Trajectory and Risk of Diabetes versus Coronary Disease [DOI]
  3. 3 Early Menarche and the Development of Cardiovascular Disease Risk Factors in Adolescent Girls: The Fels Longitudinal Study [DOI]
  4. 4 Blood Pressure in Obese Adolescents: Effect of Weight Loss [DOI]
  5. 5 Age at Menarche and Type 2 Diabetes Risk [DOI]
  6. 6 Age of Menarche and the Metabolic Syndrome in China [DOI]
  7. 7 High Blood Pressure in Overweight and Obese Youth: Implications for Screening [DOI]
  8. 8 School-Based Overweight Preventive Intervention Lowers Incidence of Disordered Weight-Control Behaviors in Early Adolescent Girls [DOI]
  9. 9 Longitudinal Correlates of Change in Blood Pressure in Adolescent Girls [DOI]
  10. 10 Age at menarche, abnormal glucose tolerance and type 2 diabetes mellitus: The Rancho Bernardo Study [DOI]
  11. 11 Dietary Intake and Physical Activity of Normal Weight and Overweight/Obese Adolescents [DOI]
  12. 12 Arterial blood pressure and serum lipids in a population of children and adolescents from Southern Italy: The Calabrian Sierras Community Study (CSCS) [DOI]
  13. 13 Body size, fat distribution, menarcheal age and blood pressure in 14-year-old girls [DOI]
  14. 14 Adolescence as possible critical temporal window for blood pressure short term monitoring in boys and girls [DOI]

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