Factors related to the age at menarche in Iran: A systematic review and meta-analysis

Document Type: systematic review

Authors

1 Student Research Committee, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

2 Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

3 Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Department of Biostatistics, Faculty of Allied Medical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

5 Department of Midwifery, Kashan University of Medical Sciences, Kashan, Iran.

6 Department of Epidemiology & Biostatistics, School of public health, Tehran University of Medical Science, Tehran, Iran.

Abstract

Background: Reduced age at menarche is an important health indicator for women and may be associated with complications such as an increased risk of asthma, breast cancer, ovarian cancer, type 2 diabetes. We aimed to examine the factors related to the age at menarche in Iran.
Methods: In this systematic review and meta-analysis, according to the objective of the study, an advanced search with no time restriction was conducted in English databases such as the Web of Science, Embase, PubMed, Scopus, and Persian databases of SID and Magiran, as well as the Google Scholar search engine, until the end of 2019. The publication heterogeneity and bias of the extracted studies were evaluated by the Q test and Begg’s test, respectively.
Findings: In this study, 12 articles with a total sample size of 17672 were analyzed. Based on the findings of these studies, the body mass index(BMI), the mother’s age at menarche, physical activity, nutrition, and socioeconomic status were correlated with the age at menarche for Iranian girls. A negative correlation was found between BMI(r=-0.07) and socioeconomic status(r=-0.57) with the age at menarche(P<0.05). A positive correlation existed between the girl's age at menarche and that of the mother(r=0.42, P<0.05). Moreover, correlation was weak and positive between the age at menarche and physical activity(r=0.14, P<0.05). The quantitative results of the studies were incomplete to establish a relationship between nutrition and age at menarche.
Conclusions: Due to the effects of numerous factors on the age at menarche, it is suggested that longitudinal studies be conducted to investigate the role of all the known factors especially environmental factors, on the age at menarche.

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