USIA MENARCHE PEREMPUAN INDONESIA SEMAKIN MUDA: HASIL ANALISIS RISKESDAS 2010

  • sudikno sudikno NIHRD
  • Sandjaja Sandjaja
Keywords: menarche, secular trend, body mass index, Indonesian woman

Abstract

Abstract

Background: A  downward  trend  in  age  at  menarche (AAM) has been  leveling-off in industrialized countries. However, downward trends were still observed in developing countries.

Objective: The aim  was to verify secular trend of AAM among Indonesian women and its associated factors.

Methods: Data used were from Baseline Health Research (Riskesdas) 2010, a cross-sectional nationwide survey. Samples included were 79,026 women aged 10-59 years. History of menarche, socio-demographic variables, weight, height were taken. Descriptive and bivariate analysis were applied to measure proportion, central tendency measures.

Results: Among adolescent 10-19years, overall proportion of menarche was 78.6%, ranging from 42.8%, 96.2%, 99.6% at age 12, 15, 18 years respectively. The overall mean AAM was 12.96 years. AAM was significantly younger in urban than rural areas. BMI was significantly lower among adolescense not experienced menarche yet than experienced menarche. AAM was younger in urban areas, higher socio-economic status, and varied among seven regions.

Conclusions: Nutritional status was a significant factor associated with AAM. A downward trend in AAM was observed in Indonesian women.

Key words: menarche, secular trend, body mass index, Indonesian woman

Abstrak

Latar belakang: Tren penurunan usia pada menarche telah meningkat di negara-negara industri. Namun, tren penurunan masih diamati di negara-negara berkembang.

Tujuan: untuk memverifikasi tren sekuler usia menarche di kalangan perempuan Indonesia dan faktor-faktor terkaitnya.

Metode: Data yang digunakan berasal dari Riskesdas 2010, survei nasional dengan desain cross-sectional. Sampel yang dianalisis adalah 79.026 perempuan berumur 10-59 tahun. Variabel yang dikumpulkan meliputi: riwayat menarche, sosio-demografis, berat badan, tinggi badan. Analisis deskriptif dan bivariat digunakan untuk mengukur proporsi, ukuran kecenderungan sentral.

Hasil: Di antara remaja 10-19 tahun, proporsi keseluruhan menarche adalah 78,6 persen, mulai dari 42,8 persen, 96,2 persen, 99,6 persen pada masing-masing umur 12, 15, dan 18 tahun. Rata-rata keseluruhan usia menarche adalah 12,96 tahun. Usia menarche secara signifikan lebih muda di daerah perkotaan daripada pedesaan. IMT secara signifikan lebih rendah di antara remaja yang belum mengalami menarche dibandingkan dengan remaja yang sudah mengalami menarche. Usia menarche lebih muda di daerah perkotaan, status sosial ekonomi yang lebih tinggi, dan bervariasi di antara tujuh daerah.

Kesimpulan: Status gizi adalah faktor signifikan yang terkait dengan usia menarche. Terjadi Tren penurunan usia menarche pada perempuan di Indonesia.

 

Kata kunci: menarche, tren sekuler, indeks massa tubuh, perempuan Indonesia

References

Sloboda DM, Hart R, Doherty DA, Pennell CE, Hickey M. Age at menarche: Influences of prenatal and postnatal growth. J Clin Endocrinol Metab. 2007;92(1):46–50.

Thomas F, Renaud F, Benefice E, de Meeus T GJ. International variability of ages at menarche and menopause: Patterns and main determinants. Hum Biol. 2001;73:271–90.

Adair LS. Size at Birth Predicts Age at Menarche. Pediatrics [Internet]. 2001 [cited 2017 Dec 12]; Available from: https://pdfs.semanticscholar.org/74c7/b30c3f4fdb39baa5737a459cad615d374c4b.pdf

Tam CS, De Zegher F, Garnett SP, Baur LA, Cowell CT. Opposing influences of prenatal and postnatal growth on the timing of menarche. J Clin Endocrinol Metab. 2006;91(11):4369–73.

Ong KK, Ahmed ML DD. Lessons from large population studies on timing and tempo of puberty (secular trends and relation to body size): The European trend. Eur trend Mol Cell Endocrinol [Internet]. 2006;254–255:8–12. Available from: https://www.sciencedirect.com/science/article/abs/pii/S030372070600219X

Anderson SE MA. Interpreting the continued decline in the average age at menarche: Results from two nationally representative surveys of U.S. girls studied 10 years apart. J Pediatr [Internet]. 2005;147(6):753–60. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0022347605006827

Danker‐Hopfe H. Menarcheal age in Europe. Am J Phys Anthropol. 1986;29(7 S):81–112.

Koo MM, Rohan TE, Jain M, McLaughlin JR, Corey PN. A cohort study of dietary fibre intake and menarche. Public Health Nutr. 2002;5(2):353–60.

Bratke H, Bruserud IS, Brannsether B, Aßmus J, Bjerknes R, Roelants M, et al. Timing of menarche in Norwegian girls: Associations with body mass index, waist circumference and skinfold thickness. BMC Pediatr. 2017;17(1):1–6.

Moisan J, Meyer F, Gingras S. Diet and age at menarche. Cancer Causes Control. 1990;1(2):149–54.

Al-Sahab B, Ardern CI, Hamadeh MJ, Tamim H. Age at menarche in Canada: Results from the National Longitudinal Survey of Children & Youth. BMC Public Health. 2010;10.

Parent AS, Teilmann G, Juul A, Skakkebaek NE, Toppari J, Bourguignon JP. The Timing of Normal Puberty and the Age Limits of Sexual Precocity: Variations around the World, Secular Trends, and Changes after Migration. Endocr Rev. 2003;24(5):668–93.

Tanner J. Foetus into man : physical growth from conception to maturity [Internet]. Rev. and e. California: Stanford Libraries; 1990. 280 p. Available from: https://searchworks.stanford.edu/view/9098108

Brundtland GH WL. Menarcheal age in norway in the 19th century: A re-evaluation of the historical sources. Ann Hum Biol [Internet]. 1976;3(4):363–74. Available from: https://www.tandfonline.com/doi/abs/10.1080/03014467600001581

GS T. Cardiovascular disease risk factors related to sexual maturation: The Oslo youth study. J Chronic Dis [Internet]. 1985;38(8):633–42. Available from: https://www.sciencedirect.com/science/article/pii/0021968185900177

Bratberg GH, Nilsen TIL, Holmen TL, Vatten LJ. Early sexual maturation, central adiposity and subsequent overweight in late adolescence. A four-year follow-up of 1605 adolescent Norwegian boys and girls: The Young HUNT study. BMC Public Health. 2007;7:1–7.

Aksglaede L, Sørensen K, Petersen JH, Skakkebæk NE, Juul A. Recent decline in age at breast development: The Copenhagen puberty study. Pediatrics. 2009;123(5).

Talma H, Schönbeck Y, van Dommelen P, Bakker B, van Buuren S, HiraSing RA. Trends in Menarcheal Age between 1955 and 2009 in the Netherlands. PLoS One. 2013;8(4):1–7.

Salgin B, Norris SA, Prentice P, Pettifor JM, Richter LM, Ong KK, et al. Even transient rapid infancy weight gain is associated with higher BMI in young adults and earlier menarche. Int J Obes. 2015;39(6):939–44.

Stark O, Peckham CS, Moynihan C. Weight and age at menarche. Arch Dis Child. 1989;64(3):383–7.

Van Lenthe FJ, 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(1):18–24.

Braithwaite D, Moore DH, Lustig RH, Epel ES, Ong KK, Rehkopf DH, et al. Socioeconomic status in relation to early menarche among black and white girls. Cancer Causes Control. 2009;20(5):713–20.

Frisch RE MJ. Menstrual cycles: fatness as a determinant of minimum weight for height necessary for their maintenance or onset. Science (80- ) [Internet]. 1974;185(4155):949–51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/4469672

Moisan J, Meyer F GS. A NESTED CASE-CONTROL STUDY OF THE CORRELATES OF EARLY MENARCHE. Am J Epidemiol [Internet]. 1990;132(5). Available from: https://academic.oup.com/aje/article-abstract/132/5/953/88770

François Meyer;Jocelyne Moisan;Diane Marcoux;Claude Bouchard. Dietary and Physical Determinants of Menarche. Epidemiology [Internet]. 1990;1(5):377–381. Available from: https://insights.ovid.com/epidemiology/epide/1990/09/000/dietary-physical-determinants-menarche/7/00001648

Hill P, Wynder EL GL. Diet and menarche in different ethnic groups. Eur J cancer [Internet]. 1980;16(4):519–25. Available from: https://www.sciencedirect.com/science/article/abs/pii/0014296480902315

Richardson BD, Laing PM, RantshoJM SR. The bearing of diverse patterns of diet on growth and menarche in four ethnic groups of South African girls. J Trop Med Hyg [Internet]. 1983;86(1):5–12. Available from: https://www.ncbi.nlm.nih.gov/pubmed/6854702

Sanchez A, Kissinger DG PR. A hypothesis on the etiological role of diet on age of menarche. MedHyp [Internet]. 1981;7(11):1339–45. Available from: https://www.ncbi.nlm.nih.gov/pubmed/7321920?dopt=Abstract

Hughes RE JE. Intake of dietary fibre and the age of menarche. Ann Hum Biol [Internet]. 1985;12(4):325–32. Available from: https://www.ncbi.nlm.nih.gov/pubmed/2994546

Kissinget DG SA. The association of dietary factors with the age of menarche. Nutr Res [Internet]. 1987;7(5):471–9. Available from: https://www.sciencedirect.com/science/article/pii/S0271531787800039

Kesehatan K. Permenkes RI No 75 tahun 2013. 2013.

Kesehatan K. Pedoman Gizi Seimbang. 2014.

Published
2020-01-03
How to Cite
1.
sudikno sudikno, Sandjaja S. USIA MENARCHE PEREMPUAN INDONESIA SEMAKIN MUDA: HASIL ANALISIS RISKESDAS 2010. kespro [Internet]. 3Jan.2020 [cited 14Aug.2020];10(2):163-71. Available from: http://ejournal2.litbang.kemkes.go.id/index.php/kespro/article/view/2568