Age of menarche in a longitudinal US cohort
Open accessAbstract
Study objective Menarche is a critical milestone in a woman's life, and historically has been determined using several approaches. The goals of this study were to: (1) determine age at menarche from multiple reports of parents and adolescent participants in a prospective study; (2) examine factors affecting age at menarche; and (3) determine correlates of menarche and pubertal tempo.Design Longitudinal observational study.Setting Three sites of the Breast Cancer and the Environment Research Program.Participants Girls enrolled at 6-8 years of age.Interventions and main outcome measures Parental and participant reported age of menarche, and tempo of puberty.Results There were 946 girls who were assigned an age of menarche. The correlation between parent and participant reports was high (Spearman R = 0.799, P < .001), and the difference was insignificant. Median age at menarche overall was 12.25 years. Compared with black participants, Hispanic girls were more likely to have menarche earlier, whereas white and Asian girls were more likely to have menarche later. Age of menarche was highly correlated with age of breast development (Spearman R = 0.547; P < .001), and inversely with body mass index (Spearman R = -0.403; P < .001). Tempo (interval of age of breast development to menarche) was slower in those with earlier breast development.Conclusion Parental and adolescent reports of menarche are highly correlated. Earlier breast maturation was associated with slower tempo through puberty. Body mass index had a greater effect on age at menarche than did race and ethnicity.
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A longitudinal study found that the median age at menarche for American girls was 12.25 years, with lower menarcheal ages in black and Hispanic girls compared with white and Asian girls.
“A longitudinal study found that the median age at menarche for American girls was 12.25 years, with lower menarcheal ages in black and Hispanic girls compared with white and Asian girls [130].”
From Polycystic Ovary Syndrome: Pathophysiology, Presentation, and Treatment With Emphasis on Adolescent Girls (2019) · cites this paper as [130]
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- Authors
- Biro, F. M., Pajak, A., Wolff, M. S., Pinney, S. M., Windham, G. C., Galvez, M. P., Greenspan, L. C., Kushi, L. H., & Teitelbaum, S. L.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- Icahn School of Medicine at Mount Sinai (US)
- University of Cincinnati (US)
- California Department of Public Health (US)
- Kaiser Permanente (US)
- Corresponding author
- Biro, Frank M.
- ORCID
- Venue
- Journal of Pediatric and Adolescent Gynecology
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 31
- Issue
- 4
- Pages
- 339-345
- ISSN
- 0932-8610 (ISSN-L)
- 1083-3188
- PMC
- PMC6121217
- OpenAlex
- W2803388432
- Cited by
- 200
- References
- 28
- Citations by year
- 2026: 22 · 2025: 27 · 2024: 34 · 2023: 27 · 2022: 18 · 2021: 23 · 2020: 34 · 2019: 11 · 2018: 3
- FWCI
- 18.93
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pediatric and Adolescent Gynecology (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (5ul1rr026314-03, UL1TR001433, UL1TR001425)
- National Institute of Environmental Health Sciences (R21ES017315, U01ES019435, U01ES019453, U01ES019454)
- National Center for Research Resources (UL1RR024131, UL1RR029887, UL1-RR026314)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Hypothalamic control of reproductive hormones
- Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- age at menarche, pubertal tempo, breast development, body mass index, race and ethnicity, girls
- MeSH terms
- Adolescent, Child, Female, Humans, Longitudinal Studies, Menarche, Parents, Prospective Studies, Puberty, Sexual Maturation, Age Distribution
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