Department of Epidemiology, School of Public Health, UCLA, Box 951772, Los Angeles, CA 90095-1772, USA.
Hum Reprod. 2010 Mar;25(3):799-804. doi: 10.1093/humrep/dep473. Epub 2010 Jan 19.
Early age of menarche (AOM) is associated with serious health problems including breast cancer and heart disease. Rising parental age at childbirth is associated with some adverse health outcomes in the offspring, but whether early menarche is one of them is not known.
We studied a Danish cohort of singleton females (n = 3168) born in 1984-1987. Prenatal data were collected from mothers around 36th week of pregnancy (self-administered questionnaire), although the menarcheal age was collected from daughters aged 17-21 years in 2005 (Web-based questionnaire). We assessed each parental age association in separate linear regression models adjusted for covariates (socioeconomic status, parity, maternal pre-pregnancy BMI, marital status, maternal smoking and daughter's self-reported BMI), then included both ages in a third model.
Each year increase in maternal age showed a 9 day earlier onset of menarche in daughters [95% confidence interval (CI): -15.98, -2.90] and a 5 day earlier onset for each year increase in paternal age [95% CI: -10.85, 0.00], after adjusting for covariates. However, these associations attenuated when adjusted for the other parent [change in AOM in days: (i) maternal: -8.49 (95% CI: -17.09, 0.12), (ii) paternal: -1.14 (95% CI: -8.13, 5.84)].
We found no significant association between parental age and AOM, but the small sample of advance aged parents (over 30 years) limits the information we have. Future studies with a larger sample or a sample with over-representation of older parents will be of value.
初潮年龄较早与乳腺癌和心脏病等严重健康问题有关。生育时父母年龄较大与后代的一些不良健康后果有关,但初潮是否是其中之一尚不清楚。
我们研究了丹麦 1984-1987 年出生的单胎女性队列(n=3168)。产前数据是在怀孕 36 周左右由母亲收集的(自我管理问卷),尽管初潮年龄是在 2005 年从 17-21 岁的女儿那里收集的(基于网络的问卷)。我们在调整了协变量(社会经济地位、产次、母亲孕前 BMI、婚姻状况、母亲吸烟和女儿自我报告的 BMI)的单独线性回归模型中评估了每个父母年龄的关联,然后在第三个模型中包含了两个年龄的关联。
母亲年龄每增加 1 年,女儿的初潮年龄提前 9 天[95%置信区间(CI):-15.98,-2.90],父亲年龄每增加 1 年,初潮年龄提前 5 天[95% CI:-10.85,0.00],调整协变量后。然而,当调整另一位父母的年龄时,这些关联减弱了[初潮年龄变化(天):(i)母亲:-8.49(95% CI:-17.09,0.12),(ii)父亲:-1.14(95% CI:-8.13,5.84)]。
我们没有发现父母年龄与初潮年龄之间存在显著关联,但高龄父母(超过 30 岁)的样本量较小限制了我们所拥有的信息。未来的研究需要更大的样本或有更多高龄父母的样本,这将是有价值的。