Torres M F, Luis M A, Cesani M F, Luna M E, Castro L E, Quintero F, Oyhenart E E
Facultad de Filosofía y Letras, Universidad de Buenos Aires. Ciudad Autónoma de Buenos Aires, Argentina.
Arch Latinoam Nutr. 2011 Mar;61(1):36-44.
The aim of this study was to analyze growth in relation to menarche in girls from two Argentinean urban populations. We performed a comparative-descriptive cross sectional study in 2474 schoolchildren between 8.0 and 16.9 years old from Santa Rosa (SR) and La Plata (LP) cities. We registered the presence of menarche and anthropometrics variables of body weight, total and sitting heights, arm circumference, triceps and subscapular skinfolds. Body mass index, subscapular/triceps index and muscle and fat arm areas were calculated. The study group was divided into 4 groups according to the city and menarche. The socio-environmental structured survey indicated significant differences between cities with these variables: tenure status, building materials and services, health care coverage, cash assistance, educational level and parents' occupation, therefore establishing a higher welfare in youngsters of SR. Menarche at a mean age of 12.7 years old was more prevalent in SR (40.6%) than in LP (33.7%) (c2 = 12.9; p < 0.01). The ANOVA indicated significant differences between cities in total and sitting heights and muscle area (p < 0.01), body weight and arm circumference (p < 0.05) which were generally held in the post hoc comparison by age in pre-menarche and post-menarche groups. The presence of a small body size at the expense of lowering in: total height, muscle area and leg length in LP youngsters, associated with a lower prevalence of menarche in this city, it would represents the adaptive cost of a lower welfare environment.
本研究的目的是分析来自阿根廷两个城市人口的女孩月经初潮与生长发育的关系。我们对来自圣罗莎(SR)和拉普拉塔(LP)市的2474名8.0至16.9岁的学童进行了一项比较描述性横断面研究。我们记录了月经初潮情况以及体重、身高(总身高和坐高)、臂围、肱三头肌和肩胛下皮褶厚度等人体测量学变量。计算了体重指数、肩胛下/肱三头肌指数以及肌肉和脂肪臂面积。研究组根据城市和月经初潮情况分为4组。社会环境结构化调查表明,在这些变量方面城市之间存在显著差异:居住状况、建筑材料和服务、医疗保健覆盖范围、现金援助、教育水平和父母职业,因此确定SR市青少年的福利水平更高。月经初潮平均年龄为12.7岁,在SR市(40.6%)比在LP市(33.7%)更为普遍(χ² = 12.9;p < 0.01)。方差分析表明,城市之间在总身高、坐高和肌肉面积方面存在显著差异(p < 0.01),在体重和臂围方面存在显著差异(p < 0.05),这些差异在月经初潮前和月经初潮后组按年龄进行的事后比较中普遍存在。LP市青少年以牺牲总身高、肌肉面积和腿长为代价出现身材较小的情况,且该市月经初潮患病率较低,这可能代表了较低福利环境的适应性代价。