How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study

Abstract Background Menarche is an important period in a female’s life; its time of onset may depend on various factors and could correlate with the development of diseases in adulthood. Our study aims to investigate the relationship between body mass index and age at onset of menarche; Methods We u...

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Main Authors: Domitilla Marconi, Dario Lipari, Andrea Pammolli, Paola Dalmasso, Paola Nardone, Alessio Vieno, Rita Simi, Giacomo Lazzeri
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Women's Health
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Online Access:https://doi.org/10.1186/s12905-025-03572-y
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author Domitilla Marconi
Dario Lipari
Andrea Pammolli
Paola Dalmasso
Paola Nardone
Alessio Vieno
Rita Simi
Giacomo Lazzeri
author_facet Domitilla Marconi
Dario Lipari
Andrea Pammolli
Paola Dalmasso
Paola Nardone
Alessio Vieno
Rita Simi
Giacomo Lazzeri
author_sort Domitilla Marconi
collection DOAJ
description Abstract Background Menarche is an important period in a female’s life; its time of onset may depend on various factors and could correlate with the development of diseases in adulthood. Our study aims to investigate the relationship between body mass index and age at onset of menarche; Methods We used a unique standardized national dataset on adolescent girls participating in the Italian Health Behaviour in School-aged Children Study. Two independent nationally representative survey datasets: one on 15-year-olds (n = 6505, year 2017/2018) and one on 11-year-olds (n = 6548, year 2013/2014) were analysed. The survey instrument was the self-report questionnaire. Median age at menarche and 95% confidence intervals were estimated through Kaplan–Meier analysis. Hierarchical models assessed the relationship between BMI and age at menarche; Results Region-level median age at menarche ranged between 12 years/5 months and 13 years/4 months. Region-level prevalence of overweight among 15-year-old girls ranged between 6% and 24%. Age at menarche was inversely associated with individual BMI (unstandardized regression coefficient beta=-0.81; 95% CI, -0.92 to -0.70). Individual-level and class-level measures of BMI accounted for 215.2% of the region-level variance in age at menarche; Conclusions The results show that girls who were overweight during childhood went through early puberty. Further investigation needs to assess a possible cause-effect relationship.
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spelling doaj-art-a8bd45326d244c5eb232f849619a5a502025-02-02T12:40:50ZengBMCBMC Women's Health1472-68742025-01-012511810.1186/s12905-025-03572-yHow does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional studyDomitilla Marconi0Dario Lipari1Andrea Pammolli2Paola Dalmasso3Paola Nardone4Alessio Vieno5Rita Simi6Giacomo Lazzeri7Post Graduate School of Public Health, University of SienaPost Graduate School of Public Health, University of SienaResearch, Education, Prevention and Health Promotion (CREPS), University of SienaDepartment of Public Health and Paediatrics, University of TorinoNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità (National Institute of Health) Department of Developmental and Social Psychology, University of PadovaResearch, Education, Prevention and Health Promotion (CREPS), University of SienaPost Graduate School of Public Health, University of SienaAbstract Background Menarche is an important period in a female’s life; its time of onset may depend on various factors and could correlate with the development of diseases in adulthood. Our study aims to investigate the relationship between body mass index and age at onset of menarche; Methods We used a unique standardized national dataset on adolescent girls participating in the Italian Health Behaviour in School-aged Children Study. Two independent nationally representative survey datasets: one on 15-year-olds (n = 6505, year 2017/2018) and one on 11-year-olds (n = 6548, year 2013/2014) were analysed. The survey instrument was the self-report questionnaire. Median age at menarche and 95% confidence intervals were estimated through Kaplan–Meier analysis. Hierarchical models assessed the relationship between BMI and age at menarche; Results Region-level median age at menarche ranged between 12 years/5 months and 13 years/4 months. Region-level prevalence of overweight among 15-year-old girls ranged between 6% and 24%. Age at menarche was inversely associated with individual BMI (unstandardized regression coefficient beta=-0.81; 95% CI, -0.92 to -0.70). Individual-level and class-level measures of BMI accounted for 215.2% of the region-level variance in age at menarche; Conclusions The results show that girls who were overweight during childhood went through early puberty. Further investigation needs to assess a possible cause-effect relationship.https://doi.org/10.1186/s12905-025-03572-yEarly pubertyPubertyBMIOverweightMenarcheObesity
spellingShingle Domitilla Marconi
Dario Lipari
Andrea Pammolli
Paola Dalmasso
Paola Nardone
Alessio Vieno
Rita Simi
Giacomo Lazzeri
How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
BMC Women's Health
Early puberty
Puberty
BMI
Overweight
Menarche
Obesity
title How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
title_full How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
title_fullStr How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
title_full_unstemmed How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
title_short How does BMI correlate with menarche onset? Evidence from the Italian HBSC cross-sectional study
title_sort how does bmi correlate with menarche onset evidence from the italian hbsc cross sectional study
topic Early puberty
Puberty
BMI
Overweight
Menarche
Obesity
url https://doi.org/10.1186/s12905-025-03572-y
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