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Rural-urban variations in age at menarche, adult height, leg-length and abdominal adiposity in black South African women in transitioning South Africa

Said-Mohamed, Rihlat (author)
Prioreschi, Alessandra (author)
Nyati, Lukhanyo H. (author)
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van Heerden, Alastair (author)
Munthali, Richard J. (author)
Kahn, Kathleen (author)
Umeå universitet,Epidemiologi och global hälsa,MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg Parktown, South Africa; INDEPTH Network, Accra, Ghana
Tollman, Stephen M. (author)
Umeå universitet,Epidemiologi och global hälsa,MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg Parktown, South Africa; INDEPTH Network, Accra, Ghana
Gomez-Olive, Francesc Xavier (author)
Houle, Brian (author)
Dunger, David B. (author)
Norris, Shane A. (author)
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 (creator_code:org_t)
2018-03-20
2018
English.
In: Annals of Human Biology. - : Taylor & Francis. - 0301-4460 .- 1464-5033. ; 45:2, s. 123-132
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: The pre-pubertal socioeconomic environment may be an important determinant of age at menarche, adult height, body proportions and adiposity: traits closely linked to adolescent and adult health.Aims: This study explored differences in age at menarche, adult height, relative leg-length and waist circumference between rural and urban black South African young adult women, who are at different stages of the nutrition and epidemiologic transitions.Subjects and methods: We compared 18-23 year-old black South African women, 482 urban-dwelling from Soweto and 509 from the rural Mpumalanga province. Age at menarche, obstetric history and household socio-demographic and economic information were recorded using interview-administered questionnaires. Height, sitting-height, hip and waist circumference were measured using standardised techniques.Results: Urban and rural black South African women differed in their age at menarche (at ages 12.7 and 14.5 years, respectively). In urban women, a one-year increase in age at menarche was associated with a 0.65 cm and 0.16% increase in height and relative leg-length ratio, respectively. In both settings, earlier age at menarche and shorter relative leg-length were independently associated with an increase in waist circumference.Conclusions: In black South African women, the earlier onset of puberty, and consequently an earlier growth cessation process, may lead to central fat mass accumulation in adulthood.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Age at menarche
height
body proportions
adiposity
nutrition transition

Publication and Content Type

ref (subject category)
art (subject category)

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