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Is age of menarche among school girls related to breastfeeding during infancy?
Radhia Al-Mathkoori1, Ahmed Albatineh2, Maryam Al-Shatti3
1Department of Public Health, Communicable Diseases Control Unit, Ministry of Health, Kuwait.
Insights
This study found no significant link between breastfeeding duration or type and the age of menarche in female adolescents. These findings suggest that breastfeeding
Area of Science:
- Reproductive Health
- Pediatrics
- Epidemiology
Background:
- Breastfeeding is associated with adult disease risk.
- Age of menarche is a potential mediator in this association.
- The relationship between breastfeeding and age of menarche requires further investigation.
Purpose of the Study:
- To examine the association between infant breastfeeding and age of menarche.
- To clarify the role of breastfeeding in the life-course development of disease risk.
Main Methods:
- Cross-sectional study of 775 female high school students in Kuwait.
- Data collected via self-administered questionnaires and maternal telephone interviews.
- Multiple linear regression analysis adjusted for confounders.
Main Results:
- No significant association was found between breastfeeding duration and age of menarche (P=.124).
- No significant association was found between the type of breastfeeding and age of menarche (P=.398).
- Results remained non-significant after adjusting for potential confounders.
Conclusions:
- Infant breastfeeding is not significantly associated with age of menarche.
- The proposed mediation pathway from breastfeeding to adult disease via age of menarche may not be valid.
- Further research is needed to understand the complex relationship between breastfeeding and long-term health outcomes.
Objectives:
Breastfeeding has been linked to various disease conditions in adulthood. Age of menarche has been proposed to be an intermediary factor on the life-course path to these disease conditions, but the link between breastfeeding and age of menarche remains under debate. This study aimed to investigate the association between age of menarche and breastfeeding during infancy.
Methods:
A cross-sectional study was conducted in which 775 female high school students were randomly selected from private and public high schools in all provinces in Kuwait. Data on age of menarche were collected by self-administered questionnaires from the students, while data on breastfeeding were collected from their mothers through telephone interviews. Multiple linear regression was used to investigate the association between breastfeeding and age of menarche after adjusting for potential confounders.
Results:
Of the study group 496 mothers responded to the telephone interview. Duration of breastfeeding was not significantly associated with age of menarche before or after adjusting for potential confounders (P = .279 and P = .124 for crude and fully adjusted model, respectively). Similarly, no significant association was found between type of breastfeeding during the first four months of life and age of menarche before or after adjusting for potential confounders (P = .949 and P = .398 for crude and fully adjusted model, respectively).
Conclusion:
No significant association was found between age of menarche and breastfeeding during infancy, which may suggest that the link between breastfeeding and disease conditions in adulthood is not necessarily mediated through age of menarche.
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