Document Detail

Menarchal status and calf circumference predict calcaneal ultrasound measurements in girls.
MedLine Citation:
PMID:  17367724     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The purpose of this study was to predict calcaneal QUS measurements in healthy adolescent females as a function of anthropometric measures, pubertal stage and menarchal status.
METHODS: This was a secondary data analysis from a 2-year intervention designed to increase bone accretion. Simple Pearson correlation and Spearman's rank correlation analyses, followed by linear stepwise regression analyses were conducted.
SETTING: 12 middle schools.
PARTICIPANTS: 672 female students, baseline; 587 students at 18 months.
MAIN OUTCOME MEASURE: Calcaneal stiffness index (SI) by quantitative ultrasound.
RESULTS: Eighty percent of the subjects were premenarchal at baseline; 33% at 18 months. Although SI correlated with self-assessed pubic hair (rho = .21) and menarchal status (rho = .23, p < .01 for both) at baseline, the model for predicting SI included menarchal status, not pubic hair, and calf circumference, controlling for BMI (R(2) = .22, p < .01). At 18 months, SI correlated with self-assessed pubic hair (rho = .21) and menarchal status (rho = .25, p < .01 for both). The best model to predict SI included calf circumference and pubic hair stage (R(2) = .14, p < .01), and not menarchal status as 67% of the subjects at 18 months were postmenarchal.
CONCLUSIONS: In research assessing calcaneal SI in groups of adolescents, assessment of pubertal stage could be replaced with menarchal status and calf circumference when the majority of subjects are premenarchal. When the majority is postmenarchal, pubic hair stage and calf circumference together may be used to assess for pubertal maturation without menstrual status.
Albert C Hergenroeder; Deanna M Hoelscher; R Sue Day; Steven H Kelder; Jerri L Ward
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.     Date:  2007-02-20
Journal Detail:
Title:  The Journal of adolescent health : official publication of the Society for Adolescent Medicine     Volume:  40     ISSN:  1879-1972     ISO Abbreviation:  J Adolesc Health     Publication Date:  2007 Apr 
Date Detail:
Created Date:  2007-03-19     Completed Date:  2007-03-28     Revised Date:  2014-09-17    
Medline Journal Info:
Nlm Unique ID:  9102136     Medline TA:  J Adolesc Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  318-24     Citation Subset:  IM    
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MeSH Terms
Body Constitution / physiology*
Bone Density / physiology*
Calcaneus / ultrasonography*
Follow-Up Studies
Leg / ultrasonography
Menarche / physiology*
Muscle, Skeletal / ultrasonography
Puberty / physiology
Regression Analysis
Weight-Bearing / physiology
Grant Support
2 T71 MC00011-06//PHS HHS; R01 HD037767/HD/NICHD NIH HHS; R01 HD37767-04/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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