The Relationship Between Nutritional Status and Early Menarche: A Narrative Review
DOI:
https://doi.org/10.55123/sehatmas.v5i3.8423Keywords:
Adolescent Girl, Early Menarche, Nutritional Status, BMIAbstract
This narrative review examines the relationship between nutritional status and the timing of menarche in adolescent girls, with a particular focus on early menarche. It explores how nutritional status influences pubertal onset and the associated health risks amid the increasing global prevalence of childhood overweight. A literature search of studies published between 2015 and 2025 was conducted using PubMed, Google Scholar, and ScienceDirect, resulting in five eligible cross-sectional studies from Brazil and Indonesia. The findings consistently indicate that higher body mass index (BMI) is significantly associated with menarche before age 12, potentially through hormonal mechanisms involving leptin and activation of the hypothalamic–pituitary–gonadal axis. Early menarche is associated with greater risks of metabolic, reproductive, and psychosocial health problems. Public health interventions should promote balanced nutrition, regular physical activity, and routine growth monitoring to support healthy pubertal development. Further longitudinal studies are needed to establish causal relationships and identify additional factors influencing the timing of menarche.
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Ade, L., Santhi, M., Mardiah, A., Adipatria, A., Azhar, B., Gde, N., & Mahardika, D. (2025). FISIK, PAPARAN MEDIA MASSA DAN KEJADIAN MENARCHE DINI PADA SISWI KELAS VII SMP NEGERI 2 MATARAM. Syntax Literate, 10(2).
Barros, B. de S., Kuschnir, M. C. M. C., Bloch, K. V., & Silva, T. L. N. da. (2019). ERICA: age at menarche and its association with nutritional status. Jornal de Pediatria, 95(1), 106–111. https://doi.org/10.1016/j.jped.2017.12.004
Diana, S., Herdiana, H., & Prima, E. (2023). PENGARUH MENARCHE DINI, STRESS DAN PERILAKU KONSUMSI FAST-FOOD DENGAN DISMENORE PRIMER PADA REMAJA PUTRI DI SMPN 01 SUKALARANG (Vol. 2, Issue 4).
Dwi Anggraini, F., Hikmawati, N., & Wahyuningsih, S. (2023). The Correlation between Nutritional Status and Age of Menarche among Adolescent Students. Health and Technology Journal (HTechJ), 1(5), 479–484. https://doi.org/10.53713/htechj.v1i5.93
Hartati, L., & Irmawati, N. (2024). The Relationship Between Nutrional Status And Event Early Menarche In Children Aged 9-12 Years. Journal of Applied Nursing and Health, 6(1), 210–223. https://doi.org/10.55018/janh.v6i1.198
Ibitoye, M., Choi, C., Tai, H., Lee, G., & Sommer, M. (2017). Early menarche: A systematic review of its effect on sexual and reproductive health in low- and middle-income countries. PLoS ONE, 12(6). https://doi.org/10.1371/journal.pone.0178884
Kholifah, M. N. (2024). FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN MENARCHE DINI PADA REMAJA PUTRI DI SMP NEGERI 1 WINONG Factors Associated with Early Menarche in Adolescent Girls at SMP Negeri 1 Winong. https://journal.unnes.ac.id/journals/nutrizione/index
Khuzaiyah, S., Sarjana, P., Kebidanan, D. P., & Kesehatan, I. (2024). Menarche dan Pubertas Dini: Kajian Terbaru tentang Penyebab Pubertas Dini serta Dampaknya terhadap Kesehatan Perempuan.
Lee, M. H., Kim, S. H., Oh, M., Lee, K. W., & Park, M. J. (2016). Age at menarche in Korean adolescents: Trends and influencing factors. Reproductive Health, 13(1). https://doi.org/10.1186/s12978-016-0240-y
Moola S, Munn Z, Tufanaru C, Aromataris E, Sears K, Sfetcu R, et al. 2020. Chapter 7: Systematic Reviews of Etiology and Risk. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Adelaide: Joanna Briggs Institute.
Mulyani, R. (2018). HUBUNGAN STATUS GIZI DAN RIWAYAT MENARCHE IBU DENGAN UMUR MENARCHE PADA SISWI SMP DI BANDAR LAMPUNG. In Jurnal Ilmiah Keperawatan Sai Betik (Vol. 14, Issue 2).
Oliveira, K. C. e., Neto, J. C., Aragon, D. C., & Antonini, S. R. (2024). Nutritional status and age at menarche in Amazonian students. Jornal de Pediatria, 100(4), 406–412. https://doi.org/10.1016/j.jped.2024.03.002
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372. https://doi.org/10.1136/bmj.n71
Rosiardani, S. A. (2018). MENARCHE DINI PADA ANAK SEKOLAH DASAR DI SURABAYA PENELITIAN CROSS-SECTIONAL Oleh.
Spaziani, M., Tarantino, C., Tahani, N., Gianfrilli, D., Sbardella, E., Lenzi, A., & Radicioni, A. F. (2021). Hypothalamo-Pituitary axis and puberty. Molecular and Cellular Endocrinology, 520. https://doi.org/10.1016/j.mce.2020.111094
Yang, P. J., Hou, M. F., Ou-Yang, F., Tsai, E. M., & Wang, T. N. (2022). Association of early-onset breast cancer with body mass index, menarche, and menopause in Taiwan. BMC Cancer, 22(1). https://doi.org/10.1186/s12885-022-09361-2
Yani, M., Azhari, A., Al Rahmad, A. H., Bastian, F., Ilzana, T. M., Rahmi, C. R., Nora, A. S., Chanda, A., & Salsabila, S. (2023). The relationship between menarche and nutritional status in Junior High School students in Aceh Besar. A study from 30 years of armed conflict area, Aceh, Indonesia. AcTion: Aceh Nutrition Journal, 8(4), 635. https://doi.org/10.30867/action.v8i4.1310
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