Menarcheal timing and growth curve shape during the adolescent growth spurt

Yong-soo Ahn; Ki-Soo Lee; Jong-Hyun Nam; Yoon-Goo Kang

doi:10.4041/kjod.2009.39.3.159

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Ahn, Lee, Nam, and Kang: Menarcheal timing and growth curve shape during the adolescent growth spurt

Original Article

Korean Journal of Orthodontics

Korean Journal of Orthodontics 2009; 39(3): 159-167.

Published online: 30 June 2009

DOI: https://doi.org/10.4041/kjod.2009.39.3.159

Menarcheal timing and growth curve shape during the adolescent growth spurt

Yong-soo Ahn, DMD, MSD^a, Ki-Soo Lee, DMD, MSD, PhD^b, Jong-Hyun Nam, DMD, MSD, PhD^c, Yoon-Goo Kang, DMD, MSD, PhD^d

^aPostgraduate Student, Department of Orthodontics, College of Dentistry, Kyunghee University, Korea.

^bProfessor, Department of Orthodontics, College of Dentistry, Kyunghee University, Korea.

^cAssistant Professor, Department of Orthodontics, College of Dentistry, Kyunghee University, Korea.

^dFull-time Lecturer, Department of Orthodontics, College of Dentistry, Kyunghee University, Korea.

Corresponding author: Jong-Hyun Nam. Department of Orthodontics, Dental Hospital, East-West Neo Medical Center, 149, Sangil-dong, Gangdong-gu, Seoul 134-727, Korea. +82 2 440 6205; orthopia@unitel.co.kr

Received 16 January 2009 Revised 8 May 2009 Accepted 13 May 2009

Abstract

Objective

This study investigated the onset, peak height velocity (PHV) and end of adolescent growth spurt as well as menarcheal timing deduced from surveying accumulative height growth over many years.

Methods

Ninety six students of Samgoe high school between 1st and 3rd grade that were in good health participated in the research. A survey questionnaire was distributed to examine the students' health status and menarche timing.

Results

Adolescent growth spurt typically began at the age of 9.9 and reached a PHV at the age of 11.6. The growth spurt ended at the age of 14.1 on average. The average age of menarche was 12.6 years, which was about one year after the PHV of adolescent growth spurt. In most cases, menarche came after PHV. But in 24% of the students, menarche and PHV was nearly coincident or menarche preceded PHV. The growth curves were classified into four types. A typical adolescent growth spurt showed one PHV on graph that drastically drops after the PHV. However, there were cases with two PHVs.

Conclusions

The results indicate that individual growth patterns show large individual differences, however the categorization into the various growth curves may aid in predicting individual growth patterns.

Keywords: Adolescent growth spurt, Peak height velocity, Menarche

Figures and Tables

Fig. 1

Normal growth curve. PHV, Peak height velocity.

Fig. 2

A type growth curve case that has a prominent peak height velocity.

Fig. 3

B type growth curve case that has a bell shaped growth curve.

Fig. 4

C type growth curve case that has an M shaped growth curve.

Fig. 5

D type growth curve case that does not have a prominent peak height velocity.

Table 1

Mean, standard deviation of body height and body height growth velocity at specified ages and comparison with the mean of specified age of National anthropometric survey of Korea of 1997

Table 2

Distribution of menarche age of the whole sample

Table 3

Annual increment at PHV and age of onset, PHV and end according to menarcheal timing

PHV, Peak height velocity; Duration, period from onset to end; ^*Menarche before PHV; ^†Menarche at PHV; ^‡Menarche after PHV; ^*,^†,^‡Numbers with different letters are significantly different from each other (p < 0.05).

Table 4

Distribution of growth curve shape of whole sample

A, Prominent peak height velocity pattern; B, M shaped growth curve pattern; C, bell shaped growth curve pattern; D, gentle growth curve pattern.

Table 5

Annual increment at PHV and age of onset, PHV and end according to growth curve shape

PHV, Peak height velocity; Duration, period from onset to end; ^*A type; ^†B type; ^‡C type; ^§D type; ^*,^†,^‡,^§Different letters are significantly different from each other (p < 0.05). Onset was not detected in D type of growth curve.

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