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Ong Kenneth - One of the best experts on this subject based on the ideXlab platform.
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Association of puberty timing with type 2 diabetes: A systematic review and meta-analysis.
'Organisation for Economic Co-Operation and Development (OECD)', 2020Co-Authors: Cheng, Tuck Seng, Lakshma Rajalakshmi, Day Feli, Ong KennethAbstract:Background Emerging studies have investigated the association between puberty timing, particularly age at Menarche, and Type 2 diabetes. However, whether this association is independent of adiposity is unclear. We aimed to systematically review published evidence on the association between puberty timing and Type 2 diabetes or impaired glucose tolerance (T2D/IGT), with and without adjustment for adiposity, and to estimate its potential contribution to the burden of T2D in United Kingdom (UK). Methods and findings We searched PubMed, Medline and Embase databases for publications until February 2019 on the timing of any secondary sexual characteristic in boys or girls in relation to T2D/IGT. Inverse-weighted random-effects meta-analysis was used to pool reported estimates and meta-regression to explore sources of heterogeneity. Twenty eight observational studies were identified. All assessed age at Menarche (AAM) in women (combined N=1,228,306); only one study additionally included men. In models without adjustment for adult adiposity, T2D/IGT risk was lower per year later AAM (relative risk (RR)=0.91, 95% confidence interval (CI)=0.89-0.93, p
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Age at Menarche associated with subsequent educational attainment and risk-taking behaviours: the Pelotas 1982 Birth Cohort.
'Organisation for Economic Co-Operation and Development (OECD)', 2020Co-Authors: Calthorpe, Lucia M, Gigante, Denise P, Horta, Bernardo L, Ong KennethAbstract:Background: Earlier age at Menarche (AAM), a marker of puberty timing in females, has been associated with a higher likelihood of adolescent risk-taking behaviours and variably associated with educational attainment.Aim: To examine the association between AAM and educational attainment in the Pelotas, Brazil, 1982 Birth Cohort.Subjects and methods: AAM was categorised as Early (7-11 years), Average (12-13 years), or Late (14+ years). Primary outcome: years of education (age 30). Secondary outcomes: risk-taking behaviours, adult income and school grade failure.Results: In adjusted models, compared to Average AAM, Late AAM was associated with 0.64 fewer years of education (95% CI: -1.15, -0.13). Early AAM was associated with earlier age at first sexual intercourse (-0.25 years; 95% CI: -0.39, -0.12), whereas Late AAM was associated with 17% lower adult income (0.83; 95% CI: 0.71, 0.95) and 0.31 years older age at first alcohol consumption (95% CI: 0.10, 0.52).Conclusions: Our findings confirm the association between earlier puberty timing in females and a greater likelihood of risk-taking behaviours in this setting of recent secular changes towards earlier puberty. However, the association between Late AAM and lower education was surprising and may support a psychosocial rather than biological link between puberty timing and educational outcomes
Anugrahini Christina - One of the best experts on this subject based on the ideXlab platform.
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GAMBARAN TINGKAT KECEMASAN REMAJA PUTRI DALAM MENGHADAPI HAID PERTAMA KALI (Menarche) PADA SISWI KELAS VII SMP NEGERI 1 ATAMBUA
Jurnal Sahabat Keperawatan, 2020Co-Authors: Syarif, Sakinah Ekawati, Mau, Djulianus Tes, Anugrahini ChristinaAbstract:Haid pertama kali diartikan sebagai permulaan menstruasi pada seorang gadis pada masa Pubertas, yang biasanya muncul pada usia 11 sampai 14 tahun. Gejala yang sering menyertai ialah muncul Perasaan bingung, gelisah atau cemas, tidak nyaman selalu menyelimuti, seorang wanita yang mengalami menstruasi pertama kali. Penelitian ini dilakukan untuk mengetahui Gambaran tingkat kecemasan Remaja Putri dalam Menghadapi Haid Pertama Kali (Menarche) pada Siswi Kelas VII SMP Negeri 1 Atambua. Populasi adalah siswa remaja kelas VIIS MP Negeri 1 Atambua, sampel sebanyak 163 responden yang memenuhi kriteria teknik pengambilan dengan purpose sampling, jenis penelitian kuantitatif dengan metode deskriptif Hasil penelitian didapatkan dari 163 responden sebanyak 26 responden (15,9%) mengalami cemas ringan, dan sebanyak 47 responden (28,8%) mengalami cemas sedang hal ini kemungkinan dari beberapa sisiwi remaja putri yang mungkin telah terpapar informasi tentang pengetahuan haid pertama kali sehingga ada beberapa anak bisa mengatasi tingkat kecemasannya, dan sebanyak 52 responden (31,9%) mengalami cemas berat, dan 38 responden (23,3%) mengalami panik. hal ini berarti sebagian besar responden belum mengerti tentang perubahan didalam dirinya (baik perubahan psikologis maupun fisiologis) dan kurangnya informasi
Marlyn Munica Rita Hernayanti 3 - One of the best experts on this subject based on the ideXlab platform.
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GAMBARAN KARAKTERISTIK DAN TINGKAT PENGETAHUAN Menarche PADA SISWI SMP NEGERI 1 DEPOK
2020Co-Authors: Marly Sholicha1, Nanik Setiyawati 2, Marlyn Munica Rita Hernayanti 3Abstract:Latar Belakang: Menarche merupakan tanda awal terjadinya pubertas remaja putri. Pengetahuan remaja menunjukkan sampai dimana remaja paham tentang Menarche. Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran karakteristik dan tingkat pengetahuan tentang Menarche pada siswi SMP Negeri 1 Depok. Metode: Metode penelitian ini adalah deskriptif dengan pendekatan cross-sectional. Penelitian dilakukan pada bulan Oktober 2018- Mei 2019 di SMP Negeri 1 Depok Sleman. Subjek penelitian ini adalah siswi kelas VII baik yang sudah maupun belum Menarche sejumlah 108 siswi. Pengumpulan data diperoleh dari hasil kuesioner dan pengukuran Indeks Massa Tubuh (IMT). Menggunakan analisis univariate. Hasil: Penelitian ini menunjukkan bahwa sebagian besar 76% siswi mengalami Menarche normal usia 11-13 tahun, sebanyak 15,7% belum Menarche, mengkonsumsi makanan cepat saji dengan frekuensi jarang (1-2x seminggu) sebanyak 57,4%, pernah menerima informasi sebanyak 99,1%, melakukan aktivitas fisik dengan frekuensi sedang (2x seminggu) sebanyak 39,8%, memiliki status gizi normal sebanyak 72,2%, dan mayoritas 53,7% berpengetahuan cukup, namun tidak sedikit 43,5% berpengetahuan baik. Kesimpulan: Karakteristik usia responden sebagian besar mengalami Menarche 11-13 tahun, mengkonsumsi makanan cepat saji dengan frekuensi jarang (1-2x seminggu), pernah menerima informasi, melakukan aktivitas fisik dengan frekuensi sedang (2x seminggu), memiliki status gizi normal, berpengetahuan cukup
Cheng, Tuck Seng - One of the best experts on this subject based on the ideXlab platform.
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Association of puberty timing with type 2 diabetes: A systematic review and meta-analysis.
'Organisation for Economic Co-Operation and Development (OECD)', 2020Co-Authors: Cheng, Tuck Seng, Lakshma Rajalakshmi, Day Feli, Ong KennethAbstract:Background Emerging studies have investigated the association between puberty timing, particularly age at Menarche, and Type 2 diabetes. However, whether this association is independent of adiposity is unclear. We aimed to systematically review published evidence on the association between puberty timing and Type 2 diabetes or impaired glucose tolerance (T2D/IGT), with and without adjustment for adiposity, and to estimate its potential contribution to the burden of T2D in United Kingdom (UK). Methods and findings We searched PubMed, Medline and Embase databases for publications until February 2019 on the timing of any secondary sexual characteristic in boys or girls in relation to T2D/IGT. Inverse-weighted random-effects meta-analysis was used to pool reported estimates and meta-regression to explore sources of heterogeneity. Twenty eight observational studies were identified. All assessed age at Menarche (AAM) in women (combined N=1,228,306); only one study additionally included men. In models without adjustment for adult adiposity, T2D/IGT risk was lower per year later AAM (relative risk (RR)=0.91, 95% confidence interval (CI)=0.89-0.93, p
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Association of puberty timing with type 2 diabetes: A systematic review and meta-analysis.
'Organisation for Economic Co-Operation and Development (OECD)', 2020Co-Authors: Cheng, Tuck Seng, Day, Feli R, Lakshma Rajalakshmi, Ong, Ke KAbstract:BACKGROUND:Emerging studies have investigated the association between puberty timing, particularly age at Menarche (AAM), and type 2 diabetes. However, whether this association is independent of adiposity is unclear. We aimed to systematically review published evidence on the association between puberty timing and type 2 diabetes (T2D) or impaired glucose tolerance (IGT), with and without adjustment for adiposity, and to estimate the potential contribution of puberty timing to the burden of T2D in the United Kingdom (UK). METHODS AND FINDINGS:We searched PubMed, Medline, and Embase databases for publications until February 2019 on the timing of any secondary sexual characteristic in boys or girls in relation to T2D/IGT. Inverse-variance-weighted random-effects meta-analysis was used to pool reported estimates, and meta-regression was used to explore sources of heterogeneity. Twenty-eight observational studies were identified. All assessed AAM in women (combined N = 1,228,306); only 1 study additionally included men. In models without adjustment for adult adiposity, T2D/IGT risk was lower per year later AAM (relative risk [RR] = 0.91, 95% CI 0.89-0.93, p < 0.001, 11 estimates, n = 833,529, I2 = 85.4%) and higher for early versus later Menarche (RR = 1.39, 95% CI 1.25-1.55, p < 0.001, 23 estimates, n = 1,185,444, I2 = 87.8%). Associations were weaker but still evident in models adjusted for adiposity (AAM: RR = 0.97 per year, 95% CI 0.95-0.98, p < 0.001, 12 estimates, n = 852,268, I2 = 51.8%; early Menarche: RR = 1.19, 95% CI 1.11-1.28, p < 0.001, 21 estimates, n = 890,583, I2 = 68.1%). Associations were stronger among white than Asian women, and in populations with earlier average AAM. The estimated population attributable risk of T2D in white UK women due to early Menarche unadjusted and adjusted for adiposity was 12.6% (95% CI 11.0-14.3) and 5.1% (95% CI 3.6-6.7), respectively. Findings in this study are limited by residual and unmeasured confounding, and self-reported AAM. CONCLUSIONS:Earlier AAM is consistently associated with higher T2D/IGT risk, independent of adiposity. More importantly, this research has identified that a substantial proportion of T2D in women is related to early Menarche, which would be expected to increase in light of global secular trends towards earlier puberty timing. These findings highlight the need to identify the underlying mechanisms linking early Menarche to T2D/IGT risk
Suarni Leny - One of the best experts on this subject based on the ideXlab platform.
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DESKRIPSI TINGKAT KECEMASAN REMAJA PUTRI YANG MENGALAMI MENARCH DI SMP ISLAM TERPADU KHOLISATURRAHMI BINJAI
Prodi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat UIN Sumatera Utara, 2020Co-Authors: Suarni LenyAbstract:Menarche is the first menstruation that usually occurs in the age range of 10-16 years or in early adolescence in the middle of puberty before entering reproduction (Proverawati and Misaroh, 2009). Menarche is the first mestruasi blood expenditure, the arrival of Menarche can cause positive or negative reactions, a positive reaction if the individual is able to appreciate, understand and accept Menarche as a sign of maturity that is owned by a woman otherwise a negative reaction will cause anxiety. Anxiety is a condition where an individual or group experiences anxiety (judgment or opinion) and autonomic nervous system activity in responding to threats that are unclear, non specific. The purpose of this research is to determine the level of anxiety of adolescents facing Menarche in IT Khalisaturrahmi Binjai, mild anxiety level, moderate anxiety level, severe anxiety level. The type of research used is descriptive. The population in this study amounted to 32 respondents. The sample in this study amounted to 24 respondents with consecutive sampling techniques. The results showed that respondents experienced mild anxiety levels of 12 people (50%), 8 people (33%) moderate anxiety and 4 people (17%) with severe anxiety. From the results of the study it can be concluded that the level of anxiety of adolescents facing Menarche in IT Middle School Khalisaturrahmi Binjai majority in the category of mild anxiety levels, amounting to 12 respondents or (50%). Further researchers are advised to conduct research on the handling of anxiety in young women in the face of Menarche. Keywords: Anxiety, Princess Adolescents, Menarch