Sunday, July 14, 2019

Girls with early puberty may develop migraine

Adolescent girls who attain early puberty may also have a greater chance of developing migraine headaches, suggest researchers.

We know that the percentage of girls and boys who have migraine is pretty much the same until menstruation begins. When the menstrual period starts in girls, the prevalence goes way up,but what our data suggests is that it occurs even before that, said one of the researchers.


About 10 % of school-age children suffer from  migraine, according to the study . As adolescence approaches, the incidence of migraine increases rapidly in girls and by age 17 about 8% of boys and 23% of girls have experienced migraine.


The girls ranged in age from 8-20 and the study took place over a 10-year period beginning in 2004. Girls enrolled in the study at age 8-10 were examined during study visit every 6-12 months. Researchers determined when they showed initial signs of thelarche ( breast development), pubarche ( pubic hair growth) and menarche ( start of menstrual periods).


Girls answered a headache questionnaire to find out if they suffered from migraine headache, no migraine or probable migraine the latter is defined as meeting all the diagnostic criteria for migraine except one. The average age at which they completed the survey was 16.


Of those surveyed, 85 girls (1%) were diagnosed with migraine headache while 53 (7%) had a probable migraine and 623 (82%) had no migraine.


Researchers found that girls with migraine had an earlier age of thelarche ( breast development) and the onset of menarche ( menstrual periods) than those with no migraine.


On the average breast, development occurred 4 months earlier in those with migraine while menstruation started 5 months earlier. There was no difference in the age of pubarche between those with migraine and no migraine.


There was a 25% increases in the chance of having migraine for each year earlier that a girl experienced either thelarche or menarche. This suggests a strong relationship between early puberty and the development of migraine in adolescent girls, said the lead investigator.


The age of onset of thelarche, pubarche or menarche did not differ between those with probable migraine and no migraine, she said.


Previous research suggested that migraine often starts with the onset of menstrual cycles during menarche in adolescent girls. But this study looks at earlier stages of puberty such as thelarche and pubarche, the researcher explained.


To suggest the origins of migraine may occur actually before menstrual periods begin is pretty novel. At each of these stages, different hormones are starting to appear in girls. During pubarche,  testosterone and androgens are present and during thelarche, there is the very 1st exposure to estrogen. Menarche is when a more mature hormonal pattern emerges. Our study implies that the very 1st exposure to estrogen could be the starting point for migraine in some adolescent girls. It may be the Big Bang Theory of migraine, he said.


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Monday, March 25, 2019

Obesity causes early onset of puberty

Obese boys and girls are likely to enter puberty at an early age, which can result in stunted growth or depression, finds a new study.

The study showed total body obesity and excess belly fat in boys aged four-seven years were associated with greater odds of starting puberty before age nine. 

“With the increase in childhood obesity worldwide, there has been an advance in the age at which puberty begins in girls. But in boys the evidence has been controversial,” said lead researcher.

For the study, the researchers included 527 Chilean boys. 

Among boys aged five or six, those with obesity had nearly 2.7 times the odds of starting puberty early. Whereas those with excess belly fat had almost 6.4 higher odds of puberty before age nine, said a researcher.

She said excess belly fat more closely related to fat mass, because a higher BMI may reflected increased muscle, especially in athletes.

Precocious or early puberty has been linked to possible problems, including stunted growth, emotional-social problems like increased risks of depression and substance abuse. 

In addition, in boys, it could lead to higher incidence of testicular cancer in adulthood, she said.

Controlling the obesity epidemic in children could be useful in decreasing these risks, she noted.

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Friday, March 16, 2018

How early puberty may result in obesity for women

Turns out, early puberty is linked to the increased risk of obesity for women.

According to a study, girls who start puberty earlier are more likely to be overweight as adults.

The researchers say their findings strengthen existing evidence of a link between the onset of puberty and a woman's body mass in adulthood.

Previous studies have established a link between obesity and puberty, with increased body-weight known to be a risk factor for girls starting puberty earlier.

But now this latest research shows that early puberty is itself a risk factor for being overweight, with girls who have their first period earlier more likely to have a higher Body Mass Index (BMI).

According to the authors of the study, their findings help to untangle these complex external factors and add insight into an underlying causal link, showing that early puberty has a significant impact on a woman's risk of obesity.

The first author of the study, said: "Previous studies have shown there is an association, but we didn't know whether early puberty caused obesity in adulthood, or was simply associated with it. In our latest study, we've generated evidence to support that it is a causal effect."

In order to get around the effects of confounding factors, the research team used genetic variants as a tool to look at the effect of the onset of puberty (known as age at menarche), measured as the age of a girl's first period.

In the latest study, researchers employed a statistical technique called Mendelian Randomization which uses these genetic variants as a tool to show the causal relationship between earlier puberty and increased BMI.

Using data from 182,416 women they identified 122 genetic variants that were strongly associated with the onset of puberty - with the women's age at first period obtained via questionnaire.

Initial analysis revealed a link between these genetic variants and BMI, with those women who had variants associated with earlier puberty having an increased BMI. The researchers then tested for this same association in a third group 70,962 women, finding the same association.

Dr. added, "Some of these genetic variants are associated with earlier puberty and some with later onset, so by taking advantage of this we were able to investigate any association of age at menarche with BMI in adulthood”.

"We're not saying that it's a genetic effect, but rather that by using these genetic variants as a proxy for earlier puberty, we are able to show the effect of earlier puberty without the impact of external factors that might confound our analysis. We performed a range of statistical sensitivity analyses to test the robustness of our findings and they remained strong through this, so within the limitations of the study design, we are confident of findings."

According to the researchers, it remains unclear how maturing earlier has a direct impact on body weight, but they indicate that differences between physical and emotional maturity may play a role. It could be that young women who mature earlier than their peers are treated differently or have different societal pressures than girls of the same age who have not started puberty.

Another explanation could be the physical effects of hormonal changes during puberty, such as increased fat deposition in breast tissue, which when established earlier may move them to a higher risk profile for higher BMI or obesity in later life.

"It is difficult to say that changing someone's age of puberty will affect their adult risk of obesity and whether it is something that we can clinically apply - as it would unlikely be ethically appropriate to accelerate or delay the rate of puberty to affect BMI," added the Dr. "But it is useful for us to be aware that it's a causal factor- girls who reach puberty earlier may be more likely to be overweight when they are older."

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Saturday, January 20, 2018

Early puberty can cause heart diseases

Girls, who menstruate before the age of 12, are 10 per cent more likely to develop cardiovascular diseases than those who attain it at the age of 13 or 14, according to a study. 

Researchers found that those who started menstruating early were at a greater risk of heart diseases later in their life. 

The ideal age for girls to start menstruating is 13. The researchers examined data of more than 5,00,000 middle-aged adults who didn’t have a history of heart disease. 

The heart disease is now emerging as a number one killer among women with one in three deaths attributed to it. 

A senior cardiologist, said, “The age factor during the first monthly cycle is taken into account in heart diseases but along with that obesity and other lifestyle disorders also contribute to cardiovascular diseases.”

“Hence, we can say that the early cycle predisposes them but how they take care of their health and maintain themselves can also work towards preventing the disease,” he added.

Interestingly, women’s heart issues are closely studied only now. 

There was a myth that they would not have heart problems because of the monthly cycle. But that is not the case. 


Reproductive health factors also influence the risk of heart disease in women. 


The history of childbirth and miscarriages are also linked to cardiovascular health,   a senior cardiologist, added, “Women who undergo hysterectomy face the risk of cardiovascular diseases.”



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Monday, January 15, 2018

Researchers discover link between heart disease and early periods, menopause

Women who started menstruating at the age of 11 or younger, or entered menopause before 47, face a higher risk of heart disease and stroke, according to a study published.

Miscarriage, stillbirth, undergoing a hysterectomy, and bearing children at a young age were also associated with elevated odds of cardiovascular problems later in life, researchers found. The additional risk varied from only a few percentage points to more than 40 percent, they reported in a journal. 

The findings are not the first to uncover a link between reproductive factors and cardiovascular diseases, and the data do not show a causal relationship, the authors cautioned. But their findings do strengthen the association, and suggest that women with premature reproductive cycles or a history of adverse events should be frequently screened for heart trouble and conditions leading to blood clots.      
The scientists drew data from a long-term health survey in Britain that monitored and tested more than a quarter of a million women from 2006 to 2016. The women's average age was 56 when monitoring began. More than four-fifths had been pregnant, and nearly half had two children. On average, they started having their periods at 13, and had their first child at 26.

In 2016, two-thirds of the women had gone through menopause, at an average age of 50. The study showed that women who began menstruating before the age of 12 faced a 10 percent greater risk of cardiovascular disease compared to those who were 13 or older. For those who went through menopause before the age of 47, the risk for cardiovascular disease rose by 33 percent, and for stroke alone by 42 percent.   

Miscarriages were likewise linked with a greater danger of heart disease, with each stillbirth increasing the risk by six percent.  A hysterectomy was associated with a 20 percent higher chance of developing heart disease, the team found.

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