Association between adolescent idiopathic scoliosis prevalence and age at menarche in different geographic latitudes
2006

Link Between Age at Menarche and Scoliosis in Different Latitudes

Sample size: 287939 publication 10 minutes Evidence: high

Author Information

Author(s): Grivas Theodoros B, Vasiliadis Elias, Mouzakis Vasilios, Mihas Constantinos, Koufopoulos Georgios

Primary Institution: Orthopaedic Department, 'Thriasio' General Hospital, Greece

Hypothesis

Is there an association between the prevalence of adolescent idiopathic scoliosis and age at menarche across different geographic latitudes?

Conclusion

Late age at menarche is associated with a higher prevalence of adolescent idiopathic scoliosis, particularly in northern latitudes.

Supporting Evidence

  • The regression analysis showed a significant positive association between scoliosis prevalence and latitude.
  • Age at menarche decreases as latitude approaches the equator.
  • Late menarche correlates with prolonged spine vulnerability in girls.

Takeaway

Girls who start their periods later are more likely to have scoliosis, especially if they live in northern areas where there's less sunlight.

Methodology

The study analyzed data from 20 papers on scoliosis prevalence and 33 papers on age at menarche, using regression analysis by latitude.

Potential Biases

Potential biases may arise from variations in study definitions, methods, and sample populations across different geographic regions.

Limitations

The study design did not allow for direct correlation between age at menarche and scoliosis prevalence due to data being collected from different groups of publications.

Participant Demographics

The studies included normal girls aged 10 to 14 years from various geographic areas in the northern hemisphere.

Statistical Information

P-Value

< 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.1186/1748-7161-1-9

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