Post-menarcheal growth in a cohort of brazilian girls

The purpose of this paper was to assess post-menarcheal growth in a cohort of Brazilian girls and correlate it with the age, stature and BMI at menarche. Records of the age, weight, and stature at menarche, and 5 years later, of 111 girls who attended the Adolescent Unit of the Child Institute - HC - Medical School of the University of São Paulo, were recovered. The median age at menarche was 12.67 years and the mean increase in height was 7.54 ± 3.35cm. The largest span of growth was observed in girls who reached menarche before 12.67 years (r= -0.46; p= 0.0001) and in the ones who had less stature at this moment (r= -0.44; p= 0.0001). The best correlation was observed in girls with stature between p25 and p75 of NCHS reference data (r= -0.72; p= 0.0001). Adolescents with greater BMI had earlier menarche (11.9 years). No correlation was found between BMI and post-menarcheal growth (r= 0). In this cohort, post-menarcheal growth was similar to other studies and correlations offer information to assess the potential of growth after menarche.Este trabalho teve como objetivo avaliar o crescimento pós-menarca em uma coorte de meninas brasileiras, e correlacioná-lo com a idade, estatura e IMC na menarca. Foram resgatados registros da idade, peso e estatura na menarca, e 5 anos após, de 111 meninas matriculadas na Unidade de Adolescentes do Instituto da Criança - HC - FMUSP. A mediana para a menarca foi 12,67 anos e a média de crescimento, 7,54 ± 3,35cm. Cresceram mais as que menstruaram mais cedo (r= -0,46; p= 0,0001) e as que eram mais baixas nesta ocasião (r= -0,44; p= 0,0001). Observou-se melhor correlação nas meninas com estatura entre p25 e p75 do referencial NCHS (r= -0,72; p= 0,0001). As adolescentes com maior IMC menstruaram mais cedo (11,9 anos). Não houve correlação entre o IMC e o crescimento (r= 0). Nesta coorte, o crescimento pós-menarca foi semelhante ao observado em outros estudos e as correlações fornecem informações para avaliar o potencial de crescimento por ocasião da menarca.97197

[post-menarcheal Growth In A Cohort Of Brazilian Girls].

The purpose of this paper was to assess post-menarcheal growth in a cohort of Brazilian girls and correlate it with the age, stature and BMI at menarche. Records of the age, weight, and stature at menarche, and 5 years later, of 111 girls who attended the Adolescent Unit of the Child Institute-HC-Medical School of the University of São Paulo, were recovered. The median age at menarche was 12.67 years and the mean increase in height was 7.54 +/- 3.35 cm. The largest span of growth was observed in girls who reached menarche before 12.67 years (r= -0.46; p= 0.0001) and in the ones who had less stature at this moment (r= -0.44; p= 0.0001). The best correlation was observed in girls with stature between p25 and p75 of NCHS reference data (r= -0.72; p= 0.0001). Adolescents with greater BMI had earlier menarche (11.9 years). No correlation was found between BMI and post-menarcheal growth (r= 0). In this cohort, post-menarcheal growth was similar to other studies and correlations offer information to assess the potential of growth after menarche.49971-

Sexuality in teenagers with epilepsy

Objectives: In adults with epilepsy it is well known that the epileptic syndrome, seizure frequency and antiepileptic drug use may influence sexual function and behavior. However, knowledge acquired with adult populations has been extrapolated to teenagers, based on the supposition that these patients are influenced by similar factors. This study aimed to evaluate aspects related to sexuality obtained from female adolescents with epilepsy. Methods: We carried out a prospective study of 35 female adolescents, with epilepsy, with ages from 10 to 20 years, and epileptic syndromes diagnosed according to ILAE criteria (1989). Information on sexual function and behavior of adolescents with epilepsy was evaluated by use of a standard questionnaire. Exclusion criteria were lack of menarche, previous endocrine or chronic clinical disorders, and moderate to severe mental retardation. Results: No differences were observed between the age at first sexual intercourse, sexual activity, libido and orgasm of adolescents with epilepsy when compared to controls. Epilepsy clinical variables Such as age of onset, duration and severity had no significant relationship with distinct aspects of sexual function and behavior. Conclusion: Adolescents with epilepsy represent a special patient group because, even with their chronic disorder, they have an active sexual life, despite the severity of their disorder. Therefore, aspects related to sexuality require special attention by health professionals when attending to adolescents with epilepsy. (C) 2008 Elsevier Inc. All rights reserved.FAPESP Process[05/03527-3