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A cohort study of dietary fibre intake and menarche

  • Malcolm M Koo (a1), Thomas E Rohan (a2), Meera Jain (a3), John R McLaughlin (a1) (a4) and Paul N Corey (a1)...

Abstract

Objective:

To evaluate the influence of dietary fibre on menarche in a cohort of pre-menarcheal girls.

Design:

Prospective cohort study.

Setting:

Ontario, Canada.

Subjects:

Free-living pre-menarcheal girls (n = 637), 6 to 14 years of age.

Methodology:

Information on dietary intake, physical activity and date of menarche was collected at baseline and was updated annually by self-administered questionnaires for three years. Cox proportional hazards models were used to evaluate the association between dietary fibre and menarche, adjusting for age at entry to the study and potential confounders.

Results:

A higher intake of energy-adjusted dietary fibre was associated with a lower risk of (i.e. a later age at) menarche (relative hazard 0.54, 95% confidence interval (CI) 0.31–0.94 for highest vs. lowest quartile, P for trend = 0.027). At the fibre component level, a higher intake of energy-adjusted cellulose was associated with a lower risk of menarche (relative hazard 0.45, 95% CI 0.26–0.76, P for trend = 0.009).

Conclusions:

The findings are consistent with the hypothesis that pre-menarcheal dietary intake can influence menarche.

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Copyright

Corresponding author

*Corresponding author: Email m.koo@utoronto.ca

References

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1Pike, MC, Karilo, MD, Henderson, BE, Casagrande, JT, Hoel, DG. ‘Hormonal’ risk factors, ‘breast tissue age’ and the age-incidence of breast cancer. Nature 1983; 303: 767–70.
2Kelsey, JL, Hildreth, NGBreast and Gynecologic Cancer Epidemiology. Boca Raton, FL: CRC Press, 1983; 5–70.
3Petridou, E, Syrigou, E, Toupadaki, N, Zavitsanos, Z, Willett, W, Trichopoulos, D.Determinants of age at menarche as early life predictors of breast cancer risk. Int. J. Cancer 1996; 68: 193–8.
4Brinton, LA, Berman, ML, Mortel, R, Twiggs, LB, Barrett, RJ, Wilbanks, GD, Lannom, L, Hoover, RN. Reproductive, menstrual, and medical risk factors for endometrial cancer: results from a case–control study. Am. J. Obstet. Gynecol. 1992; 167: 1317–25.
5Kalapothaki, V, Tzonou, A, Hsieh, CC, Toupadaki, N, Karakatsani, A, Trichopoulos, D. Tobacco, ethanol, coffee, pancreatitis, diabetes mellitus, and cholelithiasis as risk factors for pancreatic carcinoma. Cancer Causes Control 1993; 4: 375–82.
6Colditz, GA, Willett, WC, Stampfer, MJ, Rosner, B, Speizer, FE, Hennekens, CH. A prospective study of age at menarche, parity, age at first birth, and coronary heart disease. Am. J. Epidemiol. 1987; 126: 861–70.
7Matkovic, V, Jelic, T, Wardlaw, GM, Ilich, JZ, Goel, PK, Wright, JK, Andon, MB, Smith, KT, Heaney, RP. Timing of peak bone mass in caucasian females and its implication for the prevention of osteoporosis. Inference from a cross-sectional study. J. Clin. Invest. 1994; 93: 799808.
8Phillips, DI, Lazarus, JH, Butland, BK. The influence of pregnancy and reproductive span on the occurrence of autoimmune thyroiditis. Clin. Endocrinol. 1990; 32: 301–6.
9Deighton, CM, Sykes, H, Walker, DJ. Rheumatoid arthritis, HLA identity, and age at menarche. Ann. Rheum. Dis. 1993; 52: 322–6.
10Sandler, DP, Wilcox, AJ, Horney, LF. Age at menarche and subsequent reproductive events. Am. J. Epidemiol. 1984; 119: 765–74.
11Jenicek, M, Demirjian, A. Age at menarche in French Canadian urban girls. Ann. Hum. Biol. 1974; 1: 339–46.
12Frisch, RE. Fatness and fertility. Sci. Am. 1988; 258: 8895.
13Malina, RM, Ryan, RC, Bonci, CM. Age at menarche in athletes and their mothers and sisters. Ann. Hum. Biol. 1994; 21: 417–22.
14Moisan, J, Meyer, F, Gingras, S. Leisure physical activity and age at menarche. Med. Sci. Sports Exerc. 1991; 23: 1170–4.
15Koprowski, C, Ross, RK, Mack, WJ, Henderson, BE, Bernstein, L. Diet, body size and menarche in a multiethnic cohort. Br. J. Cancer 1999; 79: 1907–11.
16Hughes, RE, Jones, E. Intake of dietary fiber and the age of menarche. Ann. Hum. Biol. 1985; 12: 325–32.
17De Ridder, CM, Thijssen, JHH, Van't, Veer, Duurn, RV, Bruning, PF, Zonderland, ML, Erich, WBM. Dietary habits, sexual maturation, and plasma hormones in pubertal girls: a longitudinal study. Am. J. Clin. Nutr. 1991; 54: 805–13.
18Soriguer, FJ, Gonzalez-Romero, S, Esteva, I, Garcia-Arnés, JA, Tinahones, F, Ruiz De Adana, MS, Olveira, G, Mancha, I, Vazques, F. Does the intake of nuts and seeds alter the appearance of menarche?. Acta Obstet. Gynecol. Scand. 1995; 74: 455–61.
19Moisan, J, Meyer, F, Gingras, S. A nested case–control study of the correlates of early menarche. Am. J. Epidemiol. 1990; 132: 953–61.
20Kissinger, DG & Sanchez, A. The association of dietary factors with the age of menarche. Nutr. Res. 1987; 7: 471–9.
21Meyer, F, Moisan, J, Marcoux, D, Bouchard, C. Dietary and physical determinants of menarche. Epidemiology 1990; 1: 377–81.
22Merzenich, H, Boeing, H, Wahrendorf, J. Dietary fat and sports activity as determinants for age at menarche. Am. J. Epidemiol. 1993; 138: 217–24.
23Goldin, BR, Adlercreutz, H, Gorbach, SL, Warram, JH, Dwyer, JT, Swenson, L, Woods, MN. Estrogen excretion patterns and plasma levels in vegetarian and omnivorous women. N. Engl. J. Med. 1982; 307: 1542–7.
24Shultz, TD, Howie, BJ. In vitro binding of steroid hormones by natural and purified fibers. Nutr. Cancer 1986; 8: 141–7.
25Arts, CJM, Govers, CARL, Van den Berg, H, Wolters, MGE, Van Leeuwen, P, Thijssen, JHH. In vitro binding of estrogens by dietary fiber and the in vivo apparent digestibility tested in pigs. J. Steroid Biochem. Mol. Biol. 1991; 38: 621–8.
26Adlercreutz, H, Höckerstedt, K, Bannwart, C, Bloigu, S, Hämäläinen, E, Fotsis, T, Ollus, A. Effect of dietary components, including lignans and phytoestrogens, on enterohepatic circulation and liver metabolism of estrogens and on sex hormone binding globulin (SHBG). J. Steroid Biochem. 1987; 27: 1135–44.
27Setchell, KDR & Adlercreutz, H. Mammalian lignans and phyto-oestrogens. Recent studies on their formation, metabolism and biological role in health and disease. In: Rowland, IR, ed. Role of the Gut Flora in Toxicity and Cancer. London: Academic Press, 1988; 315–45.
28Arnold, JE, Rohan, T, Howe, G, Leblanc, M. Reproducibility and validity of a food-frequency questionnaire designed for use in girls age 7 to 12 years. Ann. Epidemiol. 1995; 5: 369–77.
29Jain, M, Harrison, L, Howe, GR & Miller, AB. Evaluation of a self-administered dietary questionnaire for use in a cohort study. Am. J. Clin. Nutr. 1982; 36: 931–5.
30Jain, M, Howe, GR, Rohan, T. Dietary assessment in epidemiology: comparison of a food frequency and a diet history questionnaire with a 7-day food record. Am. J. Epidemiol. 1996; 143: 953–60.
31Koo, MM & Rohan, TE. 1999 Comparison of four habitual physical activity questionnaires in girls aged 7–15 yr. Med. Sci. Sports Exerc.; 31: 421–7.
32Holland, B, Unwin, ID, Buss, DH. Cereals and Cereal Products. Third Supplement to McCance & Widdowson's The Composition of Foods. The Royal Society of Chemistry & Ministry of Agriculture, Fisheries and Food. London: HMSO, 1988.
34Holland, B, Unwin, ID, Buss, DH. Fruit and Nuts. First Supplement to McCance & Widdowson's The Composition of Foods, 5th ed. The Royal Society of Chemistry & Ministry of Agriculture, Fisheries and Food. London: HMSO, 1991.
34Holland, B, Unwin, ID, Buss, DH. Fruit and Nuts. First Supplement to McCance & Widdowson's The Composition of Foods, 5th ed. The Royal Society of Chemistry & Ministry of Agriculture, Fisheries and Food. London: HMSO, 1992.
35Willett, W, Stampfer, MJ. Total energy intake: implications for epidemiologic analyses. Am. J. Epidemiol. 1986; 124: 1727.
36Cox, DR, Oakes, D. Analysis of Survival Data. New York: Chapman & Hall,1984.
37Maldonado, G & Greenland, S. Simulation study by confounder-selection strategies. Am. J. Epidemiol. 1993; 138: 923–36.
38Ministry of Industry. Standard Occupational Classification. Statistics Canada 1992, 2943.
39Davis, JA, Smith, TW, Hodge, RW, Nakao, K, Treas, J. Occupational Prestige Ratings from the 1989 General Social Survey ICPSR 9593. Inter-university Consortium for Political and Social Research, 1991; 1131. Available at http://www.icpsr.umich.edu/cgi/archive.prl?num = 9593.
40Hosmer, DW & Lemeshow, S. Applied Survival Analysis: Regression Modeling of Time to Event. New York: John Wiley & Sons, 1999: 87270.
41Allison, PD. Survival Analysis Using the SAS System. A Practical Guide. Cary, NC: SAS Institute, Inc, 1995; 111–84
42Bingham, S. Definitions and intakes of dietary fiber. Am. J. Clin. Nutr. 1987; 45: 1226–31.
43Asp, N–G.Dietary fiber – definition, chemistry and analytical determination. Mol. Aspects Med. 1987; 9: 1729.
44Moisan, J, Meyer, F, Gingras, S. Diet and age at menarche. Cancer Causes Control 1990; 1: 149–54.
45De Ridder, CM, Thijssen, JHH, Bruning, PF, Van den Brande, JL, Zonderland, ML, Erich, WBM. Body fat mass, body fat distribution, and pubertal development: a longitudinal study of physical and hormonal sexual maturation of girls. J. Clin. Endocrinol. Metab. 1992; 75: 442–6.
46Maclure, M, Travis, LB, Willett, W, MacMahon, B. A prospective cohort study of nutrient intake and age at menarche. Am. J. Clin. Nutr. 1991; 54: 649–56.
47Walker, AR, Walker, BF & Stelma, S. Is breast cancer avoidable? Could dietary changes help?. Int. J. Food Sci. Nutr. 1995; 46: 373–81.
48Trichopoulou, A, Lagiou, P. Worldwide patterns of dietary lipids intake and health implications. Am. J. Clin. Nutr. 1997; 66(Suppl.): 961S–4S.
49Lipworth, L, Martinez, ME, Angell, J, Hsieh, CC, Trichopoulos, D. Olive oil and human cancer: an assessment of the evidence. Prev. Med. 1997; 26: 181–90.
50Massaro, M, Carluccio, MA & De Caterina, R. Direct vascular antiatherogenic effects of oleic acid: a clue to the cardioprotective effects of the Mediterranean diet. Cardiologia 1999; 44: 507–13.
51 Canola Council of Canada. Canola Oil: Nutritional Properties [Online]. Available at http://www.canola-council.org/pubs/oilprop.htm. 1999.
52Wolk, A, Bergstrom, R, Hunter, D, Willett, W, Ljung, H, Holmberg, L, Bergkvist, L, Bruce, A, Adami, HO. A prospective study of association of monounsaturated fat and other types of fat with risk of breast cancer. Arch. Intern. Med. 1998; 158: 41–5.
53Barrett-Connor, E, Friedlander, NJ. Dietary fat, calories, and the risk of breast cancer in postmenopausal women: a prospective population-based study. J. Am. Coll. Nutr. 1993; 12: 390–9.
54Trichopoulou, A, Katsouyanni, K, Stuver, S, Tzala, L, Gnardellis, C, Rimm, E, Trichopoulos, D. Consumption of olive oil and specific food groups in relation to breast cancer risk in Greece. J. Natl. Cancer Inst. 1995; 87: 110–6.
55Martin-Moreno, JM, Willett, WC, Gorgojo, L, Banegas, JR, Rodriguez-Artalejo, F, Fernandez-Rodriguez, JC, Maisonneuve, P, Boyle, P. Dietary fat, olive oil intake and breast cancer risk. Int. J. Cancer. 1994; 58: 774–80.
56Welsch, CW. Relationship between dietary fat and experimental mammary gland tumorigenesis: a review and critique. Cancer Res 1992; 52(Suppl.), 2040S–8S.
57Popkin, BM, Siega-Riz, AM, Haines, PS. A comparison of dietary trends among racial and socioeconomic groups in the United States. N. Engl. J. Med. 1996; 335: 716–20.
58Zacharias, L, Rand, WM, Wurtman, RJ. A prospective study of sexual development and growth in American girls: the statistics of menarche. Obstet. Gynecol. Survey. 1976; 31: 325–37.
59Cooper, C, Kuh, D, Egger, P, Wadsworth, M, Barker, D. Childhood growth and age at menarche. Br. J. Obstet. Gynaecol. 1996; 103: 814–7.
60Sitthi-amorn, C, Poshyachinda, V. Bias. Lancet 1993; 342: 286–8.
61Dosemeci, M, Wacholder, S & Lubin, JH. Does nondifferential misclassification of exposure always bias a true effect toward the null value?. Am. J. Epidemiol. 1990; 132: 746–8.
62Cummings, JH, Hill, MJ, Jenkins, DJA, Pearson, JR, Wiggins, HS. Changes in fecal composition and colonic function due to cereal fiber. Am. J. Clin. Nutr. 1976; 29: 1468–73.
63Kushi, LH, Meyer, KA & Jacobs, DR Jr. Cereals, legumes, and chronic disease risk reduction: evidence from epidemiologic studies. Am. J. Clin. Nutr. 1999; 70(Suppl.): 451S–8S.
64Williams, CL. Importance of dietary fiber in childhood. J. Am. Diet. Assoc. 1995; 95: 1140–6, 9.

Keywords

A cohort study of dietary fibre intake and menarche

  • Malcolm M Koo (a1), Thomas E Rohan (a2), Meera Jain (a3), John R McLaughlin (a1) (a4) and Paul N Corey (a1)...

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