The relationship between reproductive and biochemical ageing at the time of the menopausal transition.

The biochemical ageing status of women in the menopausal transition was studied using quantitative analysis of age- and autophagy-related gene activities (CDC42 and MAP1LC3 genes were selected as target genes). Free estradiol and progesterone levels in saliva were estimated. General linear models were used to determine the relationship between lifestyle, health status, socioeconomic factors and CDC42 and MAP1LC3 gene expression levels. Gene expression analysis revealed (1) an increasing expression of CDC42 gene after 45years in women, (2) expression level of CDC42 gene associated with menopausal status, (3) while endocrine status was found to associate with the expression of both of the studied age-related genes, (4) the "never used hormonal contraceptives" and "obese nutritional status" were the strongest factors for increased level of age-related gene expressions, and (5) changes in gene expression levels by ageing should be studied by considering not only chronological, but also biological ages. Gene expression profile of ageing has mostly been studied in model systems or human blood samples, but rarely in human saliva samples. The concordance of results between the present and former gene expression analyses, and the simplicity of saliva sample collection emphasizes the importance of saliva tissue samples in gene expression analyses especially in epidemiological surveys.

A comparison of skeletal maturity assessed by radiological and ultrasonic methods.

OBJECTIVES: The estimation of skeletal maturity is a useful tool in pediatric practice to determine the degree of delay or advancement in growth disorders and the effectiveness of treatment in conditions that influence linear growth. Skeletal maturity of children is commonly assessed using either Greulich-Pyle (GP) or Tanner-Whitehouse methods (TW2 and TW3). However, a less invasive ultrasonic method, that does not use ionizing radiation, has been suggested for use in epidemiological studies of skeletal maturity. The main purpose of the present study was to determine the accuracy of an ultrasonic method based on the GP maturity indicators compared to the standard GP radiographic method. METHODS: Skeletal maturity of 1502 healthy children, aged from 6 to 18 years, was estimated by quantitative ultrasound and compared to GP bone ages estimated from left hand and wrist radiographs of a subsample of 47 randomly selected participants. RESULTS: The ultrasonic bone age estimation demonstrated very strong correlations with all the radiological age estimations. The correlation coefficients ranged between 0.895 and 0.958, and the strongest correlation of ultrasonic skeletal maturity estimation was found with the Tanner-Whitehouse RUS method. The ultrasonic bone age estimation is suggested for use between the chronological ages of 8.5-16.0 years in boys and 7.5-15.0 years in girls. CONCLUSIONS: The ultrasonic bone age estimation is suggested for use in epidemiological surveys since the sensitivity for screening for not normal bone development is appropriate, at least within the 8-15 years age interval.

Body fatness and endogenous sex hormones in the menopausal transition.

BACKGROUND: Age at the final menstrual period is of clinical and public health interest because the age at which natural menopause occurs may be a marker of ageing and health, and in general the menopausal transition increases the risk of many diseases, e.g. redistribution in the pattern of adiposity during the menopausal transition may increase risk of metabolic disease. The purpose of this research was to study the relationship between the menopausal status and body fatness. SUBJECTS AND METHODS: A random sample of 1932 Hungarian women was studied. Body composition was estimated by body impedance analysis. In a subsample free estradiol and progesterone levels in saliva were quantified. RESULTS: Body fat mass increased until the late 50s and then had a decrease through senescence. Premenopausal women who were much older than the median age at menopause had a higher amount of fat than their postmenopausal age-peers, while postmenopausal women, whose menopause occurred much earlier than the median age at menopause, had less fat than their premenopausal age-peers. The body fat mass in premenopausal women with low levels of sex hormones was always below the age-median value of the menopausal status subgroups, while the body fat mass of postmenopausal women with high levels of sex hormone levels was above the age-median values. CONCLUSIONS: The analysis of body fatness in the menopausal transition revealed that (1) the rate of reproductive ageing and the body fat pattern were significantly related, and (2) body fat mass of women with unexpected levels of sex hormones was related more to their hormonal levels than to their menopausal status or their age. Thus future epidemiological screenings of women exposed to higher levels of menopause-related health risks should be expanded beyond the estimation of menopausal status based only on menstrual history to include sex hormone level assessment, as well as body composition analysis.

SECULAR GROWTH AND MATURATION CHANGES IN HUNGARY IN RELATION TO SOCIOECONOMIC AND DEMOGRAPHIC CHANGES.

This paper analyses the secular changes in the body development patterns of Hungarian children between the 1910s and the beginning of the 2000s in relation to socioeconomic and demographic changes in the country. Individual growth data of children were available from two national growth studies (1983-86, 2003-06), while sample-size weighted means of children's body dimensions were collected through regional studies between the 1920s and 1970s. Gross domestic product, Gini index, life expectancy at birth and under-5 mortality rate were used to assess the changes in economic status, income inequalities of the society and the population's general health status, respectively. Secular changes in food consumption habits were also examined. The positive Hungarian secular changes in socioeconomic status were associated with a continuous increase in children's body dimensions. The negative socioeconomic changes reflected only in wartime and post-war periods of children's growth, and the considerable socioeconomic changes at the beginning of the 1990s did not appear to influence the positive trend in children's growth. The positive secular trend in stature and body mass did not level off at the beginning of the 2000s: the socioeconomic conditions that support optimal growth and maturation could improve in Hungary.

THE BIOLOGICAL STATUS OF CHILDREN LIVING IN DISADVANTAGED REGIONS OF HUNGARY.

The aim of this study was to find out whether differences exist in the physical development, nutritional status and psychosomatic status of children living in deprived regions of Hungary compared with the Hungarian national reference values. The Hungarian government's decree No. 24/2003 created a complex indicator of social and economic conditions by which the country's regions were graded into deprived and non-deprived regions. This study examined 3128 children (aged 3-18 years) living in the deprived regions and their biological status was compared with the national reference values (2nd Hungarian National Growth Study). Children's body development was assessed via some absolute body dimensions. Nutritional status was estimated by BMI with children being divided into 'underweight', 'normal', 'overweight' and 'obese' categories. For children aged 7-18 years a standard symptoms list was used to characterize psychosomatic status. The subjects were asked to rate their health status as excellent, good, fair or poor. The body development of children living in these deprived regions was significantly retarded compared with the national references in the age groups 7-9 years and 14-17 years for boys and in the age groups 4-6 and 14-17 for girls. The prevalence of underweight was significantly higher in children and adolescents living in deprived regions (boys: 4.8%; girls: 5.9%) than the national references (boys: 2.9%; girls: 4.0%), while the prevalence of overweight and obese children did not differ between deprived regions (boys: 20.2%; girls: 19.8%) and the national references (boys: 21.5%; girls: 19.1%). Children and adolescents living in the deprived regions rated their health status worse, and experienced more psychosomatic complaints (abdominal discomfort and fear), than the national references. Although the majority of body dimensions of children in deprived regions were close to the 50th centile of the Hungarian national references, a sizeable minority (31%) were 0.20SD or more away from the median value, which has implications as to how social, medical and public welfare policy can be shaped.

Relationship between some indicators of reproductive history, body fatness and the menopausal transition in Hungarian women.

BACKGROUND: This paper analyzed the relationship between some indicators of reproductive history and body fatness in relation to the timing of the menopause transition in Hungarian women using survival analysis after controlling for birth cohort. METHODS: Data on menstruation and reproductive history were collected during the personal interviews in a sample of 1932 women (aged 35+ years). Menarcheal age, the length of menstrual cycles and menstrual bleedings, regularity of menstrual cycles, number of gestations, lactation, the ever use of contraceptives, menopausal status and age at menopause were used as indicators of reproductive history. The body fat fraction was estimated by bioelectrical impedance analysis. Body fatness was also estimated by dividing women into obese and non-obese categories (considering body mass index and waist-to-hip ratio). Survival analyses were used to analyze the relationship between the indicators of reproductive history and body fatness during the menopausal transition. RESULTS: Only the menarcheal age among the investigated reproductive life characteristics showed secular changes in the studied decades in Hungary; the mean age at menarche decreased by approximately 2.5 months per decade from the 1920s until the 1970s. Ever use of hormonal contraceptives, a relatively long cycle length in the perimenopausal transition and higher parity were all related with lower risk of early menopause. Later menarcheal age, normal length of menstrual cycle or bleeding in the climacterium, irregular bleeding pattern and postmenopausal status were associated with a higher amount of body fatness, while never use of contraceptives, regular menstruation, postmenopausal status and relatively early menopause were associated with a higher risk of abdominal obesity. CONCLUSION: This report confirms that age of menarche is not significantly predictive of age at menopause but prior use of oral contraceptives, longer mean cycle length and smaller number of gestations all are. In addition, age of menarche, irregular bleeding pattern before the climacterium, length of menstrual cycles and bleedings during the climacterium and postmenopausal status were associated with obesity during the climacterium.

Sexual maturation pattern in the mirror of socioeconomic background.

The inequalities among the socioeconomic strata in the Hungarian society increased during the last decades. Since the socioeconomic conditions play a decisive part in shaping the growth and maturation of children, our purpose was to study the body structure and the growth and maturation pattern of children living in deprived regions in Hungary. Our former analysis revealed that the prevalence of non-normal nutritional status was significantly higher in children and adolescents living in the seriously deprived regions of Hungary than the national reference values. The main purpose of the present study was to compare the sexual maturation pattern of pubertal children living in the deprived regions by comparing the timing of pubertal maturation events to the national reference values. Sexual maturity status of 711 girls and 790 boys (aged 10 - 16 years) living in the deprived small regions of Hungary was compared to the national reference values (Hungarian National Growth Study II). Sexual maturity status was estimated by the stages of pubic hair, axillary hair, breast and external genitalia development, as well as by the menarcheal and spermarcheal status, respectively. The median ages of being in the pubertal stages of the sexual characteristics, menarcheal and spermarcheal age were estimated by probit analysis. By comparing it to the national reference values, the timing of pubertal development in boys and girls living in the seriously deprived regions showed a 1 - 3-month shift toward older ages. However, the length of sexual maturation: the interval between the median ages of the first and last pubertal stages of sexual characteristics was similar in the subjects living in the regions of Hungary as the Hungarian reference values.

The relationship between body structure and the socio-economic status in Hungarian children and adolescents.

Among the numerous factors that influence the pattern of children's growth and development there are factors of the changeable socio-economic environment. The inequalities among the socio-economic strata in the Hungarian society have increased during last decades. The main objective of the study was to examine the body structure of children and adolescents living in different socio-economic backgrounds. The subjects of the present paper (9479 boys, 9304 girls) were examined in the 2nd Hungarian National Growth Study 2003-2006. Body structure was assessed by some absolute body dimensions, BMI, body composition and body shape indices. Children were grouped into relatively good, average and poor socio-economic subgroups by considering the education and occupation of the parents as well as the number of children in the family. Significant differences were found in the body structure of children varying in the socio-economic background: the better the socio-economic conditions the higher stature in both genders, while the lower relative fatness was found only in pubertal girls. The prevalence of unhealthy nutritional statuses (both underweight and overweight/ obese) was significantly lower in children living in better socio-economic conditions in both genders. Differences that were found in the body structure of children living in different socio-economic backgrounds emphasize the importance of using reference growth values layered also to socio-economic strata for screening nutritional status in childhood and adolescence.

Recent trends in childhood obesity and overweight in the transition countries of Eastern and Central Europe.

OBJECTIVE: Significant political changes--accompanied by economic changes and social restratification--occurred in Eastern and Central European countries in the 1990s. The main purposes of this study were to assess how prevalence of overweight and obese children changed in Hungary during this transitional period; and to compare the prevalence data of childhood overweight in Central and Eastern European countries, where a similar political and socioeconomic environment existed before the transition and similar changes occurred during the transitional period. SUBJECTS AND METHODS: Representative samples from the first (1983-1986) and second (2003-2006) Hungarian growth studies were used to assess the prevalence of childhood overweight and obesity in Hungary. The most frequently used indicators of social welfare were used to estimate economic and health status as well as nutritional supply in the transition countries, while data on prevalence of childhood overweight in the studied countries were collected by a search of epidemiological surveys from the region. RESULTS AND CONCLUSION: Frequency of overweight and obese children in Hungary increased between the 1980s and the beginning of the 2000s. Prevalence of childhood overweight was very similar in those Central and Eastern European countries where economic, nutritional or health indicators of general welfare were at a similar level.

The 2nd Hungarian National Growth Study (2003-2006).

BACKGROUND: Secular changes in the pattern of growth and maturation have been analysed by many regional surveys in Hungary during the last century. The first representative Hungarian National Growth Study was carried out between 1980-1983. AIM: The main objectives of the 2nd Hungarian National Growth Study (2003-2006) were to construct reference data of the most important indicators of body development and nutritional status in Hungarian children (aged 3-18 years, n = 25 278); to analyse the influence of nutrition, habitual physical activity and socio-economic background factors on body development; to study secular changes in the pattern of development in Hungary in the last 20 years; and to analyse the relationship between body development and psychic health. SUBJECTS AND METHODS: Anthropometric dimensions and proportions, sexual maturity status, body composition, nutritional status and body shape were used for body developmental estimation. Some indicators of psychic health were also investigated. RESULTS: Reference centiles and data of all absolute body dimensions, some relative body dimensions and the pattern of eating and habitual physical activity have been constructed. CONCLUSION: Secular changes in the growth and maturation pattern are still taking place in the Hungarian population; sexual maturation in boys has shifted to a younger age.

Direct and indirect interrelations between anthropometric and physiological variables in athletic and non-athletic adolescent girls: a path-analytic study.

Our previous analysis of anthropometric and exercise test data of 62 athletic and 56 non-athletic girls (age range 10.5-15.5 years) showed that the intensity of habitual exercise failed to discriminate between the group means of the studied variables. However, the patterns of intervariable correlations differed between the subgroups categorized by physical activity. The present paper studies the problem of this difference further by using exploratory multivariate regression of aerobic power (VO2max) on 10 anthropometric variables and age. The VO2(max) regression was significant (Y(nonathletic) = 0.0194x(1) + 0.004x(2) - 0.371x(3) + 0.045x(4) - 0.177x(5) + 0.070x(6) - 0.271x(7) - 0.170x(8) + 0.015x(9) - 0.0005x(10) + 0.185x(11), SEE = 0.37, R2 = 0.71, F(11.44) = 9.63; Y(athletic) = 0.029x(1) + 0.063x(2) + 0.277x(3) - 0.030x(4) - 0.069x(5) + 0.151x(6) - 0.148x(7) + 0.001x(8) + 0.018x(9) - 0.019x(10) - 0.065x(11), SEE = 0.32, R2 = 0.71, F(11.50) = 11.30), but none or only one of the independent variables had a significant partial regression coefficient. The individual VO2(max) estimates were studied in both groups by using the other group's regression formula to rule out sample dependence. Both formulae gave good approximations of the observed values in spite of the dissimilar regression coefficients. The path analysis of the respective criterion-predictor correlation coefficients confirmed that the relationship of the predictor variables with VO2(max) involved quantitatively direct and indirect effects in the non-athletic and athletic groups.