• Kiki Yusika Master of Applied Science in Midwifery, Poltekkes Kemenkes Semarang, Semarang, Indonesia
  • Sri Rahayu Master of Applied Science in Midwifery, Poltekkes Kemenkes Semarang, Semarang, Indonesia


Backgrounds: High rate of early menarche is one of the problems that should be the focus of government attention because the health impact will be in the future. The purpose of this study was to determine the effect of diet, physical activity and exposure to mass media on early menarche at Students Elementary School Muara Megang Southern Sumatra 2017.

Methods: This research used a quantitative study with cross sectional design. Purposive sampling technique was done in the fifth and sixth graders with total population of 69 people. After selecting those who experienced early menarche, thirty respondents were eligible in this study. Univariate, bivariate correlation test, and multivariate multiple linear regression were employed to analyze the data.

Results: The correlation test resulted in the score of diet (p-value=0.001), physical activity (pvalue= 0.040<0.05) and exposure to mass media (p-value=0.454). It was concluded eating patterns and physical activity had significant correlation with early menarche among students. Meanwhile, the mass media exposure had no significant influence to incidence of early menarche. Multivariate test results were obtained from the results of multiple linear regression tests of eating patterns (0.011<0.05) affecting the incidence of early menarche while physical activity (0.463>0.05) and exposure to mass media (0.733>0.05) had no effect on the incidence of early menarche.

Conclusions: This study recommends a need of coordination between health center and the health office to conduct counseling or form peer consultants involving young women to be more able to get to know themselves. 

Keywords: Physical Activity, Mass Media Exposure, Early Menarche, Dietary Habit


Wikonojosastro H. Ilmu Kandungan (Gynecologi). Jakarta: PT Bina Pustaka Sarwono Prawirohardjo; 2009

Atikoh P d M S. Menstruasi Pertama Kali (Menarche). Yogyakarta: Nuha Medika; 2009.

Sarwono P. Ilmu Kandungan (Gynecologi). Jakarta: PT Bina Pustaka; 2008.

Wiknjosastro. Ilmu Kebidanan , Yayasan(Obstetri). Jakarta: Bina Pustaka Sarwono; 2008.

Papalia. Daur Kehidupan Reproduksi Wanita (The Cycle of Female Reproductive Life). Jakarta: Modifikasi Papalia; 2008.

Susanti A, V. Faktor Resiko Kejadian Menarche Dini Pada Remaja SMPN 30 Semarang (Risk Factor of Early Menarche Among Adolescents at 30 Junior High School Semarang. 2015; 1(15): p.2012.

Nagar S, Aimol KR. Knowledge of Adolescent Girls Regarding Menstruation in Tribal Areas of Meghalaya. Department of Human Development, College of Home Science [internet] 2010 [cited 2019 Juny 28]; Vol 8 (1) : 27-30. Available from : krepublisher.

Sarwono S D. Psikologi Remaja (Psychology Adualt). Jakarta:. Raja Grafindo Persada; 2010

Silvina S. Pemodelan Usia Menarche dengan Regresi Logistik Ordinal dan Metode CHAID pada Siswi SMP di Kota Depok (Age Modeling Menarche with Regression Logistic Ordinal and Method CHAID at Junior High School Depok). Bogor; Program Studi Statistika, Institut Pertanian Bogor; 2008.

Cheng G, Steffi G, Lars L, Sibylle K, Anke LB, Gunther, et al. Diet Quality in Childhood is Prospectively Associated with the Timing of Puberty but not with Body Composition at Puberty Onset. The Journal of Nutrion. [internet] 2009 [citet 2019 Juny 28]: 109.113365:102-95. Available from : jn.nutrition.

Waryana. Gizi Reproduksi (Reproduction Nutrion). Yogyakarta: Pustaka Rihama; 2010. Hal 107- 124.

Karapanou O, Anastasios P. Determinants of Menarche. Biomed Central Ltd. [internet]. 2010 [cited 2019 Juny 11]; 8: 115. Available from : Reproductive Biology and Endocrinology.

Bertelonni S, Efecct of Sport Training in Adolescent on Grow Puberty and Bone Health. Gynecological Endocceinology, II(10), p. 34, 2006.

Narendra. Tumbuh Kembang Anak Remaja (Tha Blossoming of The Adolescent Child). Jakarta:, EGC; 2002.

Monsma M&F, Puberty and Physicel Self Perception of Competive Female Skater. Skripsi, FKM UI, Depok, I(13), p. 45, 2006.

Kroll AR. Recreational physical activity and premenstrual syndrome in college-aged women (master theses).

Massachusetts: University of Massachusetts; 2010.

Sianipar O, Bunawan NC, et al. Prevalensi Gangguan Menstruasi dan Faktor-Faktor yang Berhubungan Pada Siswi SMU di Kecamatan Pulo Gadung Jakarta Timur (Mentrual Disorder and Factor-Factor When it Comes to Girls at Senior High School Jakarta Timur. Majelis Kedokteran Indonesia. 2009; 59(7):308-13.

Surbey, 1990. Family Composition, Stress and The Timing of Human Menarche. In T.E.Zeigler & F>B. Berchovithch (Eds) Socioendocrionology of Primate Reproduction.. New York: Wiley., I(32), p. 11.

Putri AK. 2009. Hubungan antara Status Gizi, Status Menarche Ibu, Media Massa, Aktivitas Olahraga dengan Status Menarche Siswi di SMP Islam Al-Azhar Rawamangun (Connection Between Nutrion Status, Mother Menarche Status, Mass Media, Athletic Activity with Menarche Status of Student at Junior High School

Rawamang). Universitas Indonesia. Depok: 2009.

Kusuma D.A. 2012. Hubungan Beberapa Faktor Siswi dengan Kejadian Menarche Pada Remaja Awal di SMP 11 Kota Semarang (Connection Factor Student with Incident Menarche at Adualt at Junior High School Semarang). Universitas Diponegoro: Semarang; 2012.



How to Cite

Yusika, K., & Rahayu, S. (2019). DETERMINANT OF EARLY MENARCHE AT MUARA MEGANG ELEMENTARY SCHOOL SOUTHERN SUMATRA. Proceedings of the International Conference on Applied Science and Health, (4), 527–534. Retrieved from