Age at Menarche

Menarche occurred at an earlier age in subjects with bulimia compared to psychiatric control subjects [51]. The earlier age at menarche may not be an independent factor, but very likely is weight related. Frisch and McArthur have reported that the amount of body fat is related to onset of menarche [58]. Because BN subjects have higher rates of childhood obesity, they would be expected to experience menarche at an earlier age. A tendency towards overweight and earlier exposure to the bodily changes of puberty would further increase body dissatisfaction and the chances for dieting.

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