The research involved more than 5,500 U.S. girls ages 9 to 14 who had not yet had their first periods at the study's start. Researchers asked the girls questions about their diets, including how frequently they consumed soda and other sugar-sweetened beverages (such as fruit drinks and iced tea), and tracked the girls for five years (from 1996 to 2001).
Girls who drank more than 1.5 servings of sugary drinks daily started their menstrual periods nearly three months earlier than those who consumed two or fewer sugary drinks per week, the study found.
"Our study adds to increasing concern about the widespread consumption of sugar-sweetened drinks among children and adolescents in the USA and elsewhere," study author Karin Michels, an associate professor at Harvard Medical School, said in a statement. The results are important because researchers have observed that girls in developed countries may be entering puberty at younger ages, but the reason for this change remains unclear, she said.
The findings held even after the researchers took into account other factors that may affect a girl's age of first menstruation, including the girl's height, body mass index, ethnicity, activity level and total food intake
When the researchers looked at the effect of specific beverages, they found that those drinks with added sugar (such as soda) were linked with earlier periods, but those without added sugar (such as some fruit juices) were not.Consuming sugar-sweetened beverages has been linked to weight gain. And obesity, in turn, has been shown to increase the risk for early onset of menstruation. But the study found that BMI had only a small effect on the link between sugary drinks and early periods, meaning that other factors may be the driving force behind the findings.
For example, the researchers noted that eating foods (such as soda) that quickly raise a person's blood sugar levels result in an increase in levels of the hormone insulin. This may, in turn, affect levels of sex hormones, which would influence menstruation.
Still, the study found only an association, and cannot prove there is a cause-and-effect relationship between sugary drinks and earlier periods.
It could be that girls who have started to mature early also tend to drink more sugary drinks because they are more mature, the researchers said. (For example, these girls may have different tastes, or may be treated differently by their parents, than girls who mature later.)
In addition, it's not clear whether a three-month difference in when a girl starts getting her period would have a meaningful impact on her health. Dr. Joshua Yang, a pediatric endocrinologist at the Arnold Palmer Hospital for Children in Orlando, Florida, said that at an individual level, "three months really isn't that big a deal" in terms of its impact on health.
The researchers said that a one-year decrease in the age at which a girl starts her period is linked with a 5 percent increase in the individual's risk of breast cancer, and so a three-month decrease in age of first period could have a "modest impact" on breast cancer risk. Yang said he did not know of any studies that looked at whether a three-month decrease in age of first period would affect a woman's breast cancer risk.
Still, the impact of sugar-sweetened beverage consumption on age of first period, and possible breast cancer risk, should not be overlooked, because unlike most other predictors of a girl's age at her first period, sugar-sweetened beverage consumption is something people can change, the researchers said.
The study will be published online today (Jan. 27) in the journal Human Reproduction.
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