“…This was found in studies in Poland (Bielicki et al, 1986;Laska-Mierezejewska, 1995), in Hungary (Bodzsar, 1975), in Khartoum (Sudan) (Attallah et al, 1983), in Nigeria (Oduntan et al, 1976;Uche and Okorafor, 1979), in Egypt (Attallah, 1978), and South Africa (Henneberg and Louw, 1995). Family size and birth order also have shown a significant effect on age at menarche, with girls in large families exhibiting a delay of maturation (Roberts et al, 1971;Billewicz et al, 1981;Roberts, 1984, 1993;Clegg, 1980;Cameron and Nadgdee, 1996;Sánchez-Andrés, 1997;Apraiz, 1999). Other factors such as nutrition (Simodon et al, 1997), seasonality (Boldsen, 1992), physical activity (Malina, 1983), and altitude level (Gonzales et al, 1996) also have shown significant effects on age at menarche.…”