Abdellatif Baali

Characteristics of menstrual cycles in Moroccan girls: prevalence of dysfunctions and associated behaviours.

Population studies on normal and dysfunctional characteristics of menstrual cycles are scarce for western populations and practically non-existent for non-western ones. Recent data suggest that the type of menstrual cycle can be relevant for later gynaecological problems in several ways. The type of menstrual cycle is related to menarcheal age in a way that those with early maturation show more menstrual disorders which are the largest diagnosis category accounting for hysterectomies in adult women. On the other hand menstrual pain is often cited as the main single cause of school absenteeism among adolescent girls. The aim of this study is to describe characteristics of menstrual cycles, prevalence of main dysfunctions and their relationship to the age of maturity. The sample comprises 495 adolescent girls from Marrakech (Morocco) aged 12-19 years. At 13 years, 40% of these girls had reached menarche. The median age at menarche is 13.04. The prevalences of abdominal pain, premenstrual symptoms and irregularity are 69.60, 51.20 and 23.03 respectively. Abdominal pain is significantly more frequent in girls with early menarche.

Obesity, overweight and body‐weight perception in a High Atlas Moroccan population

In order to study the prevalence of obesity and overweight and to understand how the human body is perceived among Moroccan mountain populations, we carried out a survey that covered a sample of 436 Amazigh individuals aged 20 years and more from the High Moroccan Atlas. Through this survey, we noticed that obesity is still low among men (2.4%), whereas the prevalence of obesity among women is alarming and reaches 13.3%. The prevalence of overweight is also high, especially among women, with 32.8% vs. 21.8% among men. Obesity prevalence, especially overweight, is higher than that recorded in the national rural level. The high prevalence of overweight that can develop to obesity should be taken into account mainly when dealing with women that still value overweight. In fact, women in our sample underestimate their overweight more than men and wish to have a heavier body.

Secular Trend in Age at Menarche in Marrakesh (Morocco)

The median age at menarche observed by status-quo methods in 1991, and calculated by mean of probit analysis in a sample of 239 school girls from Marrakesh aged 11-17 years, was 13.75 +/- 0.17 years. Compared with earlier observations obtained for Moroccan girls in 1982 and 1987 the results show a decline of age at menarche of 0.55 year in the period 1982-91 and 0.25 year in the period 1987-91.

The effect of socio-economic status and area of residence on household food variety in Morocco

Background: In Morocco, few studies have specifically addressed the association between food variety and household socio-economic status and area of residence. Aim: The studys objective was to obtain a qualitative description of food consumption in samples of Moroccan households and to examine the influence of socio-economic factors and area of residence on their food variety. Subjects and methods: A qualitative food frequency questionnaire was administered by adolescent school pupils in their own households between March 2005 and March 2006 in 526 households in the regions of Marrakesh north of the High Atlas range and Ouarzazate to the south. We calculated the Food Variety Index (FVI) based on 183 food items and compared scores for advantaged/disadvantaged and urban/rural households. Results: Mean FVI scores for all individuals and total food groups differ significantly between the area of residence, urban and peri-urban Marrakesh and urban Ouarzazate having the highest scores. The mean total FVI scores, presented according to the households socio-economic status from highest to lowest, are 123.8 ± 17.1 for urban Marrakesh, 107.6 ± 21.6 for urban Ouarzazate, 92.0 ± 22.4 for rural Skoura, 110.5 ± 21.5 for peri-urban Marrakesh and 89.9 ± 10.8 for rural Iguerferouane (F-test = 26.7, p < 0.001). Advantaged households have significantly greater variety than disadvantaged households for all variables only in the two urban samples. In peri-urban Marrakesh and rural Skoura, there are no significant differences between advantaged and disadvantaged households. Conclusion: In our Moroccan sample, food variety is distributed according to two patterns: One based on area of residence, urban areas having greater variety than rural areas, and the other on socio-economic factors, with advantaged households having higher FVI values but only in urban areas. The limited availability of certain foods and food preferences by the populations mean that not all households are able to diversify their diets.

Determinants of contraceptive use in Morocco: stopping behaviour in traditional populations.

The determinants of modern contraceptive use in traditional populations are analysed in married women aged 30-44 living in the province of Marrakech (Morocco). Women who have never used contraception have smaller family sizes than those who do: the number of live children (or live births) is the variable with maximum predictive power on contraceptive use, while child mortality is the main inhibiting factor. The probability of contraceptive use increases with female age at marriage and decreases with the womans age, indicating a generational change in reproductive behaviour. The socioeconomic variables education, employment and residence, have no significant independent predictive character on contraceptive use, although the interaction between education and residence does. The paper evaluates the hypothesis that traditional populations in the initial phase of their demographic transition resort to modern contraception in order to stop childbearing, when they have reached a desired number of children, rather than to space births or reduce their fertility.

Y-chromosome variation in South Iberia: Insights into the North African contribution

Population of Pedroches Valley, a hypothetical Berber settlement, located in the northwest portion of Córdoba province (Andalusia, Spain), had been analyzed for its Y‐chromosome diversity. Moreover, to contextualize this population, 127 Y‐chromosomes from a general Andalusia sample and a North African Berber community (Marrakech, Morocco) were also typed. For all samples, 24 single nucleotide polymorphisms of the non‐recombining portion of the Y‐chromosome (NRY) were analyzed and those samples described as belonging to E3b1b‐M81 haplogroup were also typed for 16 Y‐chromosome short tandem repeats. Our Analysis showed low levels of North African E3b1b‐M81 haplogroup in the Pedroches Valley population (1.5%), which is a lower contribution than would be expected. This result rejects the hypothesis of a gradual genetic assimilation of Berber settlers during the Islamic period. Am. J. Hum. Biol., 2009.

Early Holocenic and Historic mtDNA African Signatures in the Iberian Peninsula: The Andalusian Region as a Paradigm

Determining the timing, identity and direction of migrations in the Mediterranean Basin, the role of “migratory routes” in and among regions of Africa, Europe and Asia, and the effects of sex-specific behaviors of population movements have important implications for our understanding of the present human genetic diversity. A crucial component of the Mediterranean world is its westernmost region. Clear features of transcontinental ancient contacts between North African and Iberian populations surrounding the maritime region of Gibraltar Strait have been identified from archeological data. The attempt to discern origin and dates of migration between close geographically related regions has been a challenge in the field of uniparental-based population genetics. Mitochondrial DNA (mtDNA) studies have been focused on surveying the H1, H3 and V lineages when trying to ascertain north-south migrations, and U6 and L in the opposite direction, assuming that those lineages are good proxies for the ancestry of each side of the Mediterranean. To this end, in the present work we have screened entire mtDNA sequences belonging to U6, M1 and L haplogroups in Andalusians—from Huelva and Granada provinces—and Moroccan Berbers. We present here pioneer data and interpretations on the role of NW Africa and the Iberian Peninsula regarding the time of origin, number of founders and expansion directions of these specific markers. The estimated entrance of the North African U6 lineages into Iberia at 10 ky correlates well with other L African clades, indicating that U6 and some L lineages moved together from Africa to Iberia in the Early Holocene. Still, founder analysis highlights that the high sharing of lineages between North Africa and Iberia results from a complex process continued through time, impairing simplistic interpretations. In particular, our work supports the existence of an ancient, frequently denied, bridge connecting the Maghreb and Andalusia.

Consanguinity, fertility of couples and mortality of children in the high Atlas population (commons of Anougal and Azgour, Marrakesh, Morocco)

This study analyses the relationship between consanguinity, fertility and child mortality in a rural population of two moroccan High-Atlas valleys. Among this very endogamous population, we have reconstituted, by inquiries, for each family, the totality of its reproductive life as well as the genealogic relationships that exist between the spouses on several generations. The analysis carried out on the group of families with women who are over 40 years old (438 families) has shown that the population was very strong related (28% of marriages are consanguineaous). A positive association between levels of fertility, infant mortality and consanguinity was observed.

Characterisation of the digital dermatoglyphic in a berber population of the high Atlas (Marrakesh, Morrocco)

With an aim of characterising the genetic structure of the Berber population, of the Western High Atlas (Marrakesh), and of locating it compared to the other known populations, a preliminary study of the digital dermatoglyphes relating to a sample of 100 individuals (50 men and 50 women) non related taken at random in the population of the commune of Asni (Wilaya de Marrakesh) was carried out. The frequencies of the digital figures obtained in this population are respectively 50.2% of the ulnar loops, 40.6% of the whorls, 7.7% of the archs and 1.5% of the radial loops. No significant difference between the two sexes has been observed. Compared with other Moroccan populations, while basing, oneself on the relatively frequency of the arch, one raises more resemblance of our population (9.2% among women and 6.2% among the men) to the Arab population of the region of Doukkala (8.85% at the men and 7.2% among women) that with the Berber population of the Middle Atlas (5.26% at the men and 5.63% among women). Compared with other Mediterranean populations, the Berber of the High-Atlas remain among the populations which present a higher arch percentage. The analysis of affinities of the digital figures between the population object, of the study and those of the Mediterranean by the Euclidean distances show that this one presents characteristics which differentiates, it from the other populations. One can not however, that conversely with other Moroccan populations analysed, the one becomes attached more to the group, of populations of south of the Mediterranean (Arab and Berber) than to the group of the north populations of mediterranean area (Spain, France and Italy).