Factors Associated with the Prevalence and Severity of Menstrual-Related Symptoms: A Systematic Review and Meta-Analysis

Mitsuhashi, Risa; Sawai, Akemi; Kiyohara, Kosuke; Shiraki, Hitoshi; Nakata, Yoshio

doi:10.3390/ijerph20010569

Cited by 16 publications

(16 citation statements)

References 147 publications

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“…In addition, the higher stress, the more PMS were experienced. This is supported by several previous studies which have reported that increasing or chronic stress can lead to hormonal imbalance and contribute to PMS [6,20,46,72,73]. Furthermore, a similar study reported that stress was the most important predictor of PMS in female college students [74], and another study reported that women were more vulnerable to stress, indicating that they suffered more severe PMS, such as recurrent physical symptoms and difficulty concentrating before menstruation.…”

Section: Discussionsupporting

confidence: 76%

Factors Associated with Premenstrual Syndrome among Nursing Students Based on the Theory of Unpleasant Symptoms

2023

J Nurs Women’s Health

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Background: This study aimed to explain premenstrual syndrome (PMS) in nursing students based on the Theory of Unpleasant Symptoms (TOUS). PMS includes physiological factors (pain intensity during clinical practice, sleep quality), psychological factors (neuroticism, stress), situational factors (attitudes toward menstruation, sex role stereotypes) that influence symptoms. Therefore, thoroughly investigating the correlates of PMS among nursing students is necessary.Method: Data were collected from March 2022 to May 2022 through a cross-sectional study of female students using a selfreported questionnaire. A total of 330 female students (in the fourth grade) enrolled in the nursing department of a college in G city were recruited via convenience sampling. Independent t-test and one-way ANOVA were used to explore differences in PMS, with Scheffe's test performed post hoc. We analyzed correlations using Pearson's correlation and performed multiple regression analyses to investigate the factors influencing PMS.Results: PMS was positively significantly correlated with menstrual pain intensity during clinical practice (r = 0.51, p < 0.01), attitudes toward menstruation (r = 0.15, p < 0.01), neuroticism (r = 0.37, p < 0.01) and stress (r = 0.39, p < 0.01), but negatively correlated with sleep quality (r = −0.38, p < 0.01). The results of multiple regression analysis showed that menstrual pain intensity during clinical practice (β = 0.42), sleep quality (β = −0.23), neuroticism (β = 0.17) and stress (β = 0.21) affected PMS. The regression model was significant (F = 44.64, p < 0.001) and explanatory power was 44%. Conclusion:The findings of this study identified physiological and psychological factors influencing PMS. Developing an appropriate understanding of these influencing factors and customized interventions may be associated with the improvement of PMS in female college students enrolled in the Department of Nursing

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Section: Discussionsupporting

confidence: 76%

Factors Associated with Premenstrual Syndrome among Nursing Students Based on the Theory of Unpleasant Symptoms

2023

J Nurs Women’s Health

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“…The menstrual cycle may significantly affect females’ health, daily activities, quality of life and performance ( Tadakawa et al, 2016 ; Yu et al, 2017 ; McNulty et al, 2020 ; Castanier et al, 2021 ; Mitsuhashi et al, 2022 ; Pogodina et al, 2022 ). Symptoms are not limited to females with menstrual disorders, such as oligomenorrhea and amenorrhea, but are also reported by females with a normal menstrual cycle (NMC) ( Roomruangwong et al, 2021 ; Righi and Barroso, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Physical activity and combined hormonal contraception: association with female students’ perception of menstrual symptoms

et al. 2023

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Aim: The aim of this study was to examine the association between physical activity (PA) and combined hormonal contraceptive (CHC) on female students’ self perceptio of their menstrual cycle symptoms.Methods: Healthy French female students (n = 834) completed an online questionnaire to assess their PA level (Group 1: non-active; Group 2: moderate physical activity; Group 3: high physical activity; Group 4: very high physical activity), menstrual status or contraception use, self-reported diet and medication, impact on engagement in some social activities, and self-assessment of perceived mental and physical symptoms during the week prior to menses (PM) for students with a normal menstrual cycle (NMC), and the week of menses (ME) for normal menstrual cycle students and those using combined hormonal contraception.Results: Whatever the conditions (PM and ME, NMC and CHC), fewer self-perceived symptoms and self-reported alteration in fat intake were reported by the students in Group 4, and more analgesic and anti-inflammatory medication use was reported by Group 1. Fewer self-perceived symptoms were also found in CHC vs NMC female students for all physical activity levels, but in a more marked way when associated with very high physical activity. In addition, less university and sports practice absenteeism was observed with high and very high physical activity.Conclusion: In conclusion, the perception of menstrual cycle symptoms was lower with very high physical activity, as with combined hormonal contraception. Moreover, female students training more than 5 h/week also reported less university absenteeism and impairment in physical activities. Further studies are necessary to establish the causal link of physical activity and combined hormonal contraception on menstrual symptoms.

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“…Various demographic factors, including age, age at menarche, hormonal contraceptive usage, bleeding length, and bleeding intensity, have been identified as potential contributors to the experience of PP among adolescent girls [33,34,35,36]. This study's statistical analyses demonstrated significant associations between PP and several variables, including age, age at menarche, bleeding duration, and bleeding intensity.…”

Section: Prevalence Of Pelvic Pain During Menstruationmentioning

confidence: 68%

Exploring the Impacts of Menstrual-Pelvic Pain on School Activity in Rural Secondary School Girls

Obiekwe,

Ezeugwunne,

Ekwebene

et al. 2023

AJMAH

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Aims: Pelvic pain (PP) during menstruation (Dysmenorrhea) is one of the common complaints of women. menstruation has a great negative impact on the quality of life of women both psychologically, behavioural and social well-being. This study is to determine the prevalence of PP during menstruation among secondary school girls. Methodology: A cross-sectional study design conducted among female students at some selected high schools in Anambra state, South-eastern Nigeria in February 2023. A total of 392 study participants were recruited using a convenience sampling technique. A pretested self-administered structured questionnaire was employed. Microsoft excel and SPSS version 26 were used for data entry and analysis respectively. Results: 392 female adolescent high school students aged between 8-19 years old with a mean age at menarche 12.85±1.47 years. 58.9% reported having their menstrual bleeding lasting for 4 days. The prevalence of PP during menstruation was 86.31% with 29.90% with a numerical pain rating of 10. 39.20% reported taking painkillers gotten over the counter, 71.43% reported the pain affecting their activities in school, majority 32.7% don’t socialize with their classmate and 32.0% do not concentrate in classes. While 29.4% do not participate in school outdoor sports activities, 20.3% don’t participate in other school social activities. Statistically significant associations existed between PP during menses and age, age at menarche, bleeding length and bleeding intensity (p<0.05). The school participation of Participants with severe PP during menses were significantly affected (p=0.0001). Conclusion: PP during menstruation was highly prevalent in this study, and highly affected the students’ participation in school activities. The implication of this study highlights the importance of raising awareness, improving access to healthcare services, integrating menstrual health education into the curriculum, and adopting a multidisciplinary approach to support affected adolescents.

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Factors Associated with the Prevalence and Severity of Menstrual-Related Symptoms: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 147 publications

Factors Associated with Premenstrual Syndrome among Nursing Students Based on the Theory of Unpleasant Symptoms

Factors Associated with Premenstrual Syndrome among Nursing Students Based on the Theory of Unpleasant Symptoms

Physical activity and combined hormonal contraception: association with female students’ perception of menstrual symptoms

Exploring the Impacts of Menstrual-Pelvic Pain on School Activity in Rural Secondary School Girls

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