Physical activity for primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials

Matthewman, Gemma; Lee, Alexandra; Kaur, Jaidev G.; Daley, Amanda

doi:10.1016/j.ajog.2018.04.001

Cited by 95 publications

(77 citation statements)

References 49 publications

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“…In the last decade, several authors have noted the need to further study both the pharmacological and non-pharmacological management of menstrual pain [ 10 , 11 , 35 ], especially considering that 18% of non-steroidal anti-inflammatory treatments are ineffective for dysmenorrhea, the primary treatment for this condition [ 36 ]. There is increasing evidence of the efficacy of non-pharmacological methods for dysmenorrhea, such as aerobic exercise, yoga, taping and transcutaneous electrical nerve stimulation [ 20 , 21 , 37 , 38 , 39 ]. Furthermore, a study conducted in the USA among women suffering from dysmenorrhea identified the reasons why women did not seek medical advice: they believed professionals would be unable to help, they distrusted the available treatments and felt ashamed or fearful of seeking help for this problem [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Interference and Impact of Dysmenorrhea on the Life of Spanish Nursing Students

Abreu-Sánchez

Ruiz‐Castillo

Onieva-Zafra

et al. 2020

IJERPH

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Dysmenorrhea is a cause of absenteeism in universities which, in the context of nursing studies, may affect mandatory attendance. Moreover, presenteeism is associated with medication errors, patient falls, and a reduced quality of patient care. This study sought to identify the degree of interference of dysmenorrhea on daily life and its impact on academic performance among Spanish nursing students, and to explore the reasons for presenteeism. A cross-sectional descriptive study was conducted on 261 nursing students. Data were collected using a self-administered questionnaire. The chi square tests, chi-square linear trend, Student’s t-test, one-way analysis of variance of polynomial contrasts, and post hoc tests for the bi-variate analysis were used to compare the participants’ responses regarding their type of dysmenorrhea and pain intensity. In addition, a multivariate regression was performed to predict absenteeism. The answers to the open questions were analyzed using thematic content analysis techniques. We observed 62.8% of absenteeism and 92.7% of presenteeism due to dysmenorrhea. Absenteeism was observed to be 3.079 (confidence interval (CI): 95%1.724–5.499; p < 0.001) times more likely among women with severe menstrual pain, 2.513 (CI 95%1.314–4.807; p = 0.005) times more in those suffering from menstrual nausea and 1.936 (CI 95%1.098–3.411; p = 0.022) times more frequent in those suffering from diarrhea. The reasons for presenteeism were grouped into five categories: the pain was bearable, it is not a reason to be absent, others don’t consider it a reason to be absent, responsibility and guilt, and academic consequences. Dysmenorrhea can have a significant impact on academic performance. The concern among students about the academic repercussions and even feelings of guilt and incomprehension from others leads to high rates of presenteeism with potentially negative consequences for patient care.

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Section: Discussionmentioning

confidence: 99%

Interference and Impact of Dysmenorrhea on the Life of Spanish Nursing Students

Abreu-Sánchez

Ruiz‐Castillo

Onieva-Zafra

et al. 2020

IJERPH

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“…The symptoms related with dysmenorrhea were measured based on Andersch-Milsom Verbal Multidimensional Scoring System. Four grades have been mentioned in this scale for the severity of dysmenorrhea symptoms as follows: score 0 (no symptoms); score 1 (mild symptoms are present but do not interfere with daily activities); score 2 (symptoms exist and interfere with daily tasks but are moderate and not debilitating; score 3 (symptoms are quite debilitating and severe (15).…”

Section: Data Collection Toolsmentioning

confidence: 99%

“…Prostaglandins can cause severe uterine contractions, fatigue, dizziness, headache, nervous change and other related symptoms (5)(6)(7). There are several treatments for primary dysmenorrhea and associated symptoms, including contraceptive pills (8,9), vitamin E compounds (10), vitamin D (10)(11)(12), sh oil supplements (13), diet (14), exercise and physical activity (15), acupuncture (16), topical heat (17), psychotherapy (18) and Nonsteroidal anti-in ammatory drugs (NSAIDs).…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effect of Chamomile and Mefenamic Acid on primary dysmenorrhea, associated symptoms and menstrual bleeding – A randomized clinical trial study

Shabani¹,

Vakilian²,

Narenji³

et al. 2020

Preprint

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Background Dysmenorrhea is one of the most common pelvic pains in women, impairing their quality of life.This study investigated the effects of chamomile sachet and mefenamic acid on primary dysmenorrhea, associated symptoms and bleeding. Methods In this randomized clinical trial, 200 female students with primary dysmenorrhea from Arak universities were randomly assigned to two groups. The group (A) received mefenamic acid (250 mg) and group (B) received chamomile (5000 mg) plus one teaspoonful of honey )as a flavoring( for two days before up to the first three days of menstruation, three times a day in two consecutive cycles. Pain severity, associated symptoms and bleeding were assessed using visual analog scale, Andersch-Milsom Verbal Scale and Higham chart, respectively. Data were analyzed by descriptive and inferential statistical tests by SPSS 21. Results Severe pain during two months after intervention was in 6 (6.3%) of group (B) and 6 (6.3%) in group (A) (p = 0.351, p = 0.332). Mean severity of associated symptoms two months after the treatment was( 4.93 ± 3.54) in group (B) and (5.62 ± 3.54 ) in group (A), indicating further reduction in group (B) but not significant (p = 0.278). Mean of bleeding was (88.71 ± 66.4 vs. 70.54 ± 53. 34) in group (B) and (A) respectively, in two months later. therefore decrease in the two groups but was not significant between groups(p = 0.567). Conclusions It seems chamomile sachet can reduce the severity of pain and bleeding similar to mefenamic acid and even further mitigate the symptoms associated with dysmenorrhea. Trial registration: This study was performed with the proposal approval code of 2611, ethics code of (ARAKMU.REC.1395.164) at Arak University of medical sciences and code of IRCT 2016100825031N5 on 2016.11.08.

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“…Primary dysmenorrhea is a gynecological problem which generally occurs to young women and adolescents with no pelvic abnormalities but complaints of cramping pain in the lower abdomen, spreading to the lower back and accompanied by complaint of headache, nausea, fatigue, vomiting, irritability, diarrhea and uncomfortable feeling [1][2][3] . Pain usually goes with menstrual bleeding and last from 48 to 72 hours 4 .…”

Section: Introductionmentioning

confidence: 99%

Spiritual relaxation to reduce dysmenorrhea: a quasy experimental

A'yun

Mukhoirotin

2020

medisians

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Background: The dysmenorrhea prevalence is still reported high in the world. Several previous studies discovered that deep breathing relaxation effectively reduced dysmenorrhea. Other studies presented the combination of early mobilization and spiritual relaxation could reduce the level of client pain postoperative appendectomy, however the effectiveness of spiritual relaxation techniques to reduce dysmenorrhea is not yet tested.Objective: to determine the effect of spiritual relaxation to reduce dysmenorrhea.Method: The research design used was Quasi Experiment with the pretest-posttest Control Group Design approach. The populations were female students who experienced menstrual pain (dysmenorrhea) and met the inclusion and exclusion criteria. The variable in this study was dysmenorrhea. The sampling technique was simple ramdom sampling consisted of 44 respondents. The calculation instrument was NRS (Numeric Rating Scale) and data were analyzed through statistical test of Paired T-Test and Independent T-Test.Results: After spiritual relaxation treatment, the intensity of menstrual pain reduced significantly from 6.05 - 1.77, it proved that there was an effect of spiritual relaxation on dysmenorrhea with a significant value (ρ) of 0.000 (p ≤ 0.05). There were significant differences in the intensity of menstrual pain in the intervention and control groups (1.77 ± 1,109 vs 5.63 ± 0.445; p> 0.05).Conclusion: Spiritual relaxation effectively reduces dysmenorrhea

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Physical activity for primary dysmenorrhea: a systematic review and meta-analysis of randomized controlled trials

Abstract: Clinicians can inform women that physical activity may be an effective treatment for primary dysmenorrhea but there is a need for high-quality trials before this can be confirmed.

Cited by 95 publications

References 49 publications

Interference and Impact of Dysmenorrhea on the Life of Spanish Nursing Students

Interference and Impact of Dysmenorrhea on the Life of Spanish Nursing Students

Comparison of the effect of Chamomile and Mefenamic Acid on primary dysmenorrhea, associated symptoms and menstrual bleeding – A randomized clinical trial study

Spiritual relaxation to reduce dysmenorrhea: a quasy experimental

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