Psychosocial and lifestyle correlates of premenstrual symptoms among military women

Hourani, L. M.; Yuan, Huixing; Bray, Robert M.

doi:10.1037/e448562006-001

Cited by 15 publications

(34 citation statements)

References 4 publications

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“…3,[6][7][8][9][10] To our knowledge, however, this relationship has not been assessed in prospective studies, and it is not known if adiposity contributes to the initial development of PMS. Furthermore, it is unclear whether a large weight gain within a short period of time or the repeated gaining and losing of weight, termed ''weight cycling,'' is associated with PMS risk independent of overall level of adiposity.…”

mentioning

confidence: 97%

Adiposity and the Development of Premenstrual Syndrome

Bertone‐Johnson

Hankinson

Willett

et al. 2010

Journal of Women's Health

109

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Background: Moderate to severe premenstrual syndrome (PMS) affects 8%-20% of premenopausal women and causes substantial levels of impairment, but few modifiable risk factors for PMS have been identified. Adiposity may impact risk through the complex interaction of hormonal and neurochemical factors, but it is not known if adiposity increases a woman's risk of developing PMS. We have addressed these issues in a prospective study nested within the Nurses' Health Study 2. Methods: Participants were a subset of women aged 27-44 and free from PMS at baseline, including 1057 women who developed PMS over 10 years of follow-up and 1968 controls. Body mass index (BMI), weight change and weight cycling were assessed biennially via questionnaire. Results: We observed a strong linear relationship between BMI at baseline and risk of incident PMS, with each 1 kg=m 2 increase in BMI associated with a significant 3% increase in PMS risk (95% confidence interval [CI] 1.01-1.05). After adjustment for age, smoking, physical activity, and other factors, women with BMI 27.5 kg=m 2 at baseline had significantly higher risks of PMS than women with BMI <20 kg=m 2 ( p trend ¼ 0.003). A large weight change between age 18 and the year 1991 was significantly associated with PMS risk, whereas weight cycling during this period was not. BMI was positively associated with specific symptoms, including swelling of extremities, backache, and abdominal cramping (all p < 0.001). Conclusions: Our findings suggest that maintaining a healthy body mass may be important for preventing the development of PMS. Additional studies are needed to assess whether losing weight would benefit overweight and obese women who currently experience PMS.

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confidence: 97%

Adiposity and the Development of Premenstrual Syndrome

Bertone‐Johnson

Hankinson

Willett

et al. 2010

Journal of Women's Health

109

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“…Although gold standard diagnosis generally requires prospective collection of daily symptoms for two cycles, 40 most previous studies of this association used monthly or yearly recall of symptoms. 4,[41][42][43][44][45][46][47] Weekly symptom collection is an alternative to daily collection that is thought to reduce participant burden and increase compliance without involving long-term retrospective recall. 11 Furthermore, whereas retrospective assessments of PMS have been criticized for the potential for participants to inflate the severity of symptoms, these criticisms apply mainly to retrospective assessments that reflect an entire menstrual cycle or several cycles and rely solely on memory to differentiate between phases of the cycle.…”

Section: Gollenberg Et Almentioning

confidence: 99%

“…4,[41][42][43][44][45][46][47]52,53 There has been only one similar longitudinal study, and that study found that women with high stress levels during the previous month, particularly during the follicular phase, had increased risk of dysmenorrhea (painful menstruation). 54 In contrast, no predictive value of daily stress was found in a small cohort of 25 women with severe PMS, although the full range of severity was not considered; there was no comparison group of women without PMS; and estimates were not adjusted for confounders.…”

mentioning

confidence: 99%

“…[1][2][3] Approximately 40%-60% of reproductive-aged women experience PMS. [4][5][6] Although pharmaceutical treatment has proved to be successful for many women who suffer from moderate to severe PMS, medications are not always effective or appropriate. 7,8 It is, therefore, of public health importance to identify factors, such as psychosocial stress, that contribute to increased symptom severity and may be potentially modifiable.…”

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confidence: 99%

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Perceived Stress and Severity of Perimenstrual Symptoms: The BioCycle Study

Gollenberg

Hediger

Mumford

et al. 2010

Journal of Women's Health

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Objective: To examine the longitudinal relation between perceived stress in the previous month and perimenstrual symptom severity across two cycles among regularly menstruating, healthy women (n ¼ 259). Methods: At baseline (11 days before the first cycle), participants completed the 4-item Perceived Stress Scale (PSS) for the previous month (first cycle exposure) and questionnaires on lifestyle factors. On cycle day 22 of a standardized 28-day cycle, participants again completed the PSS for the previous week (second cycle exposure) and each week rated the severity (none, mild, moderate, severe) of 17 psychological and physical symptoms (e.g., crying, cramping, pain). Mixed models estimated the association between perceived stress scores and number of moderate=severe symptoms and symptom severity scores, allowing both stress and perimenstrual symptoms to vary by cycle. Results: Adjusting for age, education, passive and active smoking, and waist=height ratio (WHtR), high stress (fourth quartile PSS) was associated with an increased risk of reporting !8 or more (OR 7.2,) and !5 (OR 2.5, 1.6-4.1) symptoms as moderate=severe during the perimenstrual period compared with lower stress (quartiles one, two, and three). Stress scores were positively ( p < 0.0001) associated with increased symptom severity scores for total, psychological, and physical symptoms. Conclusions: These analyses show that higher perceived stress precedes an increased severity of perimenstrual symptoms. Stress reduction programs may be an effective, nonpharmaceutical treatment for physical and psychological symptom relief.

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“…113 In a large survey of active duty women incorporating all branches of service, Hourani et al found a prevalence of PMS symptoms of 69%. 114 At the United States Military Academy, a study done on new female cadets showed that menstrual or premenstrual symptoms interfered with physical activities 61.4% of the time, academic activities 45.7% of the time and military activities 47.0% of the time. 115 A British survey found the annual prevalence of pelvic pain in the primary care setting to be 38.3 per 1000.…”

Section: General Gynecological Needsmentioning

confidence: 99%

The Medical Implications of Women On Submarines

Kane¹,

Horn²

2001

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Public reporting burder for this collection of information is estibated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burder to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204, Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 26-11-2001 2. REPORT TYPE Technical 3. DATES COVERED (FROM -TO) 01-01-2001 to 26-11-2001 4. TITLE AND SUBTITLE The Medical Implications of Women On Submarines Unclassified 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Kane, John L. ; Horn, Wayne G. ; 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME AND ADDRESS Naval Submarine Research Laboratory Naval Submarine Base New London Box 900 Groton, CT06349-5900 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/MONITORING AGENCY NAME AND ADDRESS Naval Submarine Medical Research Laboratory Naval Submarine Base New Groton, CT06349-5900 10. SPONSOR/MONITOR'S ACRONYM(S) 11. SPONSOR/MONITOR'S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT APUBLIC RELEASE , 13. SUPPLEMENTARY NOTES 14. ABSTRACT The review highlights traditionally important medical conditions for submariners along with the unique consequence of women?s healthcare on the submarine. The information covered includes a review of the history of women in the military followed by a discussion of how women have been integrated into submarines in foreign navies and in space travel. The bulk of the document, then, consists of a literature review that examines gender differences in health care usage as well as in health problems that have traditionally been problematic for submarines including cardiac disease, anemia, asthma, headaches, peptic ulcer disease, orthopedic problems, and psychiatric disease. Gynecological and pregnancy related issues constitute the final area of review. Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden REPORT DATE (DD-MM-YYYY) REPORT DOCUMENTATION PAGE SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'...

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Psychosocial and lifestyle correlates of premenstrual symptoms among military women

Cited by 15 publications

References 4 publications

Adiposity and the Development of Premenstrual Syndrome

Adiposity and the Development of Premenstrual Syndrome

Perceived Stress and Severity of Perimenstrual Symptoms: The BioCycle Study

The Medical Implications of Women On Submarines

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