The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis

Wu, Lingsha; Zhang, Jing; Tang, Jie; Fang, Haiyan

doi:10.1111/aogs.14449

Cited by 10 publications

(13 citation statements)

References 38 publications

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“…Their BMI was calculated based on their height and weight. In conformance with previous studies, BMI was defined as underweight, <18.5 kg/m 2 ; normal weight, 18.5 to 23 kg/m 2 ; and overweight: >23 kg/m 2 31,32 ; low BFP was defined as < 22%. 13…”

Section: Methodsmentioning

confidence: 60%

Low Body Fat Percentage and Menstrual Cycle Disorders in Female Elite Adolescent Dancers

Liu,

Gong,

Nagamoto

et al. 2024

Journal of Dance Medicine & Science

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Introduction: The menstrual cycle is an important indicator of health in female athletes. Female elite adolescent dancers are expected to control their weight while also training intensely, which can lead to menstrual disorders. This study aimed to investigate the relationship between body composition and menstrual status in female elite adolescent dancers. Methods: In total, 131 female elite adolescent dancers (age: 15.9 ± 1.5 years) were enrolled in this study. We measured the height, weight, and body fat percentage (BFP) for each participant and calculated their body mass index (BMI). We gathered information on individual menstruation patterns and the participants’ menstrual cycles over the previous year using recall methods. We then compared the differences between dancers with menstrual cycle disorders and those without. Primary amenorrhea was defined as menarche occurring after the age of 15, while secondary amenorrhe was defined as experiencing fewer than 5 or no menstrual periods for at least 3 of the previous 12 months. We conducted a reliability test using the same questionnaire 2 weeks later. Statistical significance was defined as P < .05, and we calculated the effect sizes (d) and 95% confidence intervals (95% CI). Results: The average BMI and BFP were 22.6 ± 3.0% and 19.4 ± 2.2 kg/m2, respectively. Low BFP and low BMI were observed in 51 (38.6%) and 47 (35.6%) participants, respectively. Primary amenorrhea in 3 participants (2.3%) and 29 (22.1%) reported experiencing secondary amenorrhea; they had lower BFP than the dancers who did not experience amenorrhea ( P = .041, 95% CI, −2.51 to −0.05). Conclusion: Female elite adolescent dancers in China may have lower BFP and menstrual problems. Given that lower BFP may contribute to the occurrence of menstruation disorders, it is essential to pay an attention to both BFP and the menstruation status in female elite adolescent dancers.

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Section: Methodsmentioning

confidence: 60%

Low Body Fat Percentage and Menstrual Cycle Disorders in Female Elite Adolescent Dancers

Liu,

Gong,

Nagamoto

et al. 2024

Journal of Dance Medicine & Science

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“…We found that being underweight increases the risk of primary dysmenorrhea. Numerous studies have reported similar results 26,28,29 . An underweight woman may have low body fat, which is necessary for maintaining a normal ovulation cycle.…”

Section: Discussionmentioning

confidence: 75%

“…Numerous studies have reported similar results. 26,28,29 An underweight woman may have low body fat, which is necessary for maintaining a normal ovulation cycle. This can result in excessive secretion of prostaglandins and irregular ovulation cycles, increasing the risk of primary dysmenorrhea.…”

Section: Discussionmentioning

confidence: 99%

The influence of physical activity, body mass index and urinary levels of prostaglandin (PGF2α) with the incidence of primary dysmenorrhea in adolescents

Jusuf,

Octaviani,

Husain

et al. 2024

J of Obstet and Gynaecol

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ObjectiveThis study aims to investigate the effect of physical activity, body mass index (BMI), and levels of prostaglandins (PGF2α) urine on the occurrence of dysmenorrhea in adolescents.MethodsA total of 128 female students included in the study. The study was conducted from January to March 2023 using a cross‐sectional design. This study utilized the Menstrual Symptom Questionnaire (MSQ) and gynecological examination with ultrasonography. The urinary prostaglandin (PGF2α) was measured using the enzyme linked immuno sorbent assay (ELISA). Data were analyzed using the chi‐square test and logistic regression test.ResultsThe age range of the participants included in the study was 14–17, with a mean age of 15.85 ± 0.65. There was an correlation between physical activity, BMI, and urinary prostaglandin (PGF2α) levels with the incidence of dysmenorrhea in adolescents (p < 0.001). In multivariate analysis, it revealed that underweight, and had a high urinary prostaglandin significant correlated to primary dysmenorrhea with odds ratio 4.78 (95% confidence interval [CI] 1.98–11.54) and 4.88 (95% CI 1.98–12.08), respectively. High physical activity and overweight was not associated with incidence of dysmenorrhea in adolescents.ConclusionThis study provides valuable insights into the correlation between physical activity, BMI, and levels of prostaglandins (PGF2α) in urine. A high level of urinary prostaglandin was found to be the most influential factor in the incidence of primary dysmenorrhea in adolescents. By addressing factors associated with dysmenorrhea in adolescents, healthcare professionals can potentially enhance well‐being by reducing menstrual pain and encouraging a healthy lifestyle to prevent dysmenorrhea.

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“…The results of previous studies regarding the relation between BMI and PD are inconsistent and controversial [30], which need to be con rmed in future studies. In addition, the relation between TaqI (rs731236) and PD needs further studies.…”

Section: The Taqi Genotypes and Its Relation To Serum 25(oh)d And Pdmentioning

confidence: 93%

“…Although, a meta-analysis reported an increased risk of PD in underweight women compared to overweight and obese women [30].…”

Section: The Taqi Genotypes and Its Relation To Serum 25(oh)d And Pdmentioning

confidence: 95%

Vitamin D and Vitamin D receptor polymorphism in Asian Adolescents with primary dysmenorrhea

Donayeva

Amanzholkyzy

Nurgaliyeva

et al. 2023

Preprint

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Background: The expression of vitamin D receptor in the normal endometrium and ovaries supports the role of vitamin D in local immunity and inflammatory cytokines regulation. Objective: This study aimed to detect the relation between serum 25(OH)D and primary dysmenorrhea. Methods: Two hundred and five (205) adolescents complaining of primary dysmenorrhea (study group) were compared with matched controls (210 controls), after informed consent following the Helsinki Declaration. After thorough evaluation, and pelvic ultrasound examination, blood samples were collected from the studied adolescents for measuring the serum 25(OH)D and for vitamin D receptor TaqI (rs731236) genotyping. Collected data were analyzed using the Pearson`s correlation to detect the relation between serum 25(OH)D and primary dysmenorrhea (primary outcome). The secondary outcome measures the odds of primary dysmenorrhea in Asian adolescents with TaqI (rs731236) polymorphism. Results: The serum 25(OH)D was significantly lower in the studied-dysmenorrhea group compared to controls (16.17 ± 7.36 versus 17.65 ± 6.36 ng/ml, respectively), (P=0.01). The correlation analysis showed a significant negative correlation between the serum 25(OH)D, and visual analogue scale of dysmenorrhea (r=-0.9003, P<0.0001). The studied-dysmenorrhea cases with T/t and t/t genotypes had significantly lower serum 25(OH)D (16.7 ± 8.05 and 14.4 ± 4.1 ng/ml, respectively) compared to controls (18.97 ± 6.7 and 21.4 ± 2.45 ng/ml, respectively), (P=0.02 and 0.004, respectively). The odds of primary dysmenorrhea were significantly higher in T/t and t/t genotypes (OR 1367.2, P<0.0001, and 106.2, P=0.001, respectively). Conclusion: The serum 25(OH)D was significantly lower in the studied-dysmenorrhea group compared to controls. The studied-dysmenorrhea cases with T/t and t/t TaqI genotypes had significantly lower serum 25(OH)D compared to controls. The odds of primary dysmenorrhea were significantly higher in T/t and t/t TaqI genotypes.

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The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis

Cited by 10 publications

References 38 publications

Low Body Fat Percentage and Menstrual Cycle Disorders in Female Elite Adolescent Dancers

Low Body Fat Percentage and Menstrual Cycle Disorders in Female Elite Adolescent Dancers

The influence of physical activity, body mass index and urinary levels of prostaglandin (PGF2α) with the incidence of primary dysmenorrhea in adolescents

Vitamin D and Vitamin D receptor polymorphism in Asian Adolescents with primary dysmenorrhea

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