Zurawiecka Martyna, Wronka Iwona
Department of Anthropology, Institute of Zoology and Biomedical Research, Jagiellonian University in Krakow, Krakow, Poland.
J Obstet Gynaecol Res. 2018 Jul;44(7):1259-1267. doi: 10.1111/jog.13645. Epub 2018 Apr 19.
To examine the prevalence and factors correlated with primary dysmenorrhea in young female subjects.
Cross-sectional research was conducted among 1305 female university students aged 19-25 years. The following measurements were taken: height, body mass, waist circumference, hip circumference, the length of index and ring finger. A questionnaire was used to obtain information on menstrual pains, the characteristics of the menstrual cycles (regularity, duration), the number of the days of menstrual bleeding, age at menarche, overall health and socio-economic status of the subjects.
The prevalence of primary dysmenorrhea (PD) in the group was 64.85%, of which 69.60% reported mild pain, and 30.40% moderate and severe pain. PD occurs more frequently both in women with excess and insufficient level of abdominal adiposity. PD occurred more frequently in women who experience first menstruation at earlier age than in women with average and late age at menarche. The prevalence of PD grew along with mother's education and fell along with father's education. Painful menstruations occurred most commonly in women from large families. The impact of the age at menarche and the presence of abnormal body mass and abnormal level of abdominal adiposity on the prevalence of painful menstruation was also confirmed by the results of logistic regression analysis. The risk of PD is the highest in women whose finger 4 is longer than finger 2.
The results suggest that healthy body mass and lack of abdominal obesity may reduce the risk of PD.
研究年轻女性原发性痛经的患病率及其相关因素。
对1305名年龄在19至25岁之间的女大学生进行横断面研究。测量以下指标:身高、体重、腰围、臀围、食指和无名指长度。通过问卷调查获取有关痛经、月经周期特征(规律性、持续时间)、月经出血天数、初潮年龄、受试者总体健康状况和社会经济地位的信息。
该组原发性痛经(PD)的患病率为64.85%,其中69.60%报告为轻度疼痛,30.40%为中度和重度疼痛。腹部脂肪过多和过少的女性中PD的发生率均较高。初潮年龄较早的女性比初潮年龄平均和较晚的女性更易发生PD。PD的患病率随着母亲受教育程度的提高而上升,随着父亲受教育程度的提高而下降。大家庭中的女性痛经最为常见。逻辑回归分析结果也证实了初潮年龄以及体重异常和腹部脂肪水平异常对痛经患病率的影响。无名指比食指长的女性患PD的风险最高。
结果表明,健康的体重和腹部无肥胖可能会降低患PD的风险。