College of Nursing, Korea University, Seoul 02841, Korea.
Int J Environ Res Public Health. 2020 Dec 30;18(1):233. doi: 10.3390/ijerph18010233.
: This study was conducted to develop the 'College-based Lifestyle Modification Program' (College-based LMP) for young adult women with irregular menstruation and examine its effects after intervention. : The College-based LMP consisted of small group education, individual physical exercise counseling/training, individual diet counseling, and feedback and support. Participants were comprised of 38 females who reported less than 10 irregular menstruations in a year and were randomly assigned to the experimental and control groups. The primary outcome variables consisted of menstrual cycle index (MCI), sex hormone binding globulin (SHBG), and androgenic profile (testosterone-T, free androgen index-FAI), while the outcome variables included premenstrual symptoms (PMS), menstrual volume, body composition parameters, glycemic parameters (fasting blood sugar-FBS, insulin, HOMA-IR), sleep duration, perceived stress, and nutrient intake.. : There were no significant differences in primary outcome variables (MCI, SHBG, T, and FAI). In the variables, there were no significant differences except for the partial domain of PMS (symptoms of depression and anxiety) and sleep duration. : The study was significant in that it demonstrated the importance of lifestyle, which could provide ordinary young adult women with healthy menstruation. The College-based LMP needs to be elaborated with further studies.
本研究旨在为月经不规律的年轻成年女性开发基于大学的生活方式干预项目（College-based LMP），并检验其干预后的效果。
基于大学的 LMP 包括小组教育、个体运动咨询/训练、个体饮食咨询以及反馈和支持。参与者由 38 名报告一年中月经少于 10 次的女性组成，她们被随机分配到实验组和对照组。主要结局变量包括月经周期指数（MCI）、性激素结合球蛋白（SHBG）和雄激素谱（睾酮-T、游离雄激素指数-FAI），而次要结局变量包括经前期症状（PMS）、月经血量、身体成分参数、血糖参数（空腹血糖-FBS、胰岛素、HOMA-IR）、睡眠时间、感知压力和营养素摄入。
主要结局变量（MCI、SHBG、T 和 FAI）无显著差异。在这些变量中，除了 PMS（抑郁和焦虑症状）和睡眠时间的部分领域外，没有显著差异。
本研究的意义在于强调了生活方式的重要性，这可能为普通年轻成年女性提供健康的月经。需要进一步研究来完善基于大学的 LMP。
