Al-Husban Naser, Odeh Omar, Dabit Tala, Masadeh Aya
Obstetrics and Gynecology Department, School of Medicine, The University of Jordan, Amman, Jordan.
School of Medicine, The University of Jordan, Amman, Jordan.
Int J Womens Health. 2022 Apr 13;14:545-553. doi: 10.2147/IJWH.S338651. eCollection 2022.
Primary dysmenorrhea is a common and often debilitating, gynaecological condition.
To investigate the effects of specific lifestyle variables on the prevalence and severity of primary dysmenorrhea.
A cross-sectional study of Jordanian women aged between 18-25 years old utilized a questionnaire as the main instrument of the study.
Primary dysmenorrhea was reported by 660 women out of 1988. It was found that approximately two thirds of them were students. Overall, 54.5% of the participants reported severe dysmenorrhea. A statistically significant correlation was found between severe dysmenorrhea and smoking at value ˂0.001, sleeping less than 7 hours per 24 hours at = 0.005, holding a university degree at = 0.032, non-alcohol consumption at = 0.044, frequent energy, fizzy, tea, coffee drinks and sugar intake. Interestingly, we found that severe dysmenorrhea was statistically significantly associated with women who never eat meat at ˂0.001, cereals and fish consumers and with those who take less than 3 servings of fruit or none at all per week at = 0.006. In addition to the previous variables, water intake of less than 1.0 litre a day, irregular cycles, non-OCP use and positive family history were found significantly associated with severe dysmenorrhea. Severe dysmenorrhea was significantly related to working less hours per week, higher stress level and longer bleeding duration at = 0.021, 0.017 and 0.008, respectively. On the other hand, there was no statistically significant difference found between severe dysmenorrhea and the following variables: age, body mass index (BMI), weekly studying hours and age of menarche.
Primary dysmenorrhea is prevalent in the Jordanian population. To overcome severe dysmenorrhea, women should increase their intake of fish and fresh fruits, drinking water and use of oral contraceptive pills. The study concluded that smoking, frequent sugar intake, fizzy drinks, coffee, tea and energy drinks were associated with severe dysmenorrhea. It is also worth mentioning that alcohol consumption had a positive impact on dysmenorrhea.
Registered in Clinicaltrial.gov (ID: NCT04583943).
原发性痛经是一种常见且往往使人衰弱的妇科疾病。
研究特定生活方式变量对原发性痛经患病率和严重程度的影响。
一项针对18至25岁约旦女性的横断面研究，以问卷作为主要研究工具。
1988名女性中有660名报告患有原发性痛经。发现其中约三分之二是学生。总体而言，54.5%的参与者报告有严重痛经。在严重痛经与吸烟（P值˂0.001）、每24小时睡眠少于7小时（P = 0.005）、拥有大学学位（P = 0.032）、不饮酒（P = 0.044）、频繁饮用能量饮料、碳酸饮料、茶、咖啡以及糖摄入之间发现了具有统计学意义的相关性。有趣的是，我们发现严重痛经与从不吃肉的女性（P˂0.001）、食用谷物和鱼类的女性以及每周食用水果少于3份或根本不吃水果的女性（P = 0.006）在统计学上有显著关联。除了上述变量外，每天饮水量少于1.0升、月经周期不规律、不使用口服避孕药以及有阳性家族史也与严重痛经显著相关。严重痛经分别与每周工作小时数少、压力水平高和出血时间长（P = 0.021、0.017和0.008）显著相关。另一方面，在严重痛经与以下变量之间未发现统计学上的显著差异：年龄、体重指数（BMI）、每周学习小时数和初潮年龄。
原发性痛经在约旦人群中普遍存在。为了克服严重痛经，女性应增加鱼类和新鲜水果的摄入量、饮水量并使用口服避孕药。该研究得出结论，吸烟、频繁摄入糖、碳酸饮料、咖啡、茶和能量饮料与严重痛经有关。还值得一提的是，饮酒对痛经有积极影响。
在Clinicaltrial.gov注册（ID：NCT04583943）。
