Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1, Komaba, Meguro-ku, Tokyo, 153-8902, Japan.
School of Physical Education of Huazhong University of Science and Technology, Wuhan, China.
Sci Rep. 2023 Apr 11;13(1):5881. doi: 10.1038/s41598-023-32357-2.
Reproductive-aged women experience somatic and affective symptoms of premenstrual syndrome (PMS) which affect their daily life and work, but there are limited tracking data on senior high school-age female students. To investigate the characteristics and incidence of PMS, and to detect the relationship between physical exercise participation and PMS in female students of senior high school. A prospective study was conducted among senior high school female students aged 14-16 years. The participant was asked to finish two questionnaires. One questionnaire collected information about demographic data and PMS symptoms which were recorded on a daily calendar named Daily Record of Severity of Problems (DRSP) per day. Another questionnaire was physical exercises participation questionnaire, collecting times of physical education (PE) class participation, exercise times, exercise type participation in morning exercise and recess exercise, times of morning exercise, times of recess exercise per week, recess exercise time, and autonomous exercise participation of students. The data were prospectively recorded for three consecutive months. Odds ratio (OR) with 95% confidence intervals (CI) was performed for results of the multivariate logistic regression analysis model. A total of 233 participants completed the prospective study, 78 (33.5%) participants experienced PMS. The incidence of the participants with mild PMS was 20.2% while moderate PMS was 11.6% and severe PMS was 1.7%. The most common somatic symptom was fatigue while the most common affective symptom was cannot concentrate. Participants with PE classes less than 2 times per week were 4.43 times (OR 4.43, 95% CI 1.18-16.6, p < 0.05) more possible to experience PMS than those with 2 times PE classes per week. PMS is a frequent phenomenon in senior high school female students. Female students with 2 times PE classes per week show a lower incidence of PMS. This study encouraged senior high school-age females to take more physical exercises per week and could be helpful to create a no-pharmacology coping strategy.
生殖期妇女经历经前期综合征（PMS）的躯体和情感症状，这影响了她们的日常生活和工作，但对高中年龄女学生的跟踪数据有限。本研究旨在调查 PMS 的特征和发生率，并检测高中女生的身体活动参与度与 PMS 之间的关系。本研究采用前瞻性研究，纳入了 14-16 岁的高中女生。参与者被要求完成两份问卷。一份问卷收集人口统计学数据和 PMS 症状的信息，这些信息每天在名为“问题严重程度每日记录（DRSP）”的日历上记录。另一份问卷是身体活动参与问卷，收集参加体育课的次数、运动次数、早操和课间操的运动类型参与度、早操次数、课间操每周次数、课间操时间和学生自主运动参与度。数据前瞻性记录了三个月。采用多变量逻辑回归分析模型进行比值比（OR）及其 95%置信区间（CI）分析。共有 233 名参与者完成了前瞻性研究，78 名（33.5%）参与者经历了 PMS。轻度 PMS 的发生率为 20.2%，中度 PMS 为 11.6%，重度 PMS 为 1.7%。最常见的躯体症状是疲劳，最常见的情感症状是无法集中注意力。每周体育课少于 2 次的参与者发生 PMS 的可能性是每周体育课 2 次的参与者的 4.43 倍（OR 4.43，95%CI 1.18-16.6，p<0.05）。PMS 是高中女生常见的现象。每周上 2 次体育课的女学生 PMS 发生率较低。本研究鼓励高中年龄的女性每周进行更多的体育锻炼，并有助于制定非药物应对策略。
