Division of Population Health Research, Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju, Korea.
Department of Precision Medicine, Korea National Institute of Health, Korea Disease Control and Prevention Agency, Cheongju, Korea.
J Korean Med Sci. 2023 May 8;38(18):e136. doi: 10.3346/jkms.2023.38.e136.
This study aimed to evaluate the prevalence of dysmenorrhea and to investigate the effect of weight changes or unhealthy weight control behaviors on dysmenorrhea in young Korean women.
We used large-scale data of women, aged 14 to 44 years, who participated in the Korean Study of Women's Health-Related Issues. Dysmenorrhea was measured using a visual analog scale and was categorized as none, mild, moderate, and severe according to the severity. Weight changes and unhealthy weight control behaviors (any of the behaviors, fasting/meal skipping, drugs, the use of unapproved dietary supplements, and one-food diets) over the past year were self-reported. We used multinomial logistic regression to investigate the association between weight changes or unhealthy weight control behaviors and dysmenorrhea.
Of the 5,829 young women participating in the study, 5,245 (90.0%) participants experienced dysmenorrhea [2,184 (37.5%) had moderate and 1,358 (23.3%) had severe]. After adjusting for confounders, the odds ratios for moderate and severe dysmenorrhea in participants with weight changes ≥ 3 kg (vs. < 3 kg) were 1.19 (95% confidence interval: 1.05-1.35) and 1.25 (95% confidence interval: 1.08-1.45), respectively. The odds ratios in participants with any unhealthy weight control behaviors were 1.22 (95% confidence interval: 1.04-1.42) and 1.41 (95% confidence interval: 1.19-1.67) for those with moderate and severe dysmenorrhea, respectively.
Weight changes (≥ 3 kg) or unhealthy weight control behaviors are common among young women, which may adversely affect dysmenorrhea. Therefore, attention needs to be paid to excessive weight changes and unhealthy weight control behaviors to improve dysmenorrhea in young women.
本研究旨在评估痛经的患病率，并探讨体重变化或不健康的体重控制行为对韩国年轻女性痛经的影响。
我们使用了韩国女性健康相关问题研究中年龄在 14 至 44 岁的大量女性数据。痛经通过视觉模拟量表进行测量，并根据严重程度分为无、轻度、中度和重度。体重变化和不健康的体重控制行为（任何行为、禁食/少吃、药物、使用未经批准的膳食补充剂和单一食物饮食）在过去一年中的变化情况均由参与者自我报告。我们使用多变量逻辑回归来调查体重变化或不健康的体重控制行为与痛经之间的关联。
在 5829 名参与研究的年轻女性中，5245 名（90.0%）女性经历过痛经[2184 名（37.5%）为中度痛经，1358 名（23.3%）为重度痛经]。在调整了混杂因素后，体重变化≥3kg（与<3kg 相比）的参与者中，中度和重度痛经的比值比分别为 1.19（95%置信区间：1.05-1.35）和 1.25（95%置信区间：1.08-1.45）。有任何一种不健康的体重控制行为的参与者中，中度和重度痛经的比值比分别为 1.22（95%置信区间：1.04-1.42）和 1.41（95%置信区间：1.19-1.67）。
体重变化（≥3kg）或不健康的体重控制行为在年轻女性中较为常见，可能对痛经产生不利影响。因此，需要关注过度的体重变化和不健康的体重控制行为，以改善年轻女性的痛经状况。
