Mizgier Małgorzata, Więckowska Barbara, Sansoni Veronica, Malvandi Amir Mohammad, Jarząbek-Bielecka Grażyna, Drejza Michalina, Mruczyk Kinga, Cisek-Woźniak Angelika, Lombardi Giovanni
Department of Sports Dietetics, Faculty of Health Sciences, Poznan University of Physical Education, 61-871 Poznan, Poland.
Department of Computer Science and Statistics, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Nutrients. 2025 Mar 28;17(7):1190. doi: 10.3390/nu17071190.
Primary dysmenorrhea (PD) is a condition characterized by painful pelvic cramps onsetting shortly before menses and lasting for 3 days, negatively impacting the quality of life of young females. Further, menstrual cycle disorders are common in athletes. This study investigated differences in dietary habits, hormonal and immuno-metabolic parameters, and susceptibility to disordered eating attitudes (DEAs) between dysmenorrheic (D group) and non-dysmenorrheic (no-D group) young female basketball players. It also aimed to identify risk factors for PD, focusing on nutrition, anthropometric parameters, and biochemical markers. The study included 25 female basketball players (mean age: 16 years), categorized into D and no-D groups. Blood samples were analyzed for hormonal, metabolic, and inflammatory markers, including follicle-stimulating hormone, luteinizing hormone, total testosterone, androstenedione, dehydroepiandrosterone sulfate, estradiol, sex hormone-binding globulin, cortisol, prolactin, fasting glucose, fasting insulin, C-reactive protein, lipid profile, and 25-hydroxyvitamin D3. Dietary intake was assessed via a three-day food record, and DEA susceptibility was evaluated using the Eating Attitudes Test (EAT-26). Logistic regression identified independent PD risk factors. The D group had significantly higher EAT-26 scores and prolactin and cortisol levels than the no-D group ( = 0.0284, = 0.0108, = 0.0035, respectively). Elevated prolactin, cortisol, and EAT-26 scores were associated with increased PD risk (OR = 1.75; OR = 1.02; OR = 1.14). Female basketball players with PD show higher prolactin and cortisol levels and greater DEA susceptibility. These factors may contribute to PD risk, warranting further research.
原发性痛经（PD）是一种以月经前短时间内开始出现的盆腔疼痛性痉挛为特征的病症，持续3天，对年轻女性的生活质量产生负面影响。此外，月经周期紊乱在运动员中很常见。本研究调查了痛经（D组）和非痛经（非D组）年轻女性篮球运动员在饮食习惯、激素和免疫代谢参数以及饮食失调态度（DEA）易感性方面的差异。它还旨在确定PD的风险因素，重点关注营养、人体测量参数和生化标志物。该研究纳入了25名女性篮球运动员（平均年龄：16岁），分为D组和非D组。对血液样本进行了激素、代谢和炎症标志物分析，包括促卵泡激素、黄体生成素、总睾酮、雄烯二酮、硫酸脱氢表雄酮、雌二醇、性激素结合球蛋白、皮质醇、催乳素、空腹血糖、空腹胰岛素、C反应蛋白、血脂谱和25-羟基维生素D3。通过为期三天的食物记录评估饮食摄入量，并使用饮食态度测试（EAT-26）评估DEA易感性。逻辑回归确定了独立的PD风险因素。D组的EAT-26评分、催乳素和皮质醇水平显著高于非D组（分别为=0.0284，=0.0108，=0.0035）。催乳素、皮质醇升高和EAT-26评分升高与PD风险增加相关（OR=1.75；OR=1.02；OR=1.14）。患有PD的女性篮球运动员表现出更高的催乳素和皮质醇水平以及更高的DEA易感性。这些因素可能导致PD风险，值得进一步研究。
