Hyun Myongsook, Kim Jaehee
Department of Alternative Medicine, Graduate School, Kyonggi University (Seoul Campus), 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul 03746, Republic of Korea.
Graduate School of Alternative Medicine, Kyonggi University (Seoul Campus), 24, Kyonggidae-ro 9-gil, Seodaemun-gu, Seoul 03746, Republic of Korea.
Healthcare (Basel). 2025 May 8;13(10):1098. doi: 10.3390/healthcare13101098.
BACKGROUND/OBJECTIVES: Sedentary behavior is an independent risk factor for various health conditions, but its association with dysmenorrhea has been little investigated. This study aimed to examine whether sedentary behavior is independently associated with primary dysmenorrhea in young women, controlling for moderate-to-vigorous physical activity and other known risk factors.
An online survey was conducted in 603 young women in South Korea in 2023. Menstrual pain intensity was measured using a numeric rating scale, and symptoms were assessed with the Cox Menstrual Symptom Scale. Sedentary behavior and physical activity were assessed using the Global Physical Activity Questionnaire. Known risk factors for dysmenorrhea included menstrual and lifestyle characteristics, sleep quality, and stress.
Longer sedentary time (hours/day) was correlated with more frequent ( = 0.144; < 0.001) and severe ( = 0.123; < 0.01) menstrual symptoms but not with pain intensity. Multiple linear regression analysis showed that sedentary time was independently associated with the frequency ( = 0.10; < 0.01) and severity ( = 0.09; < 0.05) of menstrual symptoms after adjusting for physical activity and other risk factors for dysmenorrhea. Multiple logistic regression analysis showed that women with higher levels of sedentary time had 1.05 times greater odds (95% CI, 1.00-1.10; < 0.05) of experiencing severe pain compared to those with less sedentary time, even after adjusting for physical activity and other risk factors.
Prolonged sedentary behavior in young women is associated with more frequent and severe menstrual symptoms, including more intense menstrual pain. These findings highlight the need for public health strategies that reduce sedentary behavior to alleviate dysmenorrhea.
背景/目的：久坐行为是多种健康状况的独立危险因素，但其与痛经的关联鲜有研究。本研究旨在探讨久坐行为是否与年轻女性的原发性痛经独立相关，并对中度至剧烈身体活动及其他已知危险因素进行控制。
2023年对603名韩国年轻女性进行了在线调查。使用数字评分量表测量月经疼痛强度，并用考克斯月经症状量表评估症状。使用全球身体活动问卷评估久坐行为和身体活动。痛经的已知危险因素包括月经和生活方式特征、睡眠质量和压力。
久坐时间越长（小时/天），月经症状越频繁（=0.144；<0.001）和越严重（=0.123；<0.01），但与疼痛强度无关。多元线性回归分析显示，在调整身体活动和其他痛经危险因素后，久坐时间与月经症状的频率（=0.10；<0.01）和严重程度（=0.09；<0.05）独立相关。多元逻辑回归分析显示，即使在调整身体活动和其他危险因素后，久坐时间较长的女性经历严重疼痛的几率比久坐时间较短的女性高1.05倍（95%CI，1.00-1.10；<0.05）。
年轻女性长时间久坐行为与更频繁、更严重的月经症状相关，包括更剧烈的痛经。这些发现凸显了需要采取公共卫生策略减少久坐行为以缓解痛经。
