Overweight and menstrual disorders in girls aged 12-15 years

Background Several studies have noted a strong association between fat distribution and menstrual disorders. Many studies have evaluated the association between nutritional status and menstrual disorders, but the results remain inconclusive. Objective To assess for possible associations between o...

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Main Authors: Siska Octaviani Purba, Karina Sugih Arto, Rina Amalia C. Saragih
Format: Article
Language:English
Published: Indonesian Pediatric Society Publishing House 2023-12-01
Series:Paediatrica Indonesiana
Subjects:
Online Access:https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2942
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author Siska Octaviani Purba
Karina Sugih Arto
Rina Amalia C. Saragih
author_facet Siska Octaviani Purba
Karina Sugih Arto
Rina Amalia C. Saragih
author_sort Siska Octaviani Purba
collection DOAJ
description Background Several studies have noted a strong association between fat distribution and menstrual disorders. Many studies have evaluated the association between nutritional status and menstrual disorders, but the results remain inconclusive. Objective To assess for possible associations between overweight and menstrual disorders in girls aged 12-15 years. Methods A cross-sectional study was conducted in girls aged 12-15 years who had undergone menarche. Nutritional status was classified based on the Centers for Disease Control and Prevention curve for body mass index (BMI) as overweight (P85-P95) and normal weight (P3-<P85); those underweight (<P3) were excluded. We recorded the subjects’ BMI, waist circumference (WC), waist circumference-to-height ratio (WtHR), menstrual pain (using the visual analog scale), menstrual cycle length, menstrual period duration, and bleeding volume (estimated by the daily number of menstrual pads used) and compared these variables between normal weight and overweight subjects. Results Of 73 subjects, 32.9% were overweight and 67.1% had normal weight. There were significant associations between overweight and menstrual disorders (prevalence ratio, PR=1.304; P=0.027), irregular menstrual cycle (PR=4.696; P<0.001), abnormal menstrual period duration (PR=2.45; P<0.001), and excessive bleeding volume (PR=9.528; P<0.001). No significant association was found between overweight and menstrual pain (P=0.227). BMI, WC, and WtHR were significantly higher in girls with irregularity and abnormal duration of menstrual cycles, but not in girls with excessive menstrual pain. Conclusion  Overweight is significantly associated with menstrual disorders, irregular menstrual cycle, abnormal menstrual period duration, and abnormal volume of menstrual loss, but not with menstrual pain.
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spelling doaj.art-d76fa22b71e6441a9a39361ca0337db12024-01-02T04:40:25ZengIndonesian Pediatric Society Publishing HousePaediatrica Indonesiana0030-93112338-476X2023-12-0163649950510.14238/pi63.6.2023.499-5052942Overweight and menstrual disorders in girls aged 12-15 yearsSiska Octaviani Purba0Karina Sugih Arto1Rina Amalia C. Saragih2Department of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, North SumateraDepartment of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, North SumateraDepartment of Child Health, Faculty of Medicine, Universitas Sumatera Utara, Medan, North SumateraBackground Several studies have noted a strong association between fat distribution and menstrual disorders. Many studies have evaluated the association between nutritional status and menstrual disorders, but the results remain inconclusive. Objective To assess for possible associations between overweight and menstrual disorders in girls aged 12-15 years. Methods A cross-sectional study was conducted in girls aged 12-15 years who had undergone menarche. Nutritional status was classified based on the Centers for Disease Control and Prevention curve for body mass index (BMI) as overweight (P85-P95) and normal weight (P3-<P85); those underweight (<P3) were excluded. We recorded the subjects’ BMI, waist circumference (WC), waist circumference-to-height ratio (WtHR), menstrual pain (using the visual analog scale), menstrual cycle length, menstrual period duration, and bleeding volume (estimated by the daily number of menstrual pads used) and compared these variables between normal weight and overweight subjects. Results Of 73 subjects, 32.9% were overweight and 67.1% had normal weight. There were significant associations between overweight and menstrual disorders (prevalence ratio, PR=1.304; P=0.027), irregular menstrual cycle (PR=4.696; P<0.001), abnormal menstrual period duration (PR=2.45; P<0.001), and excessive bleeding volume (PR=9.528; P<0.001). No significant association was found between overweight and menstrual pain (P=0.227). BMI, WC, and WtHR were significantly higher in girls with irregularity and abnormal duration of menstrual cycles, but not in girls with excessive menstrual pain. Conclusion  Overweight is significantly associated with menstrual disorders, irregular menstrual cycle, abnormal menstrual period duration, and abnormal volume of menstrual loss, but not with menstrual pain.https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2942nutritional status; menstrual disorder
spellingShingle Siska Octaviani Purba
Karina Sugih Arto
Rina Amalia C. Saragih
Overweight and menstrual disorders in girls aged 12-15 years
Paediatrica Indonesiana
nutritional status; menstrual disorder
title Overweight and menstrual disorders in girls aged 12-15 years
title_full Overweight and menstrual disorders in girls aged 12-15 years
title_fullStr Overweight and menstrual disorders in girls aged 12-15 years
title_full_unstemmed Overweight and menstrual disorders in girls aged 12-15 years
title_short Overweight and menstrual disorders in girls aged 12-15 years
title_sort overweight and menstrual disorders in girls aged 12 15 years
topic nutritional status; menstrual disorder
url https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2942
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AT karinasugiharto overweightandmenstrualdisordersingirlsaged1215years
AT rinaamaliacsaragih overweightandmenstrualdisordersingirlsaged1215years