THE PREVALENCE OF PREMENSTRUAL SYNDROME AMONG MIDWIFERY STUDENTS AND ITS RELATIONSHIP WITH LIFESTYLE

Year 2023, Volume: 11 Issue: 3, 1697 - 1714, 16.10.2023

Priscilla Ampofoa Ofeı , Sündüz Özlem Altınkaya

https://doi.org/10.33715/inonusaglik.1289969

Cited By: 1

Abstract

This study was conducted to determine the prevalence of premenstrual syndrome (PMS) and its relationship with lifestyle among undergraduate midwifery students at Aydin Adnan Menderes University. 288 undergraduate female midwifery students were recruited for the study. While data on the anthropometric, socio-demographic, menstrual and lifestyle characteristics of the participants were collected by using data collection form, the premenstrual syndrome scale was utilised to determine the presence/absence of PMS in each participant. Student’s T test, Mann Whitney U test, Pearson’s Chi-square test, Chi-square test, Fisher's Exact test and multiple logistic regression analysis via Backward LR procedure were employed in comparing the groups with and without PMS and determining the best predicting factors for PMS. The prevalence of PMS among the participants was 51.3%. Additionally, whereas; fast-food consumption, taking vitamin /mineral supplements, poor income and expense balance, generally feeling stressed, irregular sleep and feeling pain during menstruation had a statistically significant positive relationship with PMS, consumption of white meat was found to be negatively related with PMS. A significant proportion of the study’s population suffered from PMS. Therefore, more attention from healthcare providers on the subject, the incorporation of PMS-related topics into educational curricula, social support and lifestyle modifications are recommended.

Keywords

Lifestyle, Midwifery, Premenstrual syndrome, Prevalence, Student

Ebelik Bölümü Öğrencilerinde Premenstrüel Sendrom Görülme Sıklığı ve Yaşam Tarzı ile İlişkisi

Abstract

Bu çalışma, Aydın Adnan Menderes Üniversitesi ebelik lisans öğrencilerinde premenstrüel sendromun (PMS) yaygınlığını ve yaşam tarzı ile ilişkisini belirlemek amacı ile yapıldı. Çalışmaya ebelik bölümünden 288 kadın lisans öğrencisi dâhil edildi. Katılımcıların antropometrik, sosyo-demografik, menstrüel ve yaşam tarzı özellikleri ile ilgili veriler veri toplama formu kullanılarak toplanırken, her katılımcıda PMS olup olmadığını belirlemek için premenstrüel sendrom ölçeği kullanıldı. PMS olan ve olmayan grupların karşılaştırılmasında ve PMS'yi en iyi öngören faktörlerin belirlenmesinde; Student's T testi, Mann Whitney U testi, Pearson'un Ki-kare testi, Ki-kare testi, Fisher'ın kesin sonuçlu olasılık testi ve çoklu değişkenli geriye dönük adımsal elemeli lojistik regresyon analizi kullanıldı. Katılımcılar arasında PMS prevalansı %51.3 idi. Ayrıca; fast-food tüketimi, vitamin/mineral takviyesi alma, gelir-gider dengesinin kötü olması, genel olarak stresli hissetme, düzensiz uyku ve adet döneminde ağrı hissetme PMS ile istatistiksel olarak anlamlı pozitif ilişki gösterirken, beyaz et tüketiminin PMS ile negatif ilişkili olduğu bulundu. Çalışma popülasyonunun önemli bir bölümü PMS'den muzdaripti. Bu nedenle, sağlık hizmeti verenlerin konuya daha fazla dikkat etmesi, PMS ile ilgili konuların eğitim müfredatına dâhil edilmesi, sosyal destek ve yaşam tarzı değişiklikleri önerilmektedir.

Keywords

Ebelik, Öğrenci, Premenstrüel sendrom, Prevalans, Yaşam tarzı

References

• Abeje, A. & Berhanu, Z. (2019). Premenstrual syndrome and factors associated with it among secondary and preparatory school students in Debremarkos town, North-west Ethiopia, 2016. BMC Research Notes, 12(1), 1–5. https://doi.org/10.1186/S13104-019-4549-9/TABLES/3
• Aksoy Derya, Y., Çolak, C., Kayhan Tetik, B., Yılmaz, A. N. & Özşahin, Z. (2020). Estimation of Factors Related to Premenstrual Syndrome in Female Students by Using Artificial Neural Network Model. The Journal of Cognitive Systems, 5(2), 88–93. https://doi.org/10.1111/1471-0528.14260
• Arafa, A. E., Senosy, S. A., Helmy, H. K. & Mohamed, A. A. (2018). Prevalence and patterns of dysmenorrhea and premenstrual syndrome among Egyptian girls (12–25 years). Middle East Fertility Society Journal, 23(4), 486–490. https://doi.org/10.1016/J.MEFS.2018.01.007
• Arafa, A., Mahmoud, O., Abu Salem, E. & Mohamed, A. (2020). Association of sleep duration and insomnia with menstrual symptoms among young women in Upper Egypt. Middle East Current Psychiatry, 27(1), 1–5. https://doi.org/10.1186/S43045-019-0011-X/TABLES/3
• Bertone-Johnson, E. R., Hankinson, S. E., Bendich, A., Johnson, S. R., Willett, W. C. & Manson, J. A. E. (2005). Calcium and vitamin D intake and risk of incident premenstrual syndrome. Archives of Internal Medicine, 165(11), 1246–1252. https://doi.org/10.1001/ARCHINTE.165.11.1246
• Bertone-Johnson, E. R., Hankinson, S. E., Johnson, S. R. & Manson, J. A. E. (2008). Cigarette Smoking and the Development of Premenstrual Syndrome. American Journal of Epidemiology, 168(8), 938. https://doi.org/10.1093/AJE/KWN194
• Bertone-Johnson, E. R., Hankinson, S. E., Johnson, S. R. & Manson, J. A. E. (2009). Timing of Alcohol Use and the Incidence of Premenstrual Syndrome and Probable Premenstrual Dysphoric Disorder. Journal of Women’s Health, 18(12), 1945. https://doi.org/10.1089/JWH.2009.1468
• Bertone-Johnson, E. R., Hankinson, S. E., Willett, W. C., Johnson, S. R. & Manson, J. E. (2010). Adiposity and the Development of Premenstrual Syndrome. Journal of Women’s Health, 19(11), 1955. https://doi.org/10.1089/JWH.2010.2128
• Booton, D. A. & Seideman, R. Y. (1989). Relationship between premenstrual syndrome and dysmenorrhea. AAOHN Journal : Official Journal of the American Association of Occupational Health Nurses, 37(8), 308–315.
• Cheng, S. H., Shih, C. C., Yang, Y. K., Chen, K. T., Chang, Y. H. & Yang, Y. C. (2013). Factors associated with premenstrual syndrome - a survey of new female university students. The Kaohsiung Journal of Medical Sciences, 29(2), 100–105. https://doi.org/10.1016/J.KJMS.2012.08.017
• Chocano-Bedoya, P. O., Manson, J. A. E., Hankinson, S. E., Johnson, S. R., Chasan-Taber, L., Ronnenberg, A. G., Bigelow, C. & Bertone-Johnson, E. R. (2013). Intake of selected minerals and risk of premenstrual syndrome. American Journal of Epidemiology, 177(10), 1118–1127. https://doi.org/10.1093/AJE/KWS363
• Chocano-Bedoya, P. O., Manson, J. E., Hankinson, S. E., Willett, W. C., Johnson, S. R., Chasan-Taber, L., Ronnenberg, A. G., Bigelow, C. & Bertone-Johnson, E. R. (2011). Dietary B vitamin intake and incident premenstrual syndrome. The American Journal of Clinical Nutrition, 93(5), 1080–1086. https://doi.org/10.3945/AJCN.110.009530
• Christy, C., Zeina, A., Safaa, D. & Shafika, A. (2018). Factors Associated with Premenstrual Syndrome and its Different Symptom Domains among University Students in Lebanon. International Journal of Women’s Health and Wellness, 4(1), 1-10. https://doi.org/10.23937/2474-1353/1510068
• Chumpalova, P., Iakimova, R., Stoimenova-Popova, M., Aptalidis, D., Pandova, M., Stoyanova, M. & Fountoulakis, K. N. (2020). Prevalence and clinical picture of premenstrual syndrome in females from Bulgaria. Annals of General Psychiatry, 19(1), 1-7. https://doi.org/10.1186/S12991-019-0255-1
• del Mar Fernández, M., Regueira-Méndez, C. & Takkouche, B. (2019). Psychological factors and premenstrual syndrome: A Spanish case-control study. PLOS ONE, 14(3), e0212557. https://doi.org/10.1371/JOURNAL.PONE.0212557
• Direkvand-Moghadam, A., Sayehmiri, K., Delpisheh, A. & Satar, K. (2014). Epidemiology of Premenstrual Syndrome (PMS)-A Systematic Review and Meta-Analysis Study. Journal of Clinical and Diagnostic Research : JCDR, 8(2), 106. https://doi.org/10.7860/JCDR/2014/8024.4021
• ELBanna, M. M., ELBbandrawy, A. M., Elhosary, E. A. & Gabr, A. A. (2019). Relation between body mass index and premenstrual syndrome. Current Science International, 8(2), 394–402.
• Erbil, N. & Yücesoy, H. (2023). Premenstrual syndrome prevalence in Turkey: A systematic review and meta-analysis. Psychology, Health & Medicine, 28(5), 1347-1357. https://doi.org/10.1080/13548506.2021.2013509
• Faramarzi, M., Kheirkhah, F. & Azadfrouz, S. (2014). Psychological Predictors of Premenstrual Syndrome. International Neuropsychiatric Disease Journal, 2(6), 368–381. https://doi.org/10.9734/INDJ/2014/12638
• Freeman, E. W., Halberstadt, S. M., Rickels, K., Legler, J. M., Lin, H. & Sammel, M. D. (2011). Core Symptoms That Discriminate Premenstrual Syndrome. Journal of Women’s Health, 20(1), 29. https://doi.org/10.1089/JWH.2010.2161
• Gençdoğan, B. (2006). Premenstrual sendrom için yeni bir ölçek. Türkiye’de Psikiyatri , 8(2), 81–87.
• Gollenberg, A. L., Hediger, M. L., Mumford, S. L., Whitcomb, B. W., Hovey, K. M., Wactawski-Wende, J. & Schisterman, E. F. (2010). Perceived Stress and Severity of Perimenstrual Symptoms: The BioCycle Study. Journal of Women’s Health, 19(5), 959. https://doi.org/10.1089/JWH.2009.1717
• Hashim, M. S., Obaideen, A. A., Jahrami, H. A., Radwan, H., Hamad, H. J., Owais, A. A., Alardah, L. G., Qiblawi, S., Al-Yateem, N. & Faris, M. A. I. E. (2019). Premenstrual Syndrome Is Associated with Dietary and Lifestyle Behaviors among University Students: A Cross-Sectional Study from Sharjah, UAE. Nutrients, 11(8), 1-18. https://doi.org/10.3390/NU11081939
• Hofmeister, S. & Bodden, S. (2016). Premenstrual Syndrome and Premenstrual Dysphoric Disorder. American Family Physician, 94(3), 236–240.
• Houghton, S. C., Manson, J. A. E., Whitcomb, B. W., Hankinson, S. E., Troy, L. M., Bigelow, C. & Bertone-Johnson, E. R. (2019). Protein intake and the risk of premenstrual syndrome. Public Health Nutrition, 22(10), 1762–1769. https://doi.org/10.1017/S1368980018004019
• Kahyaoglu Sut, H. & Mestogullari, E. (2016). Effect of Premenstrual Syndrome on Work-Related Quality of Life in Turkish Nurses. Safety and Health at Work, 7(1), 78. https://doi.org/10.1016/J.SHAW.2015.09.001
• Kroll-Desrosiers, A. R., Ronnenberg, A. G., Zagarins, S. E., Houghton, S. C., Takashima-Uebelhoer, B. B. & Bertone-Johnson, E. R. (2017). Recreational Physical Activity and Premenstrual Syndrome in Young Adult Women: A Cross-Sectional Study. PloS One, 12(1), 1-13. https://doi.org/10.1371/JOURNAL.PONE.0169728
• Medic, G., Wille, M. & Hemels, M. E. H. (2017). Short- and long-term health consequences of sleep disruption. Nature and Science of Sleep, 9, 151. https://doi.org/10.2147/NSS.S134864
• Mohamadirizi, S. & Kordi, M. (2015). The relationship between food frequency and menstrual distress in high school females. Iranian Journal of Nursing and Midwifery Research, 20(6), 689–693. https://doi.org/10.4103/1735-9066.170000
• Mohebbi Dehnavi, Z., Jafarnejad, F. & Sadeghi Goghary, S. (2018). The effect of 8 weeks aerobic exercise on severity of physical symptoms of premenstrual syndrome: a clinical trial study. BMC Women’s Health, 18(1), 1-7. https://doi.org/10.1186/S12905-018-0565-5
• Munishwar, D. & Mishra, B. (2019). Benefits of yoga in premenstrual syndrome- a critical review. Ayurlog: National Journal of Research in Ayurved Science, 7(1), 1-5. https://www.ayurlog.com/index.php/ayurlog/article/view/267
• Nworie, K. M., Aluh, D. O. & Onyekwum, C. A. (2018). Assessment of premenstrual syndrome among female students in Southeast Nigeria. Journal of Obstetrics and Gynecological Investigations, 1(1), 55–61. https://doi.org/10.5114/JOGI.2018.79426
• O’Brien, P. M. S., Bäckström, T., Brown, C., Dennerstein, L., Endicott, J., Epperson, C. N., Eriksson, E., Freeman, E., Halbreich, U., Ismail, K. M. K., Panay, N., Pearlstein, T., Rapkin, A., Reid, R., Schmidt, P., Steiner, M., Studd, J. & Yonkers, K. (2011). Towards a consensus on diagnostic criteria, measurement and trial design of the premenstrual disorders: the ISPMD Montreal consensus. Archives of Women’s Mental Health, 14(1), 13–21. https://doi.org/10.1007/S00737-010-0201-3
• Oraby, F. A., Fawaz, M. A. & El-Sharkawy, N. B. (2016). Reproductive and demographic Predictors’ of premenstrual syndrome severity among university students. IOSR Journal of Nursing and Health Science, 05(05), 10–19. https://doi.org/10.9790/1959-0505051019
• Perry, M., Judge, M., Millar, D. & McDonald, D. (2015). An exploratory pilot of factors associated with premenstrual syndrome in minority women. International Journal of Nursing Sciences, 2(2), 118–122. https://doi.org/10.1016/J.IJNSS.2015.04.008
• Pinar, A. & Oncel, S. (2011). 15-49 Yaş Grubu Kadınlarda Premenstrual Sendrom Görülme Sıklığı (Antalya/Türkiye). Journal of Clinical Obstetrics & Gynecology, 21(4), 227–237. https://www.jcog.com.tr/article/en-15-49-yas-grubu-kadinlarda-premenstrual-sendrom-gorulme-sikligi-antalyaturkiye-61299.html
• Rad, M., Sabzevary, M. T. & Dehnavi, Z. M. (2018). Factors associated with premenstrual syndrome in Female High School Students. Journal of Education and Health Promotion, 7(1), 64. https://doi.org/10.4103/JEHP.JEHP_126_17
• Rupa Vani, K., Veena, K. S., Subitha, L., Hemanth Kumar, V. R. & Bupathy, A. (2013). Menstrual Abnormalities in School Going Girls – Are They Related to Dietary and Exercise Pattern? Journal of Clinical and Diagnostic Research : JCDR, 7(11), 2537. https://doi.org/10.7860/JCDR/2013/6464.3603
• Rupani, N. P. & Lema, V. M. (1993). Premenstrual tension among nurses in Nairobi, Kenya. East African Medical Journal, 70(5), 310–313.
• Seedhom, A. E., Mohammed, E. S. & Mahfouz, E. M. (2013). Life Style Factors Associated with Premenstrual Syndrome among El-Minia University Students, Egypt. ISRN Public Health, 2013, 1–6. https://doi.org/10.1155/2013/617123
• Tarı Selçuk, K., Avcı, D. & Alp Yılmaz, F. (2014). The Prevalance of Premenstrual Syndrome Among Nursing Students and Affecting Factors. Journal of Psychiatric Nursing, 5(2), 98–103. https://doi.org/10.5505/phd.2014.55264
• Tsai, S. Y. (2016). Effect of Yoga Exercise on Premenstrual Symptoms among Female Employees in Taiwan. International Journal of Environmental Research and Public Health, 13(7), 1-11. https://doi.org/10.3390/IJERPH13070721
• Tschudin, S., Bertea, P. C. & Zemp, E. (2010). Prevalence and predictors of premenstrual syndrome and premenstrual dysphoric disorder in a population-based sample. Archives of Women’s Mental Health, 13(6), 485–494. https://doi.org/10.1007/S00737-010-0165-3
• U.S. Department of Agriculture. (2020). Food Data Central. https://fdc.nal.us36+da.gov/fdc-app.html#/food-details/782116/nutrients
• Wang, J. & Geng, L. (2019). Effects of Socioeconomic Status on Physical and Psychological Health: Lifestyle as a Mediator. International Journal of Environmental Research and Public Health, 16(2), 1-9. https://doi.org/10.3390/IJERPH16020281
• World Health Organisation. (2022). International Classification of Diseases Eleventh Revision (ICD-11). https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/375471908
• Yamamoto, K., Okazaki, A., Sakamoto, Y. & Funatsu, M. (2009). The relationship between premenstrual symptoms, menstrual pain, irregular menstrual cycles, and psychosocial stress among Japanese college students. Journal of Physiological Anthropology, 28(3), 129–136. https://doi.org/10.2114/JPA2.28.129
• Yilmaz-Akyuz, E. & Aydin-Kartal, Y. (2019). The effect of diet and aerobic exercise on Premenstrual Syndrome: Randomized controlled trial. Revista de Nutrição, 32, e180246. https://doi.org/10.1590/1678-9865201932E180246