DOES EXERCISE HABIT AFFECT CENTRAL SENSITIZATION AND PREMENSTRUAL SYMPTOMS IN ADULT WOMEN? NON-EXERCISING VERSUS (IR)REGULAR-EXERCISING
Year 2024,
, 45 - 50, 23.08.2024
Zilan Bazancir Apaydın
,
Fulden Sari
Abstract
Objective: The aim of this study was to investigate central sensitization (CS) and premenstrual symptoms in adult women based on exercise habits.
Method: A hundred- two adult women (mean age of 25.9 (8) years) were included in the study. The participants were divided into three groups based on exercise habits: the non-exercising group (NG), the irregular-exercising group (IG), and the regular-exercising group (RG). The CS-related and CS positivity was assessed using the Central Sensitization Inventory (CSI-A and CSI-B). Premenstrual symptom severity was determined with the Premenstrual Syndrome Scale (PSS).
Results: Sociodemographic and menstrual cycle characteristics were comparable among the groups (p>0.05). There was a significant difference in the CSI-A (p<0.001), the CSI-B (p=0.023) and CS positivity (p<0.001) among the groups. The CSI-A was higher in the NG compared to the RG (p<0.001) and IG (p=0.001). The CSI-B was higher in NG compared to the RG (P=0.002). CS positivity was common in NG (67.6%) compared to IG (23.7%) and RG (26.7%). The median PSS total score was lowest in RG (120.5) while no significant differences were found in PSS total score (p=0.375) or PMS positivity (p=0.624) among the three groups. PSS total score correlated to CSI-A (p=0.001, r=0.334) and menstrual pain severity (p=0.002, r=0.310). The CSI-A and PSS scores are similar in terms of the phase of the menstrual cycle, and use of the medication for menstrual pain (p>0.05).
Conclusion: Premenstrual symptom severity is associated with CS symptoms and menstrual pain in adult women. Adopting an exercise habit may be a protective approach that reduces symptoms associated with CS and improves premenstrual symptoms.
Ethical Statement
The study received ethical approval from the Bingöl University Ethics Committee (date: 26/09/2023, no. 23/19).
Supporting Institution
None.
References
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Year 2024,
, 45 - 50, 23.08.2024
Zilan Bazancir Apaydın
,
Fulden Sari
References
- Loeser JD, Treede RD. The Kyoto protocol of IASP Basic Pain Terminology. Pain. 2008;137(3):473-477.
- Arendt-Nielsen L, Morlion B, Perrot S, Dahan A, Dickenson A, Kress HG, et al. Assessment and manifestation of central sensitisation across different chronic pain conditions. Eur J Pain. 2018;22(2):216-241.
- Yunus MB. Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain. Best Pract Res Clin Rheumatol. 2007;21(3):481-497.
- de Arruda GT, Driusso P, Rodrigues JC, de Godoy AG, Degani A, Danna‐dos‐Santos A, et al. Are menstrual symptoms associated with central sensitization inventory? A cross‐sectional study. Eur J Pain. 2022;26(8):1759-1767.
- Biggs WS, Demuth RH. Premenstrual syndrome and premenstrual dysphoric disorder. Am Fam Physician. 2011;84(8):918-924.
- Mohebbi Dehnavi Z, Jafarnejad F, Sadeghi Goghary S. The effect of 8 weeks aerobic exercise on severity of physical symptoms of premenstrual syndrome: a clinical trial study. BMC Womens Health. 2018;18(1):1-7.
- Ofei PA, Altınkaya SÖ. The prevalence of premenstrual syndrome among midwifery students and its relationship with lifestyle. JHVS. 2020;11(3):1697-1714.
- Abeje A, Berhanu Z. Premenstrual syndrome and factors associated with it among secondary and preparatory school students in Debremarkos town, North-west Ethiopia, 2016. BMC Res Notes 2019;12(1):1-5.
- Pritchett RV, Daley AJ, Jolly K. Does aerobic exercise reduce postpartum depressive symptoms? A systematic review and meta-analysis. Br J Gen Pract. 2017;67(663):e684-e691.
- Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. 2001.
- Vishnupriya R, Rajarajeswaram P. Effects of aerobic exercise at different intensities in pre menstrual syndrome. J Obstet Gynaecol India. 2011;61:675-682.
- Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017;4(4):Cd011279.
- Haruyama Y, Sairenchi T, Uchiyama K, Suzuki K, Hirata K, Kobashi G. A large-scale population-based epidemiological study on the prevalence of central sensitization syndromes in Japan. Sci Rep. 2021;11(1):23299.
- Tan L, Cicuttini FM, Fairley J, Romero L, Estee M, Hussain SM, et al. Does aerobic exercise effect pain sensitisation in individuals with musculoskeletal pain? A systematic review. BMC Musculoskelet Disord. 2022;23(1):113.
- Munro MG, Critchley HO, Fraser IS. The FIGO systems for nomenclature and classification of causes of abnormal uterine bleeding in the reproductive years: who needs them? Am J Obstet Gynecol. 2012;207(4):259-265.
- Mizuta R, Maeda N, Komiya M, Suzuki Y, Tashiro T, Kaneda K, et al. The relationship between the severity of perimenstrual symptoms and a regular exercise habit in Japanese young women: a cross-sectional online survey. BMC Womens Health. 2022;22(1):200.
- Thompson PD, Arena R, Riebe D, Pescatello LS. ACSM's new preparticipation health screening recommendations from ACSM's guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013;12(4):215-217.
- Hawley-Hague H, Horne M, Skelton DA, Todd C. Review of how we should define (and measure) adherence in studies examining older adults' participation in exercise classes. BMJ Open. 2016;6(6):e011560.
- Weon HW, Son HK. An Analysis of Menstrual Symptoms, Menstrual Attitudes, Physical Stress and Psychological Stress According to the Menstrual Cycle Phase. Iran J Public Health. 2023;52(6):1161-1169.
- Keleş ED, Birtane M, Ekuklu G, Kılınçer C, Çalıyurt O, Taştekin N, et al. Validity and reliability of the Turkish version of the central sensitization inventory. Arch Rheumatol. 2021;36(4):518.
- Mayer TG, Neblett R, Cohen H, Howard KJ, Choi YH, Williams MJ, et al. The development and psychometric validation of the central sensitization inventory. Pain Pract. 2012;12(4):276-85.
- Gençdoğan B. Premenstrual sendrom için yeni bir ölçek. Türkiye'de Psikiyatri Derg. 2006;8(2):81-87.
- Sayin YY, Akyolcu N. Comparison of pain scale preferences and pain intensity according to pain scales among Turkish Patients: a descriptive study. Pain Manag Nurs 2014;15(1):156-164.
- Mukaka MM. Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.
- Da Silva Santos R, Galdino G. Endogenous systems involved in exercise-induced analgesia. J Physiol Pharmacol. 2018;69(1):3-13.
- Gil-Beltrán E, Meneghel I, Llorens S, Salanova M. Get Vigorous with Physical Exercise and Improve Your Well-Being at Work! Int J Environ Res Public Health. 2020;17(17).
- Yi SJ, Kim M, Park I. Investigating influencing factors on premenstrual syndrome (PMS) among female college students. BMC Womens Health. 2023;23(1):592.
- Hwang B-J, Kwak Y-S. A Study on Correlation between Premenstrual Syndrome and Nutrient Intake, Exercise Habit of Women. Prev Nutr Food Sci. 2004;9(4):383-388.
- Elvan A. Does premenstrual syndrome affect physical activity and quality of life? A cross-sectional study. J Exerc Ther Rehabil. 2023;10(2):115-121.
- Aba YA, Ataman H, Dişsiz M, Sevimli S. Genç Kadınlarda Premenstrual Sendrom, Fiziksel Aktivite ve Yaşam Kalitesi. JAREN. 2018;4(2).
- Kroll-Desrosiers AR, Ronnenberg AG, Zagarins SE, Houghton SC, Takashima-Uebelhoer BB, Bertone-Johnson ER. Recreational Physical Activity and Premenstrual Syndrome in Young Adult Women: A Cross-Sectional Study. PLoS One. 2017;12(1):e0169728.
- Çelenay ŞT, Özgül S, Demırturk F, Gürşen C, Baran E, Akbayrak T. Comparison of physical activity, quality of life and menstrual symptoms by menstrual pain intensity in Turkish women with primary dysmenorrhea. Konuralp Med J. 2021;13(2):334-340.
- Çinar GN, Akbayrak T, Gürşen C, Baran E, Üzelpasacı E, Nakip G, et al. Factors Related to Primary Dysmenorrhea in Turkish Women: a Multiple Multinomial Logistic Regression Analysis. Reprod Sci. 2021;28(2):381-392.
- Gümüs AB, Bayram N, Can N, Kader E. Üniversite ögrencilerinde premenstruel sendrom ve somatizasyon: Iliskisel bir inceleme. Anadolu Psikiyatr Derg. 2012;13(1):32.
- Acikgoz A, Dayi A, Binbay T. Prevalence of premenstrual syndrome and its relationship to depressive symptoms in first-year university students. Saudi Med J. 2017;38(11):1125-1131.
- Yoshimi K, Shiina M, Takeda T. Lifestyle Factors Associated with Premenstrual Syndrome: A Cross-sectional Study of Japanese High School Students. J Pediatr Adolesc Gynecol. 2019;32(6):590-595.
- Management of Premenstrual Disorders: ACOG Clinical Practice Guideline No. 7. Obstet Gynecol. 2023;142(6):1516-1533.