Body mass index and bone mineral density as associated indicators in primary dysmenorrhea
DOI:
https://doi.org/10.37800/RM.1.2023.71-78Keywords:
adolescents, primary dysmenorrhea, body mass index (BMI), osteodensitometrie, bone mineral density (BMD)Abstract
Relevance: One of the urgent problems of pediatric and adolescent gynecology is dysmenorrhea. Adolescents with dysmenorrhea represent an increased risk group for menstrual dysfunction and the formation of the pathology of the reproductive system associated with body mass index (BMI) and bone mineral density (BMD).
The study aimed to determine a possible relationship between BMI and BMD among girls with primary dysmenorrhea.
Materials and Methods: This cross-sectional study was conducted among adolescent girls with primary dysmenorrhea. We studied 205 adolescent girls with primary dysmenorrhea based on menstrual pain, using the visual analog scale (VAS), and selected 145 subjects with only severe dysmenorrhea with a VAS ≥7.
The online calculator, “medical-calculators/BodyMassIndexGirls,” was used to calculate BMI and establish underweight, normal, overweight, and obesity. BMD was determined using SONOST-3000 ultrasound bone densitometry (OsteoSys, South Korea).
Results: Osteodensitometrie showed BMD parameters in the osteopenic syndrome’s values. Comparative analysis revealed significant differences in wave propagation speed, which was lower in overweight adolescents compared to normal-weight adolescents. In addition, the girls in the group with normal BMD were taller than those with reduced BMD (p=0.04).
Conclusion: This study’s results showed that being overweight increases the likelihood of dysmenorrhea and BMD disorders.
References
Постановление Правительства Республики Казахстан “Об утверждении национального проекта «Качественное и доступное здравоохранение для каждого гражданина «Здоровая нация» от 12 октября 2021 года, №725. [Postanovlenie Pravitel’stva Respubliki Kazaxstan “Ob utverzhdenii nacional’nogo proekta «Kachestvennoe i dostupnoe zdravooxranenie dlya kazhdogo grazhdanina «Zdorovaya naciya» ot 12 oktyabrya 2021 goda, №725 (in Russ.)]. https://adilet.zan.kz/rus/docs/P2100000725#z10.
Геворгян А.П., Сибирская Е.В., Адамян Л.В., Арсланян К.Н. Первичная дисменорея девочек-подростков как предиктор развития недифференцированной дисплазии соединительной ткани // Проблемы Репродукции. – 2017. – №3. – С. 77-85 [Gevorgyan A.P., Sibirskaya E.V., Adamyan L.V., Arslanyan K.N. Pervichnaya dismenoreya devochek-podrostkov kak prediktor razvitiya nedifferencirovannoj displazii soedinitel’noj tkani // Problemy Reprodukcii. – 2017. – №3. – S. 77-85 (in Russ.)]. https://doi.org/10.17116/repro201723377-85.
Пашкова И.Г. Остеоденситометрическая характеристика костной ткани у женщин с нормальной массой тела // Ж. Анат. Гистопатол. – 2021. – №3. – С. 108-111 [Pashkova I.G. Osteodensitometricheskaya xarakteristika kostnoj tkani u zhenshhin s normal’noj massoj tela // Zh. anat. gistopatol. – 2021. – №3. – S. 108-111 (in Russ.)]. https://doi.org/10.18499/2225-7357-2021-10-3-108-111.
Mohammed A.A. Dysmenorrhea, associated symptoms, and management among students at King Khalid University, Saudi Arabia: An exploratory study // Family Med. Prim. Care. –2018. – Vol. 7(4). - P. 769-774. https://doi.org/10.4103/jfmpc.jfmpc_113_18.
Nloh A.M., Ngadjui E., Vogue N. Prevalence and factors associated with dysmenorrhea in women at childbearing age in the Dschang Health District // Pan. Afr. Med. J. – 2020. – Vol. 37. – Art. ID: 178. https://doi.org/10.11604%2Fpamj.2020.37.178.19693.
Elizondo-Montemayor L., Hernández-Escobar C., LaraTorre E., Nieblas B., Gómez-Carmona M. Gynecologic and Obstetric Consequences of Obesity in Adolescent Girls // J. Pediatr. Adolesc. Gynecol. – 2017. – Vol. 30(2). – P. 156-158. https://doi.org/10.1016/j.jpag.2016.02.007.
Олина А.А., Метелева Т.А. Дисменорея. Как улучшить качество жизни? // РМЖ «Мать и дитя». – 2021. – №4(1). – С. 46-52 [Olina A.A., Meteleva T.A. Dismenoreya. Kak uluchshit’ kachestvo zhizni? // RMZh «Mat’ i ditya». – 2021. – №4(1). – S. 46-52 (in Russ.)]. https://doi.org/10.32364/2618-8430-2021-4-1-46-52.
René R.М., Bianchib М.L., Heather M.G., Kay А., Morenoe L. Maximizing bone mineral mass gain during growth for the prevention of fractures in the adolescents and the elderly // Bone. – 2010. – Vol. 46(2). – P. 294-305. https://doi.org/10.1016/j.bone.2009.10.005.
Vincenzo D.S., Franco R., Sergio B., Luigi B., Gianni B., Mauro B., F., Carlo D.S., Giorgio T., Giorgio R., Egle P. Age at Menarche and Menstrual Abnormalities in Adolescence: Does it Matter? The Evidence from a Large Survey among Italian Secondary Schoolgirls // Indian J. Pediatr. – 2019. – Vol. 86(1). – P. 34-41. https://doi.org/10.1007/s12098-018-2822-x.
Iacovides S., Avidon I., Baker F.C. What we know about primary dysmenorrhea today: a critical review // Hum. Reprod. Update. – 2015. – Vol. 21(6):762–778. https://doi.org/10.1093/humupd/dmv039.
Смирнова O.A., Новикова Е.В., Нудно Н.В. Определение возможной зависимости остеопоротических изменений позвоночника от индекса массы тела // Лучевая диагностика. Радиология – Практика. – 2012. – №6. – С. 34-39 [Smirnova O.A., Novikova E.V., Nudno N.V. Opredelenie vozmozhnoj zavisimosti osteoporoticheskix izmenenij pozvonochnika ot indeksa massy tela // Luchevaya diagnostika. Radiologiya – Praktika. – 2012. – №6. – S. 34-39 (in Russ.)]. https://cloud.mail.ru/public/cFSk/MJsRHLZ7S.
Baoying F., Han Li., Yang P., Qunjiao J., Yanan W., Shun L., Xiaoyun Z., Xiaoqiang Q., Dongping H. A cohort study of dysmenorrhea and risk of low birth weight // J. Matern. Fetal. Neonatal Med. – 2021. – Vol. 35(25). – P. 6442-6448. https://doi.org/10.1080/14767058.2021.1914581
Naeimeh T., Zahra Y., Shahrzad Y., Saeedeh P., Marzieh A. The Relationship Between Body Mass Index (BMI) and Menstrual Disorders at Different Ages of Menarche and Sex Hormones // J. Natl. Med. Assoc. – 2018. – Vol. 110(5). – P. 440-447. https://doi.org/10.1016/j.jnma.2017.10.007.
Nazish R., Mona А.S., Prevalence of primary dysmenorrhea and its relationship with body mass index // J. Obstet. Gynaecol. Res. – 2018. – Vol. 44(9). – P. 1773-1778. https://doi.org/10.1111/jog.13697.
Добровольская О.В., Дёмин Н.В., Смирнов А.В., Шорникова Л.А., Торопцова Н.В. Минеральная плотность костной ткани у женщин репродуктивного возраста с ревматическими заболеваниями // Медицинский алфавит. Серия «Ревматология в общей врачебной практике». — 2019. — Т. 2, № 37 (412). — С. 7-11 [Dobrovol’skaya O.V., Dyomin N.V., Smirnov A.V., Shornikova L.A., Toropcova N.V. Mineral’naya plotnost’ kostnoj tkani u zhenshhin reproduktivnogo vozrasta s revmaticheskimi zabolevaniyami // Medicinskij alfavit. Seriya «Revmatologiya v obshhej vrachebnoj praktike». — 2019. — T. 2, № 37 (412). — S. 7-11 (in Russ.)]. https://www.med-alphabet.com/jour/article/download/1341/1315.
Jamka M., Mądry E., Bogdański P., Kryściak J., Mądry R., Lisowska A., Ismagulova E., Gotz-Więckowska A., Chudzicka-Strugała I., Amanzholkyzy A., Walkowiak J. The Effect of Endurance and Endurance-Strength Training on Bone Mineral Density and Content in Abdominally Obese Postmenopausal Women: A Randomized Trial // Healthcare. – 2021. – Vol. 9(8). – Art. ID: 1074. https://doi.org/10.3390/healthcare9081074
Khalid М., Tanzil J., Usman Gh., Tooba Sh., Tooba A., Talha N. Severity and relation of primary dysmenorrhea and body mass index in undergraduate students of Karachi: A cross-sectional survey // J. Pak. Med. Assoc. – 2020. – Vol. 70(7). – P. 1299-1304. https://doi.org/10.5455/JPMA.18303
Monika S., Om P.R., Raghavendra А.Н. Menstrual patterns and problems in association with body mass index among adolescent school girls // J. Family Med. Prim. Care. – 2019. – Vol. 8(9). – P. 2855-2858. https://doi.org/10.4103/jfmpc.jfmpc_474_19.
Chauhan M., Kala J. Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation // J. Obstet. Gynaecol. India. – 2012. – Vol. 62. – P. 442-445. https://doi.org/10.1007/s13224-012-0171-7.
Wu L., Zhang J., Tang J., Fang H. The relation between body mass index and primary dysmenorrhea: A systematic review and meta-analysis // Acta Obstet. Gynecol. Scand. – 2022. – Vol. 101(12). – P. 1345-1461. https://doi.org/10.1111/aogs.14449.
Downloads
Published
How to Cite
Issue
Section
License
The articles published in this Journal are licensed under the CC BY-NC-ND 4.0 (Creative Commons Attribution – Non-Commercial – No Derivatives 4.0 International) license, which provides for their non-commercial use only. Under this license, users have the right to copy and distribute the material in copyright but are not permitted to modify or use it for commercial purposes. Full details on the licensing are available at https://creativecommons.org/licenses/by-nc-nd/4.0/.
