Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls.

Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls.
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DOI:
10.12669/pjms.301.3949
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发表时间:
2014-01
影响因子:
2.2
通讯作者:
Yousufzai Z
Yousufzai Z
中科院分区:
医学4区
文献类型:
--
作者:
Dars S;Sayed K;Yousufzai Z

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目的:评价身体质量指数和营养状况对青春期少女月经规律的影响。方法:从海得拉巴市5所学校中选取已达到月经初潮的青春期少女410名。数据由训练有素的医学本科生和研究生通过使用预先设计的预测试问卷采访青春期女学生收集。BMI计算公式为:BMI (kg/m2) =体重(kg) /身高2 (m2)。用Sahlis方法用血红蛋白计估计Hb。数据采用SPSS 11.0进行分析。结果:女孩平均年龄14.96±1.5岁。335名(76%)女孩月经周期正常,28名(7%)月经频繁,52名(13%)月经不频繁,16名(4%)女孩月经完全不规则,模式无法确定。335名(76%)女孩月经量正常,68名(17%)月经量大,28名(7%)月经量少。152名(38%)女孩抱怨有经前症状。231名(60%)女孩临床贫血。277人(69%)的BMI在18.5 - 24.9 kg/m2之间。体重过轻108例(27%),BMI在14 ~ 18.49kg/m2之间;超重16例(4%),BMI在25 ~ 29.99 kg/m2之间。BMI与社会阶层(P<0.001)、BMI与月经模式(P<0.001)有统计学意义。结论:绝大多数女童具有临床明显的营养缺乏性疾病。在接受检查的401名女孩中,231名被发现贫血。大多数女孩(84%)月经模式正常,BMI正常,16岁前月经初潮。超重的女孩月经不频繁。
Objective: To evaluate the effect of Body Mass Index and nutritional status on the menstrual pattern in adolescent girls Methods: Four hundred one adolescent girls who attained menarche were selected from five schools in Hyderabad. The data was collected by trained medical undergraduate and postgraduates by interviewing adolescent school girls using a pre-designed pre-tested questionnaire. BMI was calculated using the formula: BMI (kg/m2) = Weight (kg) / Height 2 (m2). Hb was estimated by Sahlis method using a haemoglobinometer. Data was analyzed using SPSS 11.0. Results : The mean age of the girls was 14.96 +/- 1.5 years. Three hundred and five (76%) of the girls had a normal menstrual cycle, twenty-eight (7 %) had frequent periods, fifty-two (13%) had infrequent periods and sixteen (4%) of the girls had totally irregular cycles and a pattern could not be determined. Three hundred and five (76%) of girls had a normal menstrual flow, sixty-eight (17%) had heavy flow and twenty-eight (7%) had scanty flow. One hundred fifty two (38%) of girls complained of premenstrual symptoms. Two hundred thirty one (60%) girls were clinically anemic. Two hundred and seventy seven (69%) had a BMI between 18.5 - 24.9 kg/m2. One hundred and eight (27%) were underweight with a BMI of 14 – 18.49kg/m2, while sixteen (4%) were overweight with BMI 25 – 29.99 kg/m2. A statistically significant relationship was found between BMI and social class (P<0.001) and BMI and menstrual pattern P<0.001). Conclusion : The study concludes that a majority of the girls had clinically obvious nutritional deficiency diseases. Out of the four hundred and one girls who were checked, two hundred thirty one were found to be anemic. Majority of the girls (84%) had a normal menstrual pattern, normal BMI and attained menarche before the age of 16. Overweight girls had infrequent periods.
DOI: 10.1080/030144600282136
发表时间: 2000-05-01
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