经前紧张综合征和月经苦恼与体力活动的关系:分析性研究

I. Hussain, Amena Batool, Ayesha Iftikhar
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摘要

目的:探讨体力活动、工作活动、月经持续时间和人际关系与经前紧张症状的关系,以及体力活动水平与压力的关系。方法:对71例经前经前1-2周有痛经和压力病史且至少连续两次月经周期的经前经前综合征女性进行分析研究,排除肿瘤、妇科和内分泌疾病患者。该研究于2022年5月至10月在基本保健单位(锡亚尔科特Vario)进行。采用改良的Moos月经困扰问卷(MDQ)和自行设计的问卷进行数据收集。采用SPSS软件22版对结果进行分析。结果:平均年龄为24.01±4.062岁,月经流天数为3 ~ 5天(N= 33, 46.5%)。参与者(N=41, 57.7%)有严重的PMTS, (N=47, 66.2%)倾向于隔离自己以干扰症状,(N= 43, 60.6%)有应激性饮食。经卡方检验,PMTS疼痛症状与娱乐活动和体力活动水平的差异有统计学意义(p=0.003 0.05);(p=0.00),注意力下降(p=0.001 0.05);(p=0.012)和负向效应(p=0.034 0.05);(p=0.02),而行为、自主反应和水潴留症状没有发现显著关联。月经长度(p=0.009)和工作活动量(p=0.025)也与体力活动相关(p值0.05)。然而,体力活动水平与经前应激的spearman相关性较弱(p=0.036)。结论:娱乐和运动水平的体育锻炼可有效减轻经前紧张症状的严重程度。
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Association between Premenstrual tension syndrome and menstruation distress with physical activity: Analytical study
Objective: To determine the association between physical activities, working activities, length of menstrual flow and interpersonal bonds with premenstrual tension symptoms and also the correlation of stress with physical activity levels were studied.     Methods: Analytical study was conducted on 71 PMTS women with a history of dysmenorrhea and stress presented at least 1-2 weeks premenstrual and reported at least for two consecutive menstrual cycles excluding women with tumours, gynaecological and endocrinological disorders. The study was conducted from (May to October 2022) at Basic Health Unit (Vario, Sialkot). A Modified Moos Menstrual Distress questionnaire (MDQ) and a self-designed questionnaire were used to collect the data. The results were analyzed using SPSS software 22 version.     Results: Mean age was 24.01±4.062 yr. The length of menstrual flow days was reported as 3 to 5 days (N= 33, 46.5%). Participants (N=41, 57.7%) had severe PMTS with (N=47, 66.2%) preferring to isolate themselves as interference of the symptoms, (N= 43, 60.6%) had stress eating. Chi-square test was observed for the PMTS symptom of pain with recreational and levels of physical activity (p=0.003 0.05); (p=0.00), Impaired concentration (p=0.001 0.05); (p=0.012) and negative effects (p=0.034 0.05); (p=0.02) whereas no significant association was found for behaviour, autonomic reactions and water retention symptoms. Length of menstrual flow (p=0.009) and working activities (p=0.025)were also correlated (p-value 0.05 )with physical activity. However, Spear's man correlation between physical activity level and PMTS-induced stress had a weak correlation (p=0.036).   Conclusion: Recreational and active levels of physical activity effectively reduce the severity of premenstrual tension symptoms.
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