Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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A Study on Premenstrual Syndrome (PMS), Nutrient Intake, Psychological Index according to the Obesity Degree of College Women

여대생의 비만도에 따른 월경전증후군 증상, 영양섭취 실태 및 심리지수 연구

  • Kang, Se-Na (Dongeui Food Research Institute, Dongeui University) ;
  • Park, Jung-Hwa (Department of Food and Nutrition, Yonsei University) ;
  • Hwang, Hye-Jin (Department of Food and Nutrition, Dongeui University)
  • 강세나 (동의대학교 한방식품연구소) ;
  • 박정화 (연세대학교 식품영양학과) ;
  • 황혜진 (동의대학교 식품영양학과)
  • Received : 2010.12.22
  • Accepted : 2011.02.15
  • Published : 2011.02.28
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Abstract

This study was designed to compare the incidence and severity of premenstrual syndrome (PMS) between normal (N = 85) and overweight or obese (N = 28) college female students and investigated correlation between PMS, nutrient intake, hematological index and psychological index (depression, anxiety, stress). Each subject was asked a Menstrual Discomfort Questionnaire (MDQ) for PMS by 5 Likert scale. The PMS scores of women in the normal weight subjects ranked in order of severity were water retention (2.71), followed by behavioral change (2.58), negative affect (2.46), pain (2.31), autonomic reaction (2.27), decreased concentration (2.16). The symptoms of 'pain' and 'behavioral change' of overweight or obese subject were significantly higher than those of normal subject (p < 0.05). And total cholesterol concentration of overweight or obese subjects was significantly higher than in normal subject (p < 0.05). There was a significant positive correlation (p < 0.05) between the symptoms of 'negative effect' and BMI. And the triglyceride concentration was positively related with 'water retention (p < 0.01)'. The symptoms of 'decreased concentration' were negatively correlated with calcium (p < 0.01) and vitamin B6 intake (p < 0.05). The depression score were positively related with symptoms of 'behavioral change (p < 0.05)', 'negative affect' (p < 0.01), and the anxiety score was positively correlated with 'behavioral change (p < 0.05)' and 'decreased concentration (p < 0.05)'. The stress score was positively correlated with 'decreased concentration (p < 0.01)', 'behavioral change (p < 0.05)' and 'negative affect (p < 0.05)'. This suggests that PMS represents the clinical manifestation of a calcium, vitamin $B_6$ deficiency and psychological disorder. Therefore we concluded that nutrient supplementation, depression and stress management may help to relieve PMS symptoms.

Keywords

References

  1. Bae HS (2008): Dietary intake, serum lipids, iron index and antioxidant status by percent body fat of young females. Korean J Community Nutr 13(3): 323-333
  2. Beck AT, Epstein N, Brown G, Steer RA (1988): An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 56(6): 893-897 https://doi.org/10.1037/0022-006X.56.6.893
  3. Bendich (2000): The potential for dietary supplement to reduce premenstrual syndrme (PMS). J Am Coll Nutr 19(1): 3-12 https://doi.org/10.1080/07315724.2000.10718907
  4. Chuong CJ, Dawson EB, Smith ER (1990): Vitamin E levels in premenstrual syndrome. Am J Obstet Gynecol 163(5): 1592-1595
  5. Coelho R, Silva C, Maia A, Prata J Barros H (1999): Bone mineral density and depression: a community study in women. J Psychosom Res 46: 29-35 https://doi.org/10.1016/S0022-3999(98)00064-6
  6. Cohen S, Kamarck T, Mermelstein R (1983): A global measure of perceived stress. J Health Soc Behav 24(4): 385-396 https://doi.org/10.2307/2136404
  7. De souza MC, Walker AF, Robinson PA, Bolland K (2000): A synergistic effect of a daily supplement for 1 month of 200 mg magnesium plus 50 mg vitamin B6 for the relief of anxietyrelated premenstrual symptoms: a randomized, double-blind, cross-over study. J Womens Health Geng Based Med 9(2): 131-139 https://doi.org/10.1089/152460900318623
  8. Facchinetti F, Borella P, Sances Fioroni L, Nappi RE, Genazzani AR (1991): Oral magnesium successfully relieves premenstrual mood changes. Obstet Gynecol 78(2): 177-181
  9. Greene R, Dalton K (1953): The premenstrual syndrome. BMJ 1(4818): 1007-1014 https://doi.org/10.1136/bmj.1.4818.1007
  10. Halbrich U, Endicott J, Nee J (1982): The diversity of premenstrual changes as reflected in the premenstrual assessment form. Acta Psychiatr Scand 65(1): 46-65 https://doi.org/10.1111/j.1600-0447.1982.tb00820.x
  11. Herrera H, Rebato E, Arechabaleta G, Lagrange H, Salces I, Susanne C (2003): Body mass index and energy intake in Venezuelan university students. Nutr Res 23(3): 389-400 https://doi.org/10.1016/S0271-5317(02)00541-9
  12. Hwang HJ, Kim YM (2002): A study of premenstrual syndrome (PMS) and the nutritional intake of college woman residing in Busan metropolitan city. Korean J Community Nutr 7(6): 731-740
  13. Johnson SR (1987): The epidemiology and social impact of premenstrual symptoms. Clin Obestet Gynecol 30(3): 368-369
  14. Kim OH, Kim JH (2006): Food intake and clinical blood indices of female college students by body mass index. Korean J Community Nutr 11(3): 307-316
  15. Kim SH, Lee JH (2005): A study on relation between premenstrual syndrome (PMS) and nutritional intake, blood composition of female college students. Korean J Community Nutr 10(5): 603-614
  16. Kim HO, Lim SW, Woo HY, Kim KH (2008): Premenstrual syndrome and dysmenorrhea in Korean adolescent girls. Korean J Obstet and Gynecology 51(11) : 1322-1329
  17. Korean Nutrition Society (2010): Dietary reference intake for Korean
  18. Lauerson NH (1985): Recognition and treatment of premenstrual syndrome. Nurse Pract 10(3): 11-17 https://doi.org/10.1097/00006205-198503000-00003
  19. London RS, Murphy L, Kitlowski KE, Reynolds MA (1987): Efficacy of ${\alpha}$-tocopherol in the treatment of premenstrual syndrome. J Reprod Med 32(6): 400-402
  20. Michelson D, Stratakis C, Hill L (1996): Bone mineral density in women with depression. N Engl J Med 335(6): 1176-1181 https://doi.org/10.1056/NEJM199610173351602
  21. Mortola J (1998): Premenstrual syndrome-pathophysiologic considerations. N Engl J Med 338(4): 256-257 https://doi.org/10.1056/NEJM199801223380409
  22. Moos RH (1968): The development of a menstrual distress questionnaire. Psychosom Med 30(6): 853-867 https://doi.org/10.1097/00006842-196811000-00006
  23. O'Brien PM (1993): Helping women with premenstrual syndrome. BMJ 307(6917): 1471-1475 https://doi.org/10.1136/bmj.307.6917.1471
  24. Park KH, Sung NJ, Bae JI, Lee DU (2003): The effects of body mass index change and lifestyles on change of serum total cholesterol levels. Dongguk J Med 10(2): 200-207
  25. Park KS, Lee KA (2002): A case study on the effect of Ca intake on depression and anxiety. Korean J Nutr 35(1): 45-52
  26. Pitts CA (1987): Premenstrual syndrome: Current assessment and management. Nursing Forum 23(4): 127-133
  27. Romieu L, Willett MJ, Stampfer MJ, Colditz GA, Sampson L, Rosner B, Hennekens CH, Speizer FE (1988): Energy intake and other determinants of relative weight. Am J Clin Nutr 47(3): 406-412 https://doi.org/10.1093/ajcn/47.3.406
  28. Steinberg S, Annable L, Young SN, Liyanage N (1999): Placebocontrolled clinical trial of L-tryptophan in premenstrual dysphoria. Biol Psychiatry 45(3): 313-320 https://doi.org/10.1016/S0006-3223(98)00005-5
  29. Singh B, Berman B, Simpson R, Annechild A (1998): Incidence of premenstrual syndrome and remedy usage: a national probability sample study. Altern Ther Health Med 4(3): 75-79
  30. Tayler RJ, Fordyce ID, Aleander DA (1991): Relationship between personality and premenstrual symptoms. Br J Gen Practice 41(3): 55-57
  31. Thys-Jacobs S, Alvir MJ (1995): Calcium-regulating hormones across the menstrual cycle: evidence of a secondary hyperparathyroidism in women with PMS. J Clin Endocrinol Metab 80(7): 2227-2232 https://doi.org/10.1210/jc.80.7.2227
  32. Thys-Jacobs S (2000): Micronutrients and the premenstrual syndrome. J Am Coll Nutr 19(2): 220-227 https://doi.org/10.1080/07315724.2000.10718920
  33. Thys-Jacobs S, Starkey P, Bernstein D (1998): Calcium carbonate and the premenstrual syndrome: effects on premenstrual and menstrual symptoms. Am J Obstet Gynecol 179(2): 444-452 https://doi.org/10.1016/S0002-9378(98)70377-1
  34. KM, Dimmock PW, Jones PW, O'Brian PMS (1999): Efficacy of vitamin B-6 in the treatment of premenstrual syndrome: systematic review. BMJ 318(7195): 1375-1381 https://doi.org/10.1136/bmj.318.7195.1375
  35. Yook SP, Kim JS (1997): A clinical study on the Korean version of beck anxiety inventory: comparative study of patient and nonpatient. Korean J Psychol 16(1): 185-197
  36. Yu HH, Nam JE, Kim IS (2003): A study of nutritional intake and health condition of female college students as related to their frequency of eating breakfast. Korean J Community Nutr 8(6): 964-976