DOI QR코드

DOI QR Code

A study on the menstruation of Korean adolescent girls in Seoul

  • Lee, Jin-Chul (Department of Pediatrics, Korea University School of Medicine) ;
  • Yu, Byung-Keun (Department of Pediatrics, Korea University School of Medicine) ;
  • Byeon, Jung-Hye (Department of Pediatrics, Korea University School of Medicine) ;
  • Lee, Kee-Hyoung (Department of Pediatrics, Korea University School of Medicine) ;
  • Min, Jung-Hye (Department of Pediatrics, Hongik Hospital) ;
  • Park, Sang-Hee (Department of Pediatrics, Korea University School of Medicine)
  • 투고 : 2010.09.15
  • 심사 : 2011.01.31
  • 발행 : 2011.05.15

초록

Purpose: Westernized eating habits have been associated with earlyage menstruation, which increases the incidence of dysmenorrhea and premenstrual syndrome among adolescent girls. We therefore surveyed changes in menarche timing and the general menstrual characteristics of adolescent girls in Seoul, Korea. Methods: We surveyed 538 teenage girls who visited our hospital between July and November 2007. Items explored included age at menarche, general menstrual characteristics, occurrence of premenstrual syndrome and treatment thereof, and an association between present dysmenorrhea and a family history of the condition. Results: Average age at menarche was 12.6 years, with 29% (n=156) subjects beginning menstruation at age 12 years. The prevalence of dysmenorrhea was 82% (n=435). The main symptoms were abdominal (53.2%) and lower back pain (34.2%), and 15.2% of girls who experienced such symptoms required medication. Present dysmenorrhea, and a family history thereof, were statistically correlated (P<0.05). In addition, 58.8% (n=316) of teenage girls had symptoms of premenstrual syndrome. The most frequent psychological symptoms were fatigue (36.4%) and nervousness (38.7%), whereas the most common physical symptom was menstrual cramps (46.5%). Most subjects (87.6%) tolerated the symptoms of premenstrual syndrome without medication; 11.4% took medicines including painkillers; but only 0.1% of subjects visited a doctor. Conclusion: The average age at menarche in Korean girls was 12.6 years, thus younger than in the past. Most teenage girls experienced dysmenorrhea and premenstrual syndrome, but few consulted a doctor. Organized treatment plans are required to manage menstrual problems in teenage girls.

키워드

참고문헌

  1. Cochrane R. The menarche. Practitioner 1993;237:431-4.
  2. Moffitt TE, Caspi A, Belsky J, Silva PA. Childhood experience and the onset of menarche: a test of a sociobiological model. Child Dev 1992;63:47-58. https://doi.org/10.2307/1130900
  3. Neinstein LS. Menstrual problems in adolescents. Med Clin North Am 1990;74:1181-203. https://doi.org/10.1016/S0025-7125(16)30510-7
  4. Tanner JM. Growth at adolescence. Oxford: Blackwell Scientific Publications, 1955.
  5. Rees M. Menarche when and why? Lancet 1993;342:1375-6. https://doi.org/10.1016/0140-6736(93)92746-G
  6. Pelz L. Menarcheal age in East German girls. Acta Paediatr 1992;81:946-7.
  7. Hong CH, Rho HO, Song SH. The sexual maturity rating of adolescent boys and girls in Korea. J Korean Pediatr Soc 1994;37:193-8.
  8. Choi IJ. Menstrual disorders in adolescence. J Korean Soc Pediatr Endocrinol 2008;13:15-20.
  9. Zacharias L, Wurtman RJ, Schatzoff M. Sexual maturation in contemporary American girls. Am J Obstet Gynecol 1970;108:833-46. https://doi.org/10.1016/0002-9378(70)90552-1
  10. Henneberg M, Louw GJ. Average menarcheal age of higher socioeconomic status urban Cape coloured girls assessed by means of status quo and recall methods. Am J Phys Anthropol 1995;96:1-5. https://doi.org/10.1002/ajpa.1330960102
  11. Saar E, Shalev C, Dalal I, Sod-Moriah UA. Age at menarche: the influence of environmental conditions. Int J Biometeorol 1988;32:33-5. https://doi.org/10.1007/BF01623990
  12. Reymert ML, Jost H. Further data concerning normal variability of the menstrual cycle during adolescence and factors associated with age of menarche. Child Dev 1947;18:169-79. https://doi.org/10.2307/1125480
  13. Matsumoto S, Ozawa M, Nogami Y. Menstrual cycle in puberty. Gunma J Med Sci 1963;12:119-43.
  14. Graber JA, Brooks-Gunn J, Warren MP. The antecedents of menarcheal age: heredity, family environment, and stressful life events. Child Dev 1995;66:346-59. https://doi.org/10.1111/j.1467-8624.1995.tb00875.x
  15. Park GC. Epidemiologic investigation of menarche and postmenarcheal menstrual patterns in rural area. Korean J Obstet Gynecol 1988;31:1357-74.
  16. Chang K. Seasonal distribution of menarche in Hong Kong school girls. Far East Med J 1976;3:203-6.
  17. Zacharias L, Wurtman RJ. Age at menarche. Genetic and environmentalinfluences. N Engl J Med 1969;280:868-75. https://doi.org/10.1056/NEJM196904172801606
  18. Tanner JM. Growth at adolescence. 2nd ed. Oxford: Blackwell Scientific Publications, 1962;22.
  19. Okasha M, McCarron P, McEwen J, Smith GD. Age at menarche: secular trends and association with adult anthropometric measures. Ann Hum Biol 2001;28:68-78. https://doi.org/10.1080/03014460150201896
  20. Marshall WA, Tanner JM. Puberty. In: Falkner FT, Tanner JM, editors. Human growth: a comprehensive treatise. 2nd ed. New York: Plenum Press, 1986:171-209.
  21. Grumbach MM. Styne DM. Puberty: ontogeny, neuroendocrinology, physiology, and disorders. In : Williams RH, Larsen PR, editors. Williams textbook of endocrinology. 10th ed. Philadelphia: WB Saunders Co, 2003;668-93.
  22. Anderson SE, Dallal GE, Must A. Relative weight and race influence average age at menarche: results from two nationally representative surveys of US girls studied 25 years apart. Pediatrics 2003;111(4 Pt 1):844-50. https://doi.org/10.1542/peds.111.4.844
  23. Parent AS, Rasier G, Gerard A, Heger S, Roth C, Mastronardi C, et al. Early onset of puberty: tracking genetic and environmental factors. Horm Res 2005;64 Suppl 2:41-7.
  24. Rosenfield RL, Bachrach LK, Chernausek SD, Gertner JM, Gottschalk M, Hardin DS, et al. Current age of onset of puberty. Pediatrics 2000;106:622-3. https://doi.org/10.1542/peds.106.3.622
  25. Lee YC. A study of menarche in Korean female adolescent students. Korean J Med Hist 1923;101.
  26. Kim HS, Kim JY, Shin YK, Park SH, Tockgo YC. A study on menarchel age and monthly incidence of school girls in ansan. J Korean Pediatr Soc 1997;40:458-63.
  27. Min BK, Lee KH, Kim HS. A Study on the age at menarche and emotional response toward menarche among Korean adolescent schoolers, aged 12 through 21 inclusive (1978). Off J Res Med Sci Korea 1979;11:43-58.
  28. Kim JS. A study on mensturation of Korean female. J Asian Women 1962;1:115-39.
  29. Ko KS, Yoon DR. A study on the menarche and the menstrual patterns of high-school girls in seoul. Korean J Obstet Gynecol 1986;29:239-51.
  30. Kim MY, Jung MS. Degree of dysmenorrhea and self-management of dysmenorrhea in the high-school girl-students. J Korean Acad Womens Health Nurs 2000;6:413-26.
  31. Kim EZ. Premenstrual syndrome and personality. J Nurs Acad Soc 1988;18:80-93. https://doi.org/10.4040/jnas.1988.18.1.80
  32. Paulson MJ. Psychological concomitants of premenstrual tension. Am J Obstet Gynecol 1961;81:733-8. https://doi.org/10.1016/S0002-9378(15)33521-3
  33. Kim J, Ryu SY. The prevalence of premenstrual syndrome and its related factors among high school girls. J Korean Soc Matern Child Health 2006;10:11-20.
  34. Choi KH. Dysmenorrhea pattern and self-management in the middle and high school girl students [dissertation]. Daegu: Kyungpook National University, 1998.

피인용 문헌

  1. Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study vol.2013, pp.None, 2013, https://doi.org/10.1155/2013/316212
  2. Age at menarche in the Korean female: secular trends and relationship to adulthood body mass index vol.18, pp.2, 2011, https://doi.org/10.6065/apem.2013.18.2.60
  3. Relationship of age at menarche on anthropometric index and menstrual irregularity in late adolescent girls in Seoul vol.18, pp.3, 2013, https://doi.org/10.6065/apem.2013.18.3.116
  4. The Prevalence and Symptoms of Premenstrual Syndrome under Examination vol.3, pp.1, 2011, https://doi.org/10.4236/jbm.2015.31001
  5. Herbal medicine (Gyejibongneyong-hwan) for treating primary dysmenorrhoea: a protocol for a systematic review of randomised controlled trials vol.6, pp.9, 2011, https://doi.org/10.1136/bmjopen-2016-011071
  6. The Effect of Relaxation and Positive Self-Talk on Symptoms of Premenstrual Syndrome vol.3, pp.2, 2011, https://doi.org/10.17795/ajnpp-40177
  7. A Prospective Comparison Study of Heart Rate Variability During Menses in Young Women With Dysmenorrhea vol.18, pp.4, 2011, https://doi.org/10.1177/1099800416640875
  8. A study on the relationship of sociocultural characteristics, menstrual hygiene practices and gynaecological problems among adolescent girls in Eastern India vol.29, pp.5, 2011, https://doi.org/10.1515/ijamh-2015-0111
  9. A study on the relationship of sociocultural characteristics, menstrual hygiene practices and gynaecological problems among adolescent girls in Eastern India vol.29, pp.5, 2011, https://doi.org/10.1515/ijamh-2015-0111
  10. A study on menstruation of Indian adolescent girls in an urban area of South India vol.7, pp.4, 2018, https://doi.org/10.4103/jfmpc.jfmpc_258_17
  11. Biopsychosocial etiology of premenstrual syndrome: A narrative review vol.7, pp.2, 2011, https://doi.org/10.4103/jfmpc.jfmpc_336_17
  12. Investigation of Self-Esteem in High School Students with Premenstrual Syndrome vol.6, pp.1, 2018, https://doi.org/10.5812/rijm.12249
  13. Chronophilia; or, Biding Time in a Solar System vol.11, pp.2, 2011, https://doi.org/10.1215/22011919-7754523
  14. Menstrual Cycle Characteristics and Premenstrual Syndrome Prevalence Based on the Daily Record of Severity of Problems in Korean Young Adult Women vol.50, pp.1, 2011, https://doi.org/10.4040/jkan.2020.50.1.147
  15. Adolescents' experiences of menarche and menstruation in disadvantaged schools in South Africa: a qualitative exploration vol.121, pp.4, 2021, https://doi.org/10.1108/he-12-2020-0122
  16. Effects of a dietary modification intervention on menstrual pain and urinary BPA levels: a single group clinical trial vol.21, pp.1, 2021, https://doi.org/10.1186/s12905-021-01199-3