Relationships between Body Mass Index, Nutritional Intakes, and Living Arrangement with Menstrual Cycle among Students
DOI:
https://doi.org/10.26911/thejmch.2023.08.01.05Abstract
Background: Disorders of the menstrual cycle are common in women aged 18-26 years. Indonesian Basic Health Research year 2013 data shows that as many as 13.7% of women of reproductive age experience problems with irregular menstrual cycles. Disturbances in the menstrual cycle can cause infertility and decrease the quality of life of students. The purpose of this study was to determine the relationship between body mass index (BMI), nutritional intake patterns, and living arrangements with the menstrual cycle of female students.
Subjects and Method: A cross-sectional study was conducted at the Faculty of Medicine, Airlangga University, from July to September 2022. A total of 176 female students from the Faculty of Medicine, Airlangga University, class of 2018-2021 were selected using a purposive sampling technique. The dependent variable is the menstrual cycle. The independent variables are body mass index (BMI), patterns of nutritional intake, and living arrangements. The instrument used in this research is a questionnaire. Research data were analyzed using binary logistic regression.
Results: Overweight BMI (OR= 49.32; 95%CI= 9.57 to 254.35; p<0.001) and patterns of excess nutrition (OR= 28.69 95%CI= 4.97 to 165.94; p<0.001) have a relationship with female students' menstrual cycles Faculty of Medicine, Airlangga University
Conclusion: Overweight BMI and nutritional intake patterns together have a relationship to the menstrual cycle of female students at the Faculty of Medicine, Airlangga University.
Keywords: body mass index, pattern of nutritional intake, living arrangement, menstrual cycle
Correspondence: Aliza Umar Indriani, Faculty of Medicine, Universitas Airlangga. Jl. Mayjen Prof. Dr. Moestopo No. 47, Tambaksari, Surabaya 60132, East Java. Email: aliza.umar.indriani-2019@fk.unair.ac.id. Mobile: +6281252337795.
References
Ahmad A, Garg SG, Gupta S, Alvi R (2021). Knowledge and practices related to menstruation among lucknow college students in North India: results from cross-sectional survey. medRxiv. doi: https://doi.org/10.1101/2021.02.10.21251460.
Ali Abdella DNH, Nasr Abd-Elhalim DEH, Fathy ADA (2016). The Body Mass Index and Menstrual Problems among Adolescent Students. IOSR-JNHS. 05(04). doi: https://doi.org/10.9790/19590504021321.
Amgain K, Neupane, S (2019). Effects of bmi and food habits on menstrual characteristics among adolescent girls. EJMS. 1(1). doi: https://doi.org/10.46405/ejms.v1i1.35.
Aryani HP, Santoso B, Purwanto B, Mudjanarko SW, Utomo B (2020). The Effect of Low Calorie High Protein Diet on Insulin, TNFα and P38MAPK levels in insulin-resistant pcos mice models. Syst Rev Pharm. 11(10): 597–605. doi: https://doi.org/10.31838/srp.2020.10.89.
Bajalan Z, Alimoradi Z, Moafi F (2019). Nutrition as a potential factor of primary dysmenorrhea: A systematic review of observational studies. Ginecol Obstet Invest. 84(3). doi: https://doi.org/10.1159/000495408.
Baziad A (2008). Kontrasepsi hormonal (1st ed) (Hormonal contraception (1st ed)). PT. Bina Pustaka Sarwono Prawirohardjo.
Benz MB, DiBello AM, Balestrieri SG, Miller MB, Merrill JE, Lowery AD, Mastroleo NR, et al. (2017). Off-Campus residence as a risk factor for heavy drinking among college students. Subst Use Misuse. 52(9). doi: https://doi.org/10.1080/10826084.2017.1298620.
Cirillo PM, Wang ET, Cedars MI, Chen LM, Cohn BA (2016). Irregular menses predicts ovarian cancer: prospective evidence from the child health and development studies. IJC. 139(5). doi: https://doi.org/10.1002/ijc.30144.
Dars S, Sayed K, Yousufzai Z (2014). Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls. Pak J Med Sci Q. 30(1). doi: https://doi.org/10.12669/pjms.301.3949.
Devi, M (2009). Hubungan kebiasaan makan dengan kejadian sindrom pra-menstruasi pada remaja putri (The relationship between eating habits and the incidence of premenstrual syndrome in young women). Teknologi Dan Kejuruan. 32(2). doi: http://dx.doi.org/10.17977/tk.v32i2.3101.
Dewantari NM (2013). Peranan gizi dalam kesehatan reproduksi (The role of nutrition in reproductive health). Jurnal Skala Husada. 10(2):219-224. Available at: http://www.poltekkesdenpasar.ac.id/files/JSH/V10N2/ Ni%20Made%20Dewantari1%20JSH%20V10N2.pdf
Dya NM, Adiningsih S (2019). Hubungan antara status gizi dengan siklus menstruasi pada siswi MAN 1 Lamongan (The relationship between nutritional status and menstrual cycle in Lamongan 1st Public School Students). Amerta Nutr. 3(4). doi: https://doi.org/10.20473/amnt.v3i4.2019.310314.
El Ansari W, Stock C, Mikolajczyk RT (2012). Relationships between food consumption and living arrangements among university students in four European countries - A cross-sectional study. Nutr. 11(1). doi: https://doi.org/10.1186/147528911128.
Gil YRC, Fagunde RLM, Santos E, Calvo MCM, Bernardine JD (2009). Relation of menstrual cycle and alimentary consumption of women. ESPEN. 4(5). doi: https://doi.org/10.1016/j.eclnm.2009.08.002.
Hanapi S, Arda ZA, Bahi W (2021). Hubungan kecukupan zat gizi makro, stres dan aktivitas fisik dengan siklus menstruasi relationship (Relationship between adequacy of macronutrients, stress and physical activity with the menstrual cycle relationship). GJPH. 4(1). doi: https://doi.org/10.32662/gjph.v4i1.1432.
Hosokawa M, Imazeki S, Mizunuma H, Kubota T, Hayashi K (2012). Secular trends in age at menarche and time to establish regular menstrual cycling in Japanese women born between 1930 and 1985. BMC Women’s Health. 12. doi: https://doi.org/10.1186/147268741219.
Kusmiran (2016). Kesehatan reproduksi remaja dan wanita (Adolescent and wo-men's reproductive health). Salemba Medika: Jakarta. Repository Poltekkesjogja.
Lupi S, Bagordo F, Stefanati A, Grassi T, Piccinni L, Bergamini M, De Donno A (2015). Assessment of lifestyle and eating habits among undergraduate students in Northern Italy. Ann Ist Super. 51(2). doi: https://doi.org/10.4415/ANN_15_02_14.
Marmi (2013). Gizi dalam Kesehatan Reproduksi (Nutrition in Reproductive Health). Pustaka Pelajar.
Mumford SL, Chavarro JE, Zhang C, Perkins NJ, Sjaarda LA, Pollack AZ, Schliep KC, et al. (2016). Dietary fat intake and reproductive hormone concentrations and ovulation in regularly menstruating women. AJCN. 103(3). doi: https://doi.org/10.3945/ajcn.115.119321.
Mumford SL, Steine AZ, Pollack AZ, Perkin NJ, Filiberto AC, Albert PS, Mattison DR, et al. (2012). The utility of menstrual cycle length as an indicator of cumulative hormonal exposure. J. Clin. Endocr. 97(10). doi: https://doi.org/10.1210/jc.20121350.
Munro MG, Critchle HOD, Fraser IS, Haththotuwa R, Kriplani A, Bahamondes L, Füchtner C, et al (2018). The two FIGO systems for normal and abnormal uterine bleeding symptoms and classifycation of causes of abnormal uterine bleeding in the reproductive years: 2018 revisions. Int. J. Gynecol. Obstet. 143(3). doi: https://doi.org/10.1002/ijgo.12666.
Norheim OF, Jha P, Admasu K, Godal T, Hum RJ, Kruk ME, Gómez-Dantés O, et al. (2015). Avoiding 40% of the premature deaths in each country, 2010-30: Review of national mortality trends to help quantify the un sustainable development goal for health. The Lancet. 385(9964). doi: https://doi.org/10.1016/S01406736(14)615919.
Pérez-Pérez A, Sánchez-Jiménez F, Maymó J, Dueñas JL, Varone C, Sánchez-Margalet V (2015). Role of leptin in female reproduction. Clin. Chem. Lab. Med. 53(1). doi: https://doi.org/10.1515/cclm20140387.
Prathita YA, Syahredi S, Lipoeto NI (2017). Hubungan status gizi dengan siklus menstruasi pada mahasiswi Fakultas Kedokteran Universitas Andalas (Relationship between nutritional status and menstrual cycle in female students at the Faculty of Medicine, Andalas University). JKA. 6(1). doi: https://doi.org/10.25077/jka.v6i1.653.
Rachmawati PA, Murbawani EA (2015). Hubungan asupan zat gizi, aktivitas fisik, dan persentase lemak tubuh dengan gangguan siklus menstruasi pada penari (The relationship between nutrient intake, physical activity, and body fat percentage with menstrual cycle disorders in dancers). JNC. 4(1). doi: https://doi.org/10.14710/jnc.v4i1.8619.
Rakhmawati A, Dieny FF (2013). Hubungan obesitas dengan kejadian gangguan siklus menstruasi pada wanita dewasa muda (The relationship between obesity and the incidence of menstrual cycle disorders in young adult women). JNC. 2(1). doi: https://doi.org/10.14710/jnc.v2i1.2106.
Sazali MFI, Abdullah HM, Shari N, Herawati L, Nordin NI, Othman Z (2021). The effect of calorie restricted diet on anthropometric and biochemical parameters in Sprague Dawley rats. NFS. 51(8): 1177–1193. doi: https://doi.org/10.1108/NFS0120210029.
Simbolon P, Sukohar A, Ariwibowo C, Susianti (2018). Hubungan indeks massa tubuh dengan lama siklus menstruasi pada mahasiswi angkatan 2016 Fakultas Kedokteran Universitas Lampung (The relationship between body mass index and menstrual cycle length in student class of 2016, Faculty of Medicine, University of Lampung). Majority. 7(2): 164–170. Available at: http://repository.lppm.unila.ac.id/12625/1/1869.
Sitoayu L, Pertiwi DA, Mulyani EY (2017). Kecukupan zat gizi makro, status gizi, stres, dan siklus menstruasi pada remaja (Adequacy of macronutrients, nutritional status, stress, and menstrual cycles in adolescents). Jurnal Gizi Klinik Indonesia. 13(3). doi: https://doi.org/10.22146/ijcn.17867.
Small M, Bailey-Davis L, Morgan N, Maggs J (2013). Changes in eating and physical activity behaviors across seven semesters of college: living on or off campus matters. Health Educ Behav. 40(4). doi: https://doi.org/10.1177/1090198112467801.