J Korean Soc Matern Child Health.  2021 Apr;25(2):88-98. 10.21896/jksmch.2021.25.2.88.

The Influence of Female University Students' Life Style, Women's Health Characteristics, and Endocrine Disrupting Chemicals on Menstrual Symptoms

• KMID: 2515646
• DOI: http://doi.org/10.21896/jksmch.2021.25.2.88

Abstract

Purpose
Menstrual symptoms are psychological and physical symptoms caused by hormonal changes according to the menstrual cycle, and many women complain of discomfort. This study was conducted to determine the factors that influence menstrual symptoms in female university students.
Methods
Data collection was performed among 247 female students through convenient sampling at 2 universities in Korea, and the final analysis was conducted in 240 female students. Life style, women’s health characteristics, endocrine disrupting chemicals (EDCs), and menstrual symptoms were assessed. Data were analyzed using an independent t-test, analysis of variance, and hierarchical regression analysis.
Results
The results of hierarchical regression analysis of the variables that showed significant results among variables related to menstrual symptoms were as follows: amount of menstruation (β=0.20, p=0.001), use of scented candles (β=0.19, p=0.002), women's health-related disease (β=0.15, p=0.015), irregular exercise (β=0.14, p=0.021), the use of a styrofoam container for food packaging (β=0.14, p=0.035), and change in menstrual bleeding amount (β=0.13, p=0.037) had a significant positive effect on menstrual symptoms.
Conclusion
In order to reduce the discomfort caused by menstrual symptoms, it is necessary to maintain a life style or women's health, and avoid the use of EDCs that have an impact on female reproductive hormones.

Reference

Ahn JH., Kim KH., Kim YH., Kim BW. Characterization of hazardous and odorous volatiles emitted from scented candles before lighting and when lit. J Hazard Mater. 2015. 286:242–51.

American Academy of Pediatrics Committee on Adolescence; American College of Obstetricians and Gynecologists Committee on Adolescent Health Care. Diaz A., Laufer MR., Breech LL. Menstruation in girls and adolescents: using the menstrual cycle as a vital sign. Pediatrics. 2006. 118:2245–50.

Andrçen L., Nyberg S., Turkmen S., van Wingen G., Fernçndez G., Bçckstrøm T. Sex steroid induced negative mood may be explained by the paradoxical effect mediated by GABAA modulators. Psychoneuroendocrinology. 2009. 34:1121–32.

Bridges B. Fragrance: emerging health and environmental concerns. Flavour Fragr J. 2002. 17:361–71.

Chang HY., Park SM. Effects of exposure to endocrine disruptors, burnout, and social support from peers on premenstrual syndrome in nurses. Korean J Women Health Nurs. 2020. 26:171–9.

Critchley HO., Babayev E., Bulun SE., Clark S., Garcia-Grau I., Gregersen PK, et al. Menstruation: science and society. Am J Obstet Gynecol. 2020. 223:624–64.

Hong JI. Relationships between premenstrual syndrome and dietary factors, psychosocial factors, and exposure to endocrine disruptors of girl students in Gyungi province [dissertation]. Suwon (Korea): University of Suwon;2017.

Jeon JH., Hwang SK. A structural equation modeling on premenstrual syndrome in adolescent girls. J Korean Acad Nurs. 2014. 44:660–71.

Jeong IG. Premenstrual syndrome and exercise: prospect of further research. J Sport Leisure Stud. 2012. 48:973–80.

Kim HJ., Choi SY., Min H. Effects of sleep pattern, stress, menstrual attitude, and behavior that reduces exposure to endocrine disrupting chemicals on remenstrual syndrome in adolescents. Korean J Women Health Nurs. 2019. 25:423–33.

Kim M., Kim H. Recognition, information acquisition behavior, knowledge, behaviors to decrease exposure and education need toward endocrine disruptors among middle and high school students. J Korean Assoc Pract Arts Educ. 2009. 21:123–42.

Kim SK., Park SM. Factors related to endocrine disruptors exposing behaviors in mothers of infants. Korean J Women Health Nurs. 2017. 23:256–64.

Kim SM., Lee DJ., Han IG., Choe GH., Yang GM., Kim JY, et al. Study on the insulin resistance according to obesity in the patients with polycystic ovarian syndrome. Obstet Gynecol Sci Science. 2003. 46:1543–8.

Kim TH., Park HS., Lee HH., Chung SH. Premenstrual syndrome and dysmenorrhea in the career women at Bucheon City. Korean J Obstet Gynecol. 2011. 54:523–8.

Lee K., Cheon S., Kim M., Lee EH., Lee SB., Jeong GH, et al. Development of Korean menstrual symptom scale for university students. Korean J Women Health Nurs. 2018. 24:414–22.

Lee SO. Effect of sex knowledge, intention to visit obstetrics-gynecology, awareness of visit of female college students on reproductive health promoting behavior. J Korean Soc Matern Child Health. 2019. 23:84–92.

MacDonald PC., Dombroski RA., Casey ML. Recurrent secretion of progesterone in large amounts: an endocrine/metabolic disorder unique to young women? Endocr Rev. 1991. 12:372–401.

Maged AM., Abbassy AH., Sakr HR., Elsawah H., Wagih H., Ogila AI, et al. Effect of swimming exercise on premenstrual syndrome. Arch Gynecol Obstet. 2018. 297:951–9.

Ministry of Environment. 2002 White paper of environment. Seoul (Korea): Ministry of Environment;2002 Nov. Report No.: 11–1480000–000156–10.

Nezhat C., Li A., Abed S., Balassiano E., Soliemannjad R., Nezhat A, et al. Strong association between endometriosis and symptomatic leiomyomas. JSLS. 2016. 20:e2016.00053.

Park YJ., Shin H., Jeon S., Cho I., Kim YJ. Menstrual cycle patterns and the prevalence of premenstrual syndrome and polycystic ovary syndrome in Korean young adult women. Healthcare. 2021. 9:56.

Saglam HY., Orsal O. Effect of exercise on premenstrual symptoms: a systematic review. Complement Ther Med. 2020. 48:102272.

Schoep ME., Nieboer TE., van der Zanden M., Braat DDM., Nap AW. The impact of menstrual symptoms on everyday life: a survey among 42,879 women. Am J Obstet Gynecol. 2019. 220:569.e1–7.

Schug TT., Janesick A., Blumberg B., Heindel JJ. Endocrine disrupting chemicals and disease susceptibility. J Steroid Biochem Mol Biol. 2011. 127:204–15.

Sifakis S., Androutsopoulos VP., Tsatsakis AM., Spandidos DA. Human exposure to endocrine disrupting chemicals: effects on the male and female reproductive systems. Environ Toxicol Pharmacol. 2017. 51:56–70.

Wang HJ., Kang MS., Oh SM. Influential factors on premenstrual syndrome in female college students. Korean Parent Child Health J. 2018. 21:1–10.

Wolf WM., Wattick RA., Kinkade ON., Olfert MD. Geographical prevalence of polycystic ovary syndrome as determined by region and race/ethnicity. Int J Environ Res Public Health. 2018. 15:2589.

Yang CY., Lee CU., Moon DH., Kim DH., Lee CK. Effects of organic solvents on the menstrual cycle in female workers. J Korean Soc Occup Environ Hyg. 2003. 13:273–80.

Yoon SJ. Influence of type D personality, dietary assessment and increase exposure toward endocrine disrupting chemicals on the dysmenorrhea. J Korean Soc Matern Child Health. 2018. 22:17–24.

Ziomkiewicz A., Pawlowski B., Ellison PT., Lipson SF., Thune I., Jasienska G. Higher luteal progesterone is associated with low levels of premenstrual aggressive behavior and fatigue. Biol Psychol. 2012. 91:376–82.