Modifying Eating Behaviors Might Improve Primary Dysmenorrhea: Finding of a Systematic Review

سال انتشار: 1397
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 436

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شناسه ملی سند علمی:

LAMOGMED03_118

تاریخ نمایه سازی: 21 بهمن 1397

چکیده مقاله:

Background: Dysmenorrhea is the most common health-related problem (60%) among women in the reproductive age. literature review suggested a potential role for women s daily diet in association with severity of dysmenorrhea which can affect the incidence and severity of primary dysmenorrhea. The aim of study was to review association of eating behaviors influencing primary dysmenorrhea.Methods: The databases of ISI web of Science, Embase, Scopus and PubMed [including Medline] were searched using keywords related to nutrition, diet and primary dysmenorrhea. Observational studies, published in English after year 1990 to April 2018 that focusing on nutritional factors affecting primary dysmenorrhea were included. A modified ten item STROBE checklist was used to evaluate the studiesResults: In this review study, out of 5814 retrieved studies, 14 articles met inclusion criteria and were included for final data synthesis. Eating behaviors like skipping breakfast, irregular eating, having fast foods or process foods were studied in different researches. Skipping breakfast was the most studied eating behavior. In this regard six studies found significant correlation between skipping breakfast and intensity of dysmenorrhea. These studies showed that participants who skip breakfast suffered higher intensity of dysmenorrhea; inconsistently, one study did not found significant relation between having breakfast and dysmenorrhea. Also no association was found between attitudes toward eating breakfast with dysmenorrhea. Habit of irregular eating or meal skipping was studied by two more studies. Both studies showed that participants who ate irregularly and skipped meal had significantly higher intensity dysmenorrhea. Also significant differences was reported between the groups with and without dysmenorrhea in terms of eating behavior.Discussion: Nutritional deficiencies are the most important factors that disrupt the hypothalamic-pituitary-ovarian axis. Nutritional deficiencies such as not eating breakfast contribute to the development of gynecological disorders. The nutritional status affects sexual steroids. Insufficient nutrition causes a change in hormonal levels due to reduced energy levels. Menstrual pain occurs only during ovulation. For example, progesterone affects the synthesis of prostaglandins and their attachment to myometrium receptors. Prostaglandins affect the uterine muscle and vascular tone, and the imbalance of prostaglandins causes dysmenorrhea. In addition, progesterone may have some effects on the concentration of prostaglandin in myometrium.Conclusion: while most of studies in this regard showed negative effect of meal skipping and on dysmenorrhea, attention should be focused on female nutritional behavior correction to have enough and balanced diet. Considering the negative effects of dysmenorrhea on the quality of life, it is necessary to take measures to increase the knowledge of women about dysmenorrhea and make appropriate lifestyle changes to control it.

نویسندگان

Zainab Alimoradi

PhD in Reproductive Health, Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran

Zahra Bajalan

MSc in Midwifery, Midwifery Department, School of Nursing and Midwifery, Qazvin University of Medical Science, Qazvin, Iran

Farideh Kazemi

Ph.D in Reproductive Health, Midwifery Department, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran

Farnoosh Moafi Ghafari

MSc in Midwifery, Midwifery Department, School of Nursing and Midwifery, Qazvin University of Medical Science, Qazvin, Iran