The influence of macronutrient intake, stress and prostaglandin levels (pgf2α) of urine with the incidence of dysmenorrhea in adolescents

Abstract

Objectives: This study aimed to analyze the influence of macronutrient intake, stress, and prostaglandin levels (pgf2α) on adolescent dysmenorrhea incidence. Method: This type of study is observational analytic with a cohort study draft done in January–March 2020 at High junior school 21 Makassar. Respondents in this study were grade X and XI students divided into 64 teenagers who had dysmenorrhea and 64 adolescents who did not experience Dysmenrhea. The criteria of the respondent in this study were the reproductive age, already experiencing menstruation, knowing the time and date of menstruation, menstrual cycles were regular, and willing to be respondents. The study used Menstrual Symptoms Questionnaire (MSQ) and used an ultrasonography (ultrasound) examination to perform the sample cervical. Food recall 24 hours to assess the intake of macronutrients, Depression Anxiety Stress Scales (DASS 42) to measure stress levels, and an examination of urine prostaglandin levels using the method Enzyme-Linked Immunosorbent Assay (ELISA). Urine intake is carried out on the second day as much as 2–5 cc. Data were analyzed by the Chi-square test and logistics regression backward. Result: A multivariate analysis showed a variable that strongly affects dysmenorrhea is stress with the value p = 0.000 and the level of prostaglandins with p-value = 0.003 compared to other variables. Conclusion: Stress and prostaglandin levels significantly affect the occurrence of dysmenorrhea in adolescents.

Keywords

• Intake of macronutrients
• Stress
• Prostaglandin levels (pgf2α)
• Dysmenorrhea