Effects of Eating Behavior, Drinking Behavior, and Exercise Behavior on Premenstrual Syndrome of Female High School Students in Bangkok
Main Article Content
Abstract
Premenstrual syndrome was the health and learning issue among female high school students in Bangkok. Studying about factors related to premenstrual syndrome could lead to appropriate solutions for this problem. Research objectives were to 1) describe premenstrual syndrome, eating behavior, drinking behavior and, exercise behavior 2) analyze the relationships between eating behavior, drinking behavior, exercise behavior, and premenstrual syndrome and 3) analyze the effects of eating behavior, drinking behavior, and exercise behavior on premenstrual syndrome among students. Samples were 119 female students studying in grades 10–12 in schools located in Bangkok. Research instruments were premenstrual syndrome, exercise behavior, eating and drinking behavior scale. Reliability of instruments was verified using the Cronbach’s alpha coefficients ranging from .580 to .800.
All scales possessed construct validity. Data were analyzed using descriptive statistics, the Pearson’s correlation coefficient, and multiple regression analysis. Research findings were as follows. 1) Premenstrual syndrome among female students was at moderate level (M = 3.05, SD = 0.86), eating behavior (M = 2.97, SD = 0.94) and drinking behavior (M = 2.84, SD = 0.97) were also at moderate levels. Exercise behavior was found to be at low level (M = 22.51,
SD = 29.40). 2) Eating behavior and drinking behavior had the significant positive correlations with premenstrual syndrome, while exercise behavior showed insignificant negative correlation with premenstrual syndrome. 3) Eating behavior and drinking behavior had significant positive effects on premenstrual syndrome while exercise behavior had insignificant positive effect on premenstrual syndrome.
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ข้อความและบทความในวารสารการวัด ประเมินผล สถิติ และการวิจัยทางสังคมศาสตร์ เป็นแนวคิดของผู้เขียน มิใช่ความคิดเห็นของกองบรรณาธิการวารสาร จึงมิใช่ความรับผิดชอบของวารสารการวัด ประเมินผล สถิติ และการวิจัยทางสังคมศาสตร์ บทความในวารสารต้องไม่เคยตีพิมพ์ที่ใดมาก่อน และสงวนสิทธิ์ตามกฎหมายไทย การจะนำไปเผยแพร่ ต้องได้รับอนุญาตเป็นลายลักษณ์อักษรจากกองบรรณาธิการ
References
Abeje, A., & Berhanu, Z. (2019). Premenstrual syndrome and factors associated with it among secondary and preparatory school students in Debremarkos town, North-west Ethiopia, 2016. BMC Research Notes, 12(1), 1-5. https://doi.org/10.1186/s13104-019-4549-9
Allihabi, A. (2019). Premenstrual syndrome-Prevalence, severity and effect on academic performance: A comparative study between students of medicine and literature. J Womens Health Gyn, 6, 1-18. https://doi.org/10.17303/jwhg.6.301
Barrington, A. S., Arsenault, J. E., Cates, S. C., & Muth, M. K. (2015). Perceived stress, unhealthy eating behaviors, and severe obesity in low-income women. Nutrition Journal, 14, 1-10. https://doi.org/10.1186/s12937-015-0110-4
Bertone-Johnson, E. R., Hankinson, S. E., Willett, W. C., Johnson, S. R., & Manson, J. E. (2010).
Adiposity and the development of premenstrual syndrome. Journal of Women’s Health, 19(11), 1955-1962. https://doi.org/10.1089/jwh.2010.2128
Bhuvaneswari, K., Rabindran, P., & Bharadwaj, B. (2019). Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry. National Medical Journal of India, 32(1), 17-9. https://doi.org/10.4103/0970-258x.272109
Biggs, W. S., & Demuth, R. H. (2011). Premenstrual syndrome and premenstrual dysphoric disorder. American Family Physician, 84(8), 918-924.
Bosarge P. M. (2003). Understanding and treating PMS/PMDD. Nursing, Suppl, 13–17. https://doi.org/10.1097/00152193-200311001-00005
Brewer, C. J., & Balen, A. H. (2010). Focus on obesity: The adverse effects of obesity on conception and implantation. Reproduction, 140(3), 347-364. https://doi.org/10.1530/REP-09-0568
Buddhabunyakan, N., Kaewrudee, S., Chongsomchai, C., Soontrapa, S., Somboonporn, W., & Sothornwit, J. (2017). Premenstrual syndrome (PMS) among high school students. International Journal of Women’s Health, 9, 501–505. https://doi.org/10.2147/IJWH.S140679
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126. http://www.jstor.org/stable/20056429
Cheng, S. H., Shih, C. C., Yang, Y. K., Cheng, K. T., Chang, Y. H., & Yang, Y. C. (2013). Factors associated with premenstrual syndrome—A survey of new female university students. The Kaohsiung Journal of Medical Sciences, 29(2), 100-105. https://doi.org/10.1016/j.kjms.2012.08.017
Cooper, K. H. & Blair, S. N. (2024, May 16). Exercise. Encyclopedia Britannica. https://www.britannica.com/topic/exercise-physical-fitness
Dasso, N. A. (2019, January). How is exercise different from physical activity? A concept analysis. In Nursing forum (Vol. 54, No. 1, pp. 45-52). https://doi.org/10.1111/nuf.12296
Dietz, K., Gail, M., Krickeberg, K., Samet, J., & Tsiatis, A. (2005). Statistics for biology and health: Survival analysis (7th ed.). Springer.
Elnagar, R. R., Elmashed, H. A. M., & Kheder, N. F. H. (2017). Menstrual disorders: Incidence and its effect on students' academic performance. International Journal of Nursing Didactics, 7(3), 27-37. https://doi.org/10.15520/ijnd.2017.vol7.iss3.199.27-37
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2019). Multivariate data analysis (8th ed.). Cengage Learning.
Hofmeister, S., & Bodden, S. (2016). Premenstrual syndrome and premenstrual dysphoric disorder. American Family Physician, 94(3), 236-240.
Isganaitis, E., & Lustig, R. H. (2005). Fast food, central nervous system insulin resistance, and obesity. Arteriosclerosis, Thrombosis, and Vascular Biology, 25(12), 2451-2462. https://doi.org/10.1161/01.atv.0000186208.06964.91
Kelley, G. A., Kelley, K. S., & Pate, R. R. (2014). Effects of exercise on BMI z-score in overweight and obese children and adolescents: a systematic review with meta-analysis. BMC pediatrics, 14, 1-16. https://doi.org/10.1186/1471-2431-14-225
Khan, M. M. A., Karim, M., Islam, A. Z., Islam, M. R., Khan, H. T., & Khalilullah, M. I. (2019). Prevalence of overweight and obesity among adolescents in Bangladesh: do eating habits and physical activity have a gender differential effect?. Journal of Biosocial Science, 51(6), 843-856. https://doi.org/10.1017/S0021932019000142
Khoerunida, R., Sari, S. P., & Amira, I. (2024). The correlation between eating behavior and nutritional status in senior high school adolescents. Indonesian Journal of Global Health Research, 6(4), 1985-1994. https://jurnal.globalhealthsciencegroup.com/index.php/IJGHR/article/view/3276
Kiltie, J. T., Satchell, L. P., Childs, M. J., Daniels, M., Gould, C. S., Sparrowe, K., & Husted, M. (2024). The relationship between change in routine and student mental wellbeing during a nationwide lockdown. The Journal of General Psychology, 151(2), 155-172. https://doi.org/10.1080/00221309.2023.2241949
Kim, H. J., Choi, S. Y., & Min, H. (2019). Effects of Sleep Pattern, Stress, Menstrual Attitude, and Behavior That Reduces Exposure to Endocrine Disrupting Chemicals on Premenstrual Syndrome in Adolescents. Korean Journal of Women Health Nursing, 25(4), 423–433. https://doi.org/10.4069/kjwhn.2019.25.4.423
Kral, J. G., Buckley, M. C., Kissileff, H. R., & Schaffner, F. (2001). Metabolic correlates of eating behavior in severe obesity. International Journal of Obesity, 25(2), 258-264. https://doi.org/10.1038/sj.ijo.0801469
Kritz-Silverstein, D., Wingard, D. L., & Garland, F. C. (1999). The association of behavior and lifestyle factors with menstrual symptoms. Journal of Women's Health & Gender-Based Medicine, 8(9):1185-93. https://doi.org/10.1089/jwh.1.1999.8.1185
Kuźbicka, K., & Rachoń, D. (2013). Bad eating habits as the main cause of obesity among children. Pediatric Endocrinology, Diabetes and Metabolism, 19(3), 106-110.
Leuciuc, F. (2018). Perception on physical education among students. Revista Românească pentru Educaţie Multidimensională, 10(2), 134-143. https://doi.org/10.18662/rrem/51
Ludwig, D. S., Peterson, K. E., & Gortmaker, S. L. (2001). Relation between consumption of sugar-sweetened drinks and childhood obesity: A prospective, observational analysis. The lancet, 357(9255), 505-508. https://doi.org/10.1016/s0140-6736(00)04041-1
Maged, A. M., Abbassy, A. H., Sakr, H. R., Elsawah, H., Wagih, H., Ogila, A. I., & Kotb, A. (2018). Effect of swimming exercise on premenstrual syndrome. Archives of Gynecology and Obstetrics, 297, 951-959. https://doi.org/10.1007/s00404-018-4664-1
Mahoney, C. R., Giles, G. E., Marriott, B. P., Judelson, D. A., Glickman, E. L., Geiselman, P. J., & Lieberman, H. R. (2019). Intake of caffeine from all sources and reasons for use by college students. Clinical Nutrition, 38(2), 668-675. https://doi.org/10.1016/j.clnu.2018.04.004
Nandakumar, H., Kuppusamy, M., Sekhar, L., & Ramaswamy, P. (2023). Prevalence of premenstrual syndrome among students–Stress a potential risk factor. Clinical Epidemiology and Global Health, 23, 101368.
Norman, R. J., & Clark, A. M. (1998). Obesity and reproductive disorders: a review. Reproduction, Fertility and Development, 10(1), 55-63. https://doi.org/10.1071/R98010
Oral, E., Kirkan, T., Yazici, E., Cansever, M. G. Z., & Aydin, N. (2012). Premenstrual symptom severity, dysmenorrhea, and school performance in medical students. Psychiatry and Behavioral Sciences, 2(4), 143. https://doi.org/10.5455/jmood.20120912035016
Padmavathi, P., Sankar, R., Kokilavani, N., Dhanapal, K., & Ashok, B. (2014). Validity and reliability study of premenstrual syndrome scale (PMSS). International Journal of Advances in Nursing Management, 2(1), 4-10.
Rad, M., Sabzevary, M. T., & Dehnavi, Z. M. (2018). Factors associated with premenstrual syndrome in female high school students. Journal of Education and Health Promotion, 7. https://doi.org/10.4103/jehp.jehp_126_17
Radu, L.-E., Făgăraş, S.-P., & Vanvu, G. (2015). Physical activity index of female university students. Procedia-Social and Behavioral Sciences, 191, 1763-1766. https://doi.org/10.1016/j.sbspro.2015.04.375
Richardson, A. S., Arsenault, J. E., Cates, S. C., & Muth, M. K. (2015). Perceived stress, unhealthy eating behaviors, and severe obesity in low-income women. Nutrition Journal, 14, 1-10. https://doi.org/10.1186/s12937-015-0110-4
Safarzadeh, A., Zare, S., Arbabisarjou, A., & Ghoreishinia, G. (2016). The relationship between Exercise and premenstrual syndrome. International Journal of Medical Research & Health Sciences, 5(9), 183-189.
Sanchez, B. N., William, J., Kraemer, C. M., & Maresh, C. (2023). Premenstrual syndrome and exercise: A narrative review. Women, 3(2):348-364. https://doi.org/10.3390/women3020026
Schneider, A., Hommel, G., & Blettner, M. (2010). Linear regression analysis: Part 14 of a series on evaluation of scientific publications. Deutsches Ärzteblatt International, 107(44), 776.
Seedhom, A. E., Mohammed, E. S., & Mahfouz, E. M. (2013). Life style factors associated with premenstrual syndrome among El-Minia University Students, Egypt. International Scholarly Research Notices, 2013. https://doi.org/10.1155/2013/617123
Soper, D.S. (2024). A-priori sample size calculator for multiple regression [Software]. https://www.danielsoper.com/statcalc
Tareq, A. M., Mahmud, M. H., Billah, M. M., Hasan, M. N., Jahan, S., Hossain, M. M., ... & Sayeed, M. A. (2022). Fast-food and obesity: Status among the young adult population in Bangladesh. Narra J, 2(3), e86. https://doi.org/10.52225/narraj.v2i3.86
Tolossa, F. W., & Bekele, M. L. (2014). Prevalence, impacts and medical management of premenstrual syndrome among female students: cross-sectional study in college of Health Sciences, Mekelle University, Mekelle, Northern Ethiopia. BMC Women’s Health, 14, 1-9. https://doi.org/10.1186/1472-6874-14-52
Wickham, H., Chang, W., & Wickham, M. H. (2014). Package ‘ggplot2’: An implementation of the grammar of graphics. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=af53fd2f5b9e81b6edec0c13e1b3babd34bda399
Yoshimi, K., Shiina, M., & Takeda, T. (2019). Lifestyle factors associated with premenstrual syndrome: a cross-sectional study of Japanese high school students. Journal of Pediatric and Adolescent Gynecology, 32 (6), 590-595. https://doi.org/10.1016/j.jpag.2019.09.001