Jahromi MK (2016) Premenstrual Syndrome in Adolescents and Body Composition. Int J Anat Appl Physiol. 2(2e), 1-2.
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International Journal of Anatomy & Applied Physiology (IJAAP)
ISSN 2572-7451
Premenstrual Syndrome in Adolescents and Body Composition
Editorial
Jahromi MK
Associate Professor of Sport Sciences Department, Shiraz University, Iran.
Adolescence is a time of initiation of various physical and
psychological maturation for young women when endocrinological,
metabolic, somatic and psychological changes occur ingirls.
During this phase, maturation of the endocrinological system
involved in hypothalamus, pituitary and ovary axis occur. Normal
reproductive function indicate the health of components of the
axis [1, 2]. Serious gynecological disease is rare in this age group, but
menstrual disturbances are not uncommon. The most common
menstrual abnormalities are polymenorrhea, oligomenorrhea
and dysmenorrhea [3, 4]. Menstrual disorders are more frequent
in younger girls, becoming less common during 3–5 years after
menarche [5]. Premenstrual symptoms (PMS) are one of the
frequent problems in adolescent girls. Various epidemiologic
studies have indicated that premenstrual disorders begin during
the teenage years. At least 20 % of adolescents experience
moderate-to-severe premenstrual symptoms associated with
functional impairment. Premenstrual syndrome (PMS) consists
of physical and/or psychological premenstrual symptoms that
interfere with usual life performance. Symptoms increase by
ovulation and reduce within the irst few days of menses. In
adolescents, the frequency of premenstrual dysphoric disorder,
a severe form of PMS accompanied by affective symptoms, is
likely equal to or higher than in adults [6]. Current treatment
recommendations includes lifestyle change, exercise and various
drugs or supplements that suppress the rise and fall of ovarian
steroids or augment serotonin [7]. Some drugs can cause acute or
chronic side effects.
It seems that lifestyle, physical activity and dietary patternaffect
PMS. Body mass index (BMI) (as an index of indicating body
composition) is also a factor that is probably related to PMS. It
has beendemonstrated that women who are suffering from PMS
have higher BMI values [8].
Plasma levels of sex hormones may be impaired in women who
have PMS symptoms [9]. Adipose tissue and steroid hormones
have a direct relationship and sex steroid hormones are involved
in metabolism, storage and distribution of fat tissues [10]. 17 beta-
estradiol may also affect the number of fat cells in the abdominal
subcutaneous [11].
Regarding the role of ovarian steroids in the development of
PMS, it seems that abdominal fat and obesity are important factors
that are associated with PMS. For example, it has been observed
that PMS symptoms were higher in obese women [12]. However,
another study revealed that there was no signiicant difference in
the amount of body fat between healthy women and women who
are suffering from PMS [11].
So discrepancies in indings regarding the relationship between
different body composition indices and PMS and even not
inding signiicant relationship among some body composition
indices [12], assumed the hypothesis that obesity-associated
complications such as PMS symptoms are not associated with fat
mass per se, but the pattern of fat distribution.
The positive inluence of exercise on PMS has been indicated
in many studies [13, 14, 15], but the mediatory mechanism
for this effect is not clear yet. In a recent study it has been
indicated that regular exercise, habitual activity, cardiorespiratory
itness are related to PMS [16] and each of mentioned indices
as well as nutrition probably inluence body composition.
Regarding the relationship between adolescent obesity and
various gastrointestinal, neuropsychological, pulmonary
and renal disease [17], especially intra-abdominal visceral fat
correlation with metabolic abnormalities that increase the risk of
cardiovascular diseases [18], considering the obesity and pattern
of body composition effects on PMS asa possible mediator is
recommended for future research.
References
[1]. Karapanou O, Papadimitriou A (2010) Determinants of menarche. Reprod
BiolEndocrinol. 8:115.doi: 10.1186/1477-7827-8-115
[2]. Slap GB (2003) Menstrual disorders in adolescence. Best Pract Res ClinOb-
stetGynaecol. 17(1): 75–92.
[3]. Fraser IS, Critchley HO, Munro MG, Broder M (2007) Can we achieve
*Corresponding Author:
Maryam Koushkie Jahromi
Associate Professor of Sport Sciences Department, Shiraz University, Iran.
E-mail: koushkie53@yahoo.com
Received: October 06, 2016
Published: October 07, 2016
Citation: Jahromi MK (2016) Premenstrual Syndrome in Adolescents and Body Composition. Int J Anat Appl Physiol. 2(2e), 1-2. doi: http://dx.doi.org/10.19070/2572-7451-160003e
Copyright: Jahromi MK
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2016. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution
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