Síndrome pré-menstrual em mulheres jovens

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Síndrome pré-menstrual: prevalência e fatores associados na populacao urbana de Pelotas.

Objective: To study the prevalence and associated factors of the Pre Menstrual Syndrome (PMS), by characterizing its most common symptoms, and compare the prevalence with self-reported PMS. Methods: In a cross-sectional population-based study, including women aged 15 to 49 years old, questionnaires were applied at home to measure PMS prevalence, through a score based on five premenstrual symptoms that interfered in family life or that led to work or school absence. The association between some socioeconomic, demographic and behavioral variables and PMS were investigated. Self-reported PMS was investigated and taking into account PMS score as the gold standard, the sensitivity and specificity of the selfreported PMS were tested. Results: The prevalence of PMS was of 25.2% (CI 95% 22,5; 27,9) and of the self-reported PMS was of 60.3% (CI 95% 57,4; 63,3). The main symptoms found were: irritability, stomachache, nervousness, headache, fatigue and mastalgia, all of them with more than 50% of prevalence. Women with white skin, higher economic level, better education level and younger than 30 years old presented greater risk of PMS. Psychotropic drugs users, and women who were not in use hormonal contraceptive presented a higher prevalence of PMS. The self-reported PMS sensitivity was of 94%, the specificity was of 51% and the accuracy of 62%. Conclusions: Although self-reported PMS was higher than those measured by the symptoms score, about one quarter of women presented PMS based on five premenstrual symptoms and repercussions in women’s daily life.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESObjetivo: Estudar a prevalência e fatores associados à Síndrome Pré-menstrual (SPM) e comparar a prevalência da SPM encontrada com a prevalência da SPM auto-referida. Métodos: Em um estudo transversal, de base populacional, com mulheres de 15 a 49 anos, questionários domiciliares foram aplicados para medir a prevalência de SPM através de um escore, construído a partir de cinco sintomas pré-menstruais que interferiam na vida familiar ou levavam à falta ao trabalho ou a escola. Associações entre alguns fatores socioeconômicos, demográficos e comportamentais e SPM foram estudados. SPM auto referida foi investigada e considerando o escore de SPM como padrão ouro, sua sensibilidade e especificidade foram testadas. Resultados: A prevalência de SPM foi de 25,2% (IC 95% 22,5; 27,9) e de SPM auto-referida 60,3% (IC 95% 57,4; 63,3). Os principais sintomas pré-menstruais foram: irritabilidade, desconforto abdominal, nervosismo, cefaléia, cansaço e mastalgia, todos acima de 50 % de prevalência. Mulheres de melhor nível econômico, maior escolaridade, menores de 30 anos e com pele branca apresentaram risco mais elevado. As usuárias de psicofármacos e as que não usavam anticoncepção hormonal apresentaram maior prevalência. A sensibilidade do teste foi de 94%, a especificidade 51% e a acurácia 62%. Conclusões: Foi alta a prevalência de SPM em Pelotas e, embora a percepção das mulheres seja maior do que aquela medida com o escore, ainda assim, um quarto das mulheres apresenta esse problema de saúde

Estudo populacional de síndrome pré-menstrual

OBJECTIVE: To study the prevalence of premenstrual syndrome and the factors associated with this, by comparing the obtained frequency with the self-reported frequency. METHODS:This was a cross-sectional population-based study, involving 1,395 women aged 15 to 49 years old in a medium-sized municipality in Southern Brazil, carried out in 2003. Questionnaires were applied to measure the prevalence of premenstrual syndrome by means of a score based on five premenstrual symptoms that interfered with family life or led to absence from work or school. Associations with socioeconomic, demographic and behavioral variables were investigated. Self-reported syndrome was investigated with regard to its sensitivity and specificity, taking the score as the gold standard. The statistical analyses performed were Pearson chi2, Mantel-Haenszel and Poisson regression, with Kappa coefficients to verify the concordance of the responses. RESULTS: The obtained prevalence was 25.2% (95% CI: 22.5-27.9) and the self-reported prevalence was 60.3% (95% CI: 57.4-63.3). The principal premenstrual symptoms found were: irritability, abdominal discomfort, nervousness, headache, fatigue and breast pain; all of these showed prevalence of over 50%. Higher risk was presented by women of higher socioeconomic level, better schooling level, aged under 30 years and with white skin color. Psychotropic drug users and women who were not using any hormonal contraceptive presented higher prevalence of the syndrome. The sensitivity of the test was 94%, specificity 51% and accuracy 62%. CONCLUSIONS: A high prevalence of premenstrual syndrome was found. Even though the women's perception of the syndrome was higher than the result measured by the symptom score, one quarter of the women presented this health problem.OBJETIVO: Estudar a prevalência e fatores associados à síndrome pré-menstrual, comparando a freqüência encontrada com a auto-referida. MÉTODOS: Foi realizado um estudo transversal, de base populacional, com 1.395 mulheres de 15 a 49 anos no município de Pelotas, Rio Grande do Sul, em 2003. Foram aplicados questionários para medir a prevalência da síndrome pré menstrual por meio de um escore, construído a partir de cinco sintomas pré-menstruais que interferiam na vida familiar ou levavam à falta ao trabalho ou à escola. Foram investigadas associações entre alguns fatores socioeconômicos, demográficos e comportamentais. A síndrome auto-referida foi investigada quanto à sua sensibilidade e especificidade, considerando o escore como padrão-ouro. As análises estatísticas utilizadas foram chi2 de Pearson, Mantel Haenszel e regressão de Poisson, além do coeficiente de Kappa para verificar concordância de respostas. RESULTADOS: A prevalência encontrada foi de 25,2% (IC 95%: 22,5-27,9) e auto-referida 60,3% (IC 95%: 57,4-63,3). Os principais sintomas pré-menstruais foram: irritabilidade, desconforto abdominal, nervosismo, cefaléia, cansaço e mastalgia, todos acima de 50% de prevalência. Mulheres de melhor nível econômico, maior escolaridade, menores de 30 anos e com pele branca apresentaram risco mais elevado. As usuárias de psicofármacos e as que não usavam anticoncepção hormonal apresentaram maior prevalência. A sensibilidade do teste foi de 94%, a especificidade 51% e a acurácia 62%. CONCLUSÕES: Foi alta a prevalência da síndrome pré-menstrual encontrada. Embora a percepção das mulheres seja maior do que aquela medida com o escore, ainda assim, um quarto das mulheres apresentou esse problema de saúde

Premenstrual syndrome and perception of impact on sport performance from brazilian indoor soccer athletes

This study’s objective was to verify the association between Premenstrual Syndrome (PMS) and perceived impact on sport performance from Brazilian indoor soccer athletes. A total of 112 athletes were enrolled, with ages varying from 18 to 31years old, and who participated in the Brazilian Clubs Cup in 2007. The instruments used were: a self-reported sheet based on criteria from the American College of Obstetricians and Gynecologist (2000) for the diagnosis of PMS and a sport performance impact perception sheet, organized in a Likert scale with values ranging from 0 (“not affected”) to 3 (“extremely affected”). Data were analyzed using the Mann-Whitney test, Pearson’s chi-square and Poisson regression with robust variance. The prevalence of PMS was 47.32% and the perceived impact on sport performance for those with PMSwas RP 1.71 (95%CI 1.23 to 2.38). The symptoms associated with sport performance impact were depression, irritability, breast tenderness, difficulty concentrating, back pain and tiredness. The intensity with which the athletes with PMS feel their performance affected during the premenstrual phase was significant in the “lowly affected “(RP 2.1 95%CI 1.26 to 3.55) and “extremely affected” (RP 3.5 95%CI 2.23 to 5.62) categories. Athletes with 6 to 9 symptoms presented higher risk (RP 3.20 95%CI 1.53 to 6.71) than athletes with 4 to 5 symptoms (RP 2.82 95%CI 1.32 to 6.05) or with 2 to 3 symptoms (RP 2.57 95%CI 1.25 to 5.30). In conclusion, the presence of PMS, the number and the kind of symptoms all exhibited associations with the sport performance impact perceived by Brazilian indoor soccer athletes

Estudo populacional de síndrome pré-menstrual Population study of premenstrual syndrome

OBJETIVO: Estudar a prevalência e fatores associados à síndrome pré-menstrual, comparando a freqüência encontrada com a auto-referida. MÉTODOS: Foi realizado um estudo transversal, de base populacional, com 1.395 mulheres de 15 a 49 anos no município de Pelotas, Rio Grande do Sul, em 2003. Foram aplicados questionários para medir a prevalência da síndrome pré menstrual por meio de um escore, construído a partir de cinco sintomas pré-menstruais que interferiam na vida familiar ou levavam à falta ao trabalho ou à escola. Foram investigadas associações entre alguns fatores socioeconômicos, demográficos e comportamentais. A síndrome auto-referida foi investigada quanto à sua sensibilidade e especificidade, considerando o escore como padrão-ouro. As análises estatísticas utilizadas foram chi2 de Pearson, Mantel Haenszel e regressão de Poisson, além do coeficiente de Kappa para verificar concordância de respostas. RESULTADOS: A prevalência encontrada foi de 25,2% (IC 95%: 22,5-27,9) e auto-referida 60,3% (IC 95%: 57,4-63,3). Os principais sintomas pré-menstruais foram: irritabilidade, desconforto abdominal, nervosismo, cefaléia, cansaço e mastalgia, todos acima de 50% de prevalência. Mulheres de melhor nível econômico, maior escolaridade, menores de 30 anos e com pele branca apresentaram risco mais elevado. As usuárias de psicofármacos e as que não usavam anticoncepção hormonal apresentaram maior prevalência. A sensibilidade do teste foi de 94%, a especificidade 51% e a acurácia 62%. CONCLUSÕES: Foi alta a prevalência da síndrome pré-menstrual encontrada. Embora a percepção das mulheres seja maior do que aquela medida com o escore, ainda assim, um quarto das mulheres apresentou esse problema de saúde.<br>OBJECTIVE: To study the prevalence of premenstrual syndrome and the factors associated with this, by comparing the obtained frequency with the self-reported frequency. METHODS:This was a cross-sectional population-based study, involving 1,395 women aged 15 to 49 years old in a medium-sized municipality in Southern Brazil, carried out in 2003. Questionnaires were applied to measure the prevalence of premenstrual syndrome by means of a score based on five premenstrual symptoms that interfered with family life or led to absence from work or school. Associations with socioeconomic, demographic and behavioral variables were investigated. Self-reported syndrome was investigated with regard to its sensitivity and specificity, taking the score as the gold standard. The statistical analyses performed were Pearson chi2, Mantel-Haenszel and Poisson regression, with Kappa coefficients to verify the concordance of the responses. RESULTS: The obtained prevalence was 25.2% (95% CI: 22.5-27.9) and the self-reported prevalence was 60.3% (95% CI: 57.4-63.3). The principal premenstrual symptoms found were: irritability, abdominal discomfort, nervousness, headache, fatigue and breast pain; all of these showed prevalence of over 50%. Higher risk was presented by women of higher socioeconomic level, better schooling level, aged under 30 years and with white skin color. Psychotropic drug users and women who were not using any hormonal contraceptive presented higher prevalence of the syndrome. The sensitivity of the test was 94%, specificity 51% and accuracy 62%. CONCLUSIONS: A high prevalence of premenstrual syndrome was found. Even though the women's perception of the syndrome was higher than the result measured by the symptom score, one quarter of the women presented this health problem