Association between physical activity and the intensity of menstrual pain in young women
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This exploratory cross-sectional study examined physical activity patterns, menstrual characteristics, and menstrual pain intensity in 53 young women (mean age 19.98 ± 0.72 years). Physical activity during the previous seven days was estimated using the International Physical Activity Questionnaire framework and expressed as MET-min/week, while menstrual pain during the most recent cycle was assessed on a 0–10 numerical rating scale. Severe pain was reported by 19 participants (35.8%), and 39 participants (73.6%) were classified in the high physical activity category. Total physical activity was not significantly associated with pain intensity (Spearman’s rho = .225, p = .105). Moderate physical activity showed a positive association with pain intensity (Spearman’s rho = .428, p = .002), but the cross-sectional design does not permit causal interpretation. Rather than supporting a simple protective effect of greater activity volume, the findings suggest that the relationship between physical activity and menstrual pain may depend on individual symptoms, behavioural responses, measurement context, and unmeasured psychological or clinical factors. Because the sample was small, narrowly distributed by age, and dominated by highly active participants, the results should be interpreted as preliminary. Future studies should use larger and more heterogeneous samples, objective activity monitoring, validated multidimensional dysmenorrhea instruments, and repeated assessments across several menstrual cycles.
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Armour, M., Parry, K., Al-Dabbas, M. A., Curry, C., Holmes, K., MacMillan, F., Ferfolja, T., & Smith, C. A. (2019). Self-care strategies and sources of knowledge on menstruation in 12,526 young women with dysmenorrhea: A systematic review and meta-analysis. PLOS ONE, 14(7), e0220103. https://doi.org/10.1371/journal.pone.0220103 DOI: https://doi.org/10.1371/journal.pone.0220103
Asmalinda, W., Lukita, L. R., & Sapada, E. (2022). The effect of yoga exercise on menstrual pain reduction. Jurnal Ilmu dan Teknologi Kesehatan, 10(1), 124–138. https://doi.org/10.32668/jitek.v10i1.915 DOI: https://doi.org/10.32668/jitek.v10i1.915
Azima, S., Bakhshayesh, H. R., Kaviani, M., Abbasnia, K., & Sayadi, M. (2015). Comparison of the effect of massage therapy and isometric exercises on primary dysmenorrhea: A randomized controlled clinical trial. Journal of Pediatric and Adolescent Gynecology, 28(6), 486–491. https://doi.org/10.1016/j.jpag.2015.02.003 DOI: https://doi.org/10.1016/j.jpag.2015.02.003
Bauman, A., Ainsworth, B. E., Sallis, J. F., Hagströmer, M., Craig, C. L., Bull, F. C., Pratt, M., Venugopal, K., Chau, J., Sjöström, M., & IPS Group. (2011). The descriptive epidemiology of sitting: A 20-country comparison using the International Physical Activity Questionnaire (IPAQ). American Journal of Preventive Medicine, 41(2), 228–235. https://doi.org/10.1016/j.amepre.2011.05.003 DOI: https://doi.org/10.1016/j.amepre.2011.05.003
Belavy, D. L., Van Oosterwijck, J., Clarkson, M., Dhondt, E., Mundell, N. L., Miller, C. T., & Owen, P. J. (2021). Pain sensitivity is reduced by exercise training: Evidence from a systematic review and meta-analysis. Neuroscience & Biobehavioral Reviews, 120, 100–108. https://doi.org/10.1016/j.neubiorev.2020.11.012 DOI: https://doi.org/10.1016/j.neubiorev.2020.11.012
Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J.-P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., … Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955 DOI: https://doi.org/10.1136/bjsports-2020-102955
Czajkowska, M., Drosdzol-Cop, A., Gałązka, I., Naworska, B., & Skrzypulec-Plinta, V. (2015). Menstrual cycle and the prevalence of premenstrual syndrome/premenstrual dysphoric disorder in adolescent athletes. Journal of Pediatric and Adolescent Gynecology, 28(6), 492–498. https://doi.org/10.1016/j.jpag.2015.02.113 DOI: https://doi.org/10.1016/j.jpag.2015.02.113
Czajkowska, M., Plinta, R., Rutkowska, M., Brzek, A., Skrzypulec-Plinta, V., & Drosdzol-Cop, A. (2019). Menstrual cycle disorders in professional female rhythmic gymnasts. International Journal of Environmental Research and Public Health, 16(8), 1470. https://doi.org/10.3390/ijerph16081470 DOI: https://doi.org/10.3390/ijerph16081470
Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International Physical Activity Questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35(8), 1381–1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB DOI: https://doi.org/10.1249/01.MSS.0000078924.61453.FB
Daley, A. J. (2008). Exercise and primary dysmenorrhoea: A comprehensive and critical review of the literature. Sports Medicine, 38(8), 659–670. https://doi.org/10.2165/00007256-200838080-00004 DOI: https://doi.org/10.2165/00007256-200838080-00004
De Sanctis, V., Soliman, A., Bernasconi, S., Bianchin, L., Bona, G., Bozzola, M., Buzi, F., De Sanctis, C., Tonini, G., Rigon, F., & Perissinotto, E. (2015). Primary dysmenorrhea in adolescents: Prevalence, impact and recent knowledge. Pediatric Endocrinology Reviews, 13(2), 512–520.
Dehnavi, Z. M., Jafarnejad, F., & Kamali, Z. (2018). The effect of aerobic exercise on primary dysmenorrhea: A clinical trial study. Journal of Education and Health Promotion, 7, 3. https://doi.org/10.4103/jehp.jehp_79_17 DOI: https://doi.org/10.4103/jehp.jehp_79_17
Fallah, F., & Mirfeizi, M. (2018). How is the quality and quantity of primary dysmenorrhea affected by physical exercises? A study among Iranian students. International Journal of Women's Health and Reproduction Sciences, 6(1), 60-66. https://doi.org/10.15296/ijwhr.2018.11 DOI: https://doi.org/10.15296/ijwhr.2018.11
Fernández-Martínez, E., Onieva-Zafra, M. D., & Parra-Fernández, M. L. (2019). The impact of dysmenorrhea on quality of life among Spanish female university students. International Journal of Environmental Research and Public Health, 16(5), 713. https://doi.org/10.3390/ijerph16050713 DOI: https://doi.org/10.3390/ijerph16050713
Frey-Law, L. A., Lee, J. E., Wittry, A. M., & Melyon, M. (2014). Pain rating schema: Three distinct subgroups of individuals emerge when rating mild, moderate, and severe pain. Journal of Pain Research, 7, 13–23. https://doi.org/10.2147/JPR.S52556 DOI: https://doi.org/10.2147/JPR.S52556
Gagua, T., Tkeshelashvili, B., & Gagua, D. (2012). Primary dysmenorrhea: Prevalence in adolescent population of Tbilisi, Georgia and risk factors. Journal of the Turkish-German Gynecological Association, 13(3), 162–168. https://doi.org/10.5152/jtgga.2012.21 DOI: https://doi.org/10.5152/jtgga.2012.21
Gutman, G., Nunez, A. T., & Fisher, M. (2022). Dysmenorrhea in adolescents. Current Problems in Pediatric and Adolescent Health Care, 52(5), 101186. https://doi.org/10.1016/j.cppeds.2022.101186 DOI: https://doi.org/10.1016/j.cppeds.2022.101186
Gleeson, M., Bishop, N. C., Stensel, D. J., Lindley, M. R., Mastana, S. S., & Nimmo, M. A. (2011). The anti-inflammatory effects of exercise: Mechanisms and implications for the prevention and treatment of disease. Nature Reviews Immunology, 11(9), 607-615. https://doi.org/10.1038/nri3041 DOI: https://doi.org/10.1038/nri3041
Hackney, A. C., Koltun, K. J., & Williett, H. N. (2022). Menstrual cycle hormonal changes: Estradiol-beta-17 and progesterone interactions on exercise fat oxidation. Endocrine, 76(1), 240-242. https://doi.org/10.1007/s12020-022-02998-w DOI: https://doi.org/10.1007/s12020-022-02998-w
Hamedinia, M., Sharifi, M., & Hosseini-Kakhak, A. (2017). The effect of eight weeks of aerobic, anaerobic and resistance training on some factors of endocannabinoid system, serotonin, beta-endorphin and BDNF in young men. Biosciences Biotechnology Research Asia, 14(3), 1201-1208. https://doi.org/10.13005/bbra/2562 DOI: https://doi.org/10.13005/bbra/2562
IPAQ Research Committee. (2005). Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ): Short and long forms.
Itani, R., Soubra, L., Karout, S., Rahme, D., Karout, L., & Khojah, H. M. J. (2022). Primary dysmenorrhea: Pathophysiology, diagnosis, and treatment updates. Korean Journal of Family Medicine, 43(2), 101-108. https://doi.org/10.4082/kjfm.21.0103 DOI: https://doi.org/10.4082/kjfm.21.0103
Jaleel, G., Shaphe, M. A., Khan, A. R., Malhotra, D., Khan, H., Parveen, S., Qasheesh, M., Beg, R. A., Chahal, A., Ahmad, F., & Ahmad, M. F. (2022). Effect of exercises on central and endocrine system for pain modulation in primary dysmenorrhea. Journal of Lifestyle Medicine, 12(1), 15–25. https://doi.org/10.15280/jlm.2022.12.1.15 DOI: https://doi.org/10.15280/jlm.2022.12.1.15
Kanda, M., Matsuhashi, M., Sawamoto, N., Oga, T., Mima, T., Nagamine, T., & Shibasaki, H. (2002). Cortical potentials related to assessment of pain intensity with visual analogue scale (VAS). Clinical Neurophysiology, 113(7), 1013–1024. https://doi.org/10.1016/S1388-2457(02)00125-6 DOI: https://doi.org/10.1016/S1388-2457(02)00125-6
Kannan, P., Cheung, K. K., & Lau, B. W. M. (2019). Does aerobic exercise-induced analgesia occur through hormone and inflammatory cytokine-mediated mechanisms in primary dysmenorrhea? Medical Hypotheses, 123, 50-54. https://doi.org/10.1016/j.mehy.2018.12.011 DOI: https://doi.org/10.1016/j.mehy.2018.12.011
Kirmizigil, B., & Demiralp, C. (2020). Effectiveness of functional exercises on pain and sleep quality in patients with primary dysmenorrhea: A randomized clinical trial. Archives of Gynecology and Obstetrics, 302(1), 153-163. https://doi.org/10.1007/s00404-020-05579-2 DOI: https://doi.org/10.1007/s00404-020-05579-2
Klump, K. L., Keel, P. K., Racine, S. E., Burt, S. A., Neale, M., Sisk, C. L., Boker, S., & Hu, J. Y. (2013). The interactive effects of estrogen and progesterone on changes in emotional eating across the menstrual cycle. Journal of Abnormal Psychology, 122(1), 131-137. https://doi.org/10.1037/a0029524 DOI: https://doi.org/10.1037/a0029524
Komariah, S., Amalia, R. B., & Herawati, L. (2024). Narrative review: The role of physical activity factors on dysmenorrhea in adolescents. GSC Advanced Research and Reviews, 18(1), 79-83. https://doi.org/10.30574/gscarr.2024.18.1.0003 DOI: https://doi.org/10.30574/gscarr.2024.18.1.0003
Kirthika, S. V., S., S., G., M. K., S., R., Rnv, D., & P., S. S. (2024). Comparing Pilates and gym ball exercises for primary dysmenorrhea management: An empirical study. Cureus, 16(4), e59184. https://doi.org/10.7759/cureus.59184 DOI: https://doi.org/10.7759/cureus.59184
Lacovides, S., Avidon, I., & Baker, F. C. (2015). What we know about primary dysmenorrhea today: A critical review. Human Reproduction Update, 21(6), 762-778. https://doi.org/10.1093/humupd/dmv039 DOI: https://doi.org/10.1093/humupd/dmv039
Masuda, H., & Okada, S. (2023). Menstruation-related symptoms are associated with physical activity and midpoint of sleep: A pilot study. Frontiers in Global Women’s Health, 4, 1260645. https://doi.org/10.3389/fgwh.2023.1260645 DOI: https://doi.org/10.3389/fgwh.2023.1260645
Matthewman, G., Lee, A., Kaur, J. G., & Daley, A. J. (2018). Physical activity for primary dysmenorrhea: A systematic review and meta-analysis of randomized controlled trials. American Journal of Obstetrics and Gynecology, 219(3), 255.e1-255.e20. https://doi.org/10.1016/j.ajog.2018.04.001 DOI: https://doi.org/10.1016/j.ajog.2018.04.001
Motahari-Tabari, N., Shirvani, M. A., & Alipour, A. (2017). Comparison of the effect of stretching exercises and mefenamic acid on the reduction of pain and menstruation characteristics in primary dysmenorrhea: A randomized clinical trial. Oman Medical Journal, 32(1), 47-53. https://doi.org/10.5001/omj.2017.09 DOI: https://doi.org/10.5001/omj.2017.09
Naugle, K. M., Fillingim, R. B., & Riley, J. L., III. (2012). A meta-analytic review of the hypoalgesic effects of exercise. Journal of Pain, 13(12), 1139-1150. https://doi.org/10.1016/j.jpain.2012.09.006 DOI: https://doi.org/10.1016/j.jpain.2012.09.006
Ning, C. H., Krishnan Vasanthi, R., & Muniandy, Y. (2020). Study on the prevalence of dysmenorrhea and its relationship with physical activity among young adults. International Journal of Health Sciences Research, 10, 10-45.
Parra-Fernández, M. L., Onieva-Zafra, M. D., Abreu-Sánchez, A., Ramos-Pichardo, J. D., Iglesias-López, M. T., & Fernández-Martínez, E. (2020). Management of primary dysmenorrhea among university students in the South of Spain and family influence. International Journal of Environmental Research and Public Health, 17(15), 5570. https://doi.org/10.3390/ijerph17155570 DOI: https://doi.org/10.3390/ijerph17155570
Ravichandran, H., & Janakiraman, B. (2022). Effect of aerobic exercises in improving premenstrual symptoms among healthy women: A systematic review of randomized controlled trials. International Journal of Women's Health, 14, 1105-1114. https://doi.org/10.2147/IJWH.S371193 DOI: https://doi.org/10.2147/IJWH.S371193
Saleh, H. S., Mowafy, H. E., & El Hameid, A. A. (2016). Stretching or core strengthening exercises for managing primary dysmenorrhea. Journal of Women’s Health Care, 5, 295. https://doi.org/10.4172/2167-0420.1000295 DOI: https://doi.org/10.4172/2167-0420.1000295
Shahr-jerdy, S., Hosseini, R. S., & Eivazi, G. M. (2012). Effects of stretching exercises on primary dysmenorrhea in adolescent girls. Biomedical Human Kinetics, 4, 127-132. https://doi.org/10.2478/v10101-012-0024-y DOI: https://doi.org/10.2478/v10101-012-0024-y
Susanti, C., & Mulyani, P. S. (2023). The effect of dysmenorrhea exercise on reducing primary menstrual pain (dysmenorrhea) in adolescent girls at SMPN 3 Pabuaran, Subang Regency, Indonesia. Archives of the Medicine and Case Reports, 4(5), 476-479. https://doi.org/10.37275/amcr.v4i5.374 DOI: https://doi.org/10.37275/amcr.v4i5.374
Tyas, E. S., Hartono, S., Wahyuni, E. S., Muhammad, H. N., Prasetya, F. I., & Sasmito, P. (2023). The effect of abdominal stretching, yoga, and dysmenorrhea exercises on prostaglandin levels and pain. International Journal of Public Health Excellence, 3(1), 442-449. https://doi.org/10.55299/ijphe.v3i1.734 DOI: https://doi.org/10.55299/ijphe.v3i1.734
Vlachou, E., Owens, D. A., Lavdaniti, M., Kalemikerakis, J., Evagelou, E., Margari, N., Fasoi, G., Evangelidou, E., Govina, O., & Tsartsalis, A. N. (2019). Prevalence, wellbeing, and symptoms of dysmenorrhea among university nursing students in Greece. Diseases, 7(1), 5. https://doi.org/10.3390/diseases7010005 DOI: https://doi.org/10.3390/diseases7010005
Wong, C. L., Lai, K. Y., & Tse, H. M. (2010). Effects of SP6 acupressure on pain and menstrual distress in young women with dysmenorrhea. Complementary Therapies in Clinical Practice, 16(2), 64-69. https://doi.org/10.1016/j.ctcp.2009.10.002 DOI: https://doi.org/10.1016/j.ctcp.2009.10.002
World Health Organization. (2020). WHO guidelines on physical activity and sedentary behaviour. World Health Organization.
Yonglitthipagon, P., Muansiangsai, S., Wongkhumngern, W., Donpunha, W., Chanavirut, R., Siritaratiwat, W., Mato, L., Eungpinichpong, W., & Janyacharoen, T. (2017). Effect of yoga on the menstrual pain, physical fitness, and quality of life of young women with primary dysmenorrhea. Journal of Bodywork and Movement Therapies, 21(4), 840–846. https://doi.org/10.1016/j.jbmt.2017.01.014 DOI: https://doi.org/10.1016/j.jbmt.2017.01.014
Zanada, J. F., Setyawan, H., Susanto, N., Bahtra, R., Wijanarko, T., Anam, K., Fitriady, G., García-Jiménez, J. V., Pavlovic, R., & Nowak, A. M. (2024). Reducing dysmenorrhea in school-aged teenagers by practising yoga: A literature review [Retracted article]. Retos, 54, 76–83. https://doi.org/10.47197/retos.v54.103066 DOI: https://doi.org/10.47197/retos.v54.103066