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The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis

INTRODUCTION: The relation between body mass index (BMI) categories and the occurrence of primary dysmenorrhea has been investigated, but the results of these studies are inconsistent and controversial. The aim of our study was to systematically review the literature and investigate the association...

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Autores principales: Wu, Lingsha, Zhang, Jing, Tang, Jie, Fang, Haiyan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812105/
https://www.ncbi.nlm.nih.gov/pubmed/36124820
http://dx.doi.org/10.1111/aogs.14449
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author Wu, Lingsha
Zhang, Jing
Tang, Jie
Fang, Haiyan
author_facet Wu, Lingsha
Zhang, Jing
Tang, Jie
Fang, Haiyan
author_sort Wu, Lingsha
collection PubMed
description INTRODUCTION: The relation between body mass index (BMI) categories and the occurrence of primary dysmenorrhea has been investigated, but the results of these studies are inconsistent and controversial. The aim of our study was to systematically review the literature and investigate the association between each category of BMI and the occurrence of primary dysmenorrhea. MATERIAL AND METHODS: We conducted a systematic review and meta‐analysis of observational studies related to BMI and primary dysmenorrhea. Eleven databases—PubMed, Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Chinese Biomedical Literature Database (CBM), and Wanfang database—were systematically searched from inception to March 2022. We used the 11 items recommended by the Agency for Healthcare Research and Quality to assess the quality of included studies. The Q test and the I (2) test were used to evaluate the heterogeneity among studies. Odds ratios (OR) and their 95% confidence intervals (CI) were pooled by fixed‐effects models or random‐effects models. Stata software version 16.0 was used to complete the statistical analyses. RESULTS: A total of 4181 articles were collected from the database, and 12 studies were included based on inclusion and exclusion criteria. A total of 29 647 participants were included in the study, with a mean baseline age of 17–45 years. All included literature was published between 2017 and 2021 and was conducted in six countries. Eleven included studies were of medium quality and one included study was of high quality. Being underweight may be related to the occurrence of primary dysmenorrhea (12 studies, n = 6545, OR 1.43, 95% CI 1.18–1.73). Being overweight (12 studies, n = 3098) and obesity (four studies, n = 94) may not be associated with the development of primary dysmenorrhea. CONCLUSIONS: Being underweight may increase the risk of the occurrence of primary dysmenorrhea, whereas overweight and obesity might not be associated with primary dysmenorrhea. Due to the limitations of the meta‐analysis, more studies are needed to investigate the relation between each category of BMI and the occurrence of primary dysmenorrhea. To maintain a balanced diet and an appropriate lifestyle is beneficial for people to have the normal category of BMI and live a healthy life, which may play a role in preventing the occurrence of primary dysmenorrhea.
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spelling pubmed-98121052023-01-05 The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis Wu, Lingsha Zhang, Jing Tang, Jie Fang, Haiyan Acta Obstet Gynecol Scand Systematic Reviews INTRODUCTION: The relation between body mass index (BMI) categories and the occurrence of primary dysmenorrhea has been investigated, but the results of these studies are inconsistent and controversial. The aim of our study was to systematically review the literature and investigate the association between each category of BMI and the occurrence of primary dysmenorrhea. MATERIAL AND METHODS: We conducted a systematic review and meta‐analysis of observational studies related to BMI and primary dysmenorrhea. Eleven databases—PubMed, Medline, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Scopus, Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), Chinese Biomedical Literature Database (CBM), and Wanfang database—were systematically searched from inception to March 2022. We used the 11 items recommended by the Agency for Healthcare Research and Quality to assess the quality of included studies. The Q test and the I (2) test were used to evaluate the heterogeneity among studies. Odds ratios (OR) and their 95% confidence intervals (CI) were pooled by fixed‐effects models or random‐effects models. Stata software version 16.0 was used to complete the statistical analyses. RESULTS: A total of 4181 articles were collected from the database, and 12 studies were included based on inclusion and exclusion criteria. A total of 29 647 participants were included in the study, with a mean baseline age of 17–45 years. All included literature was published between 2017 and 2021 and was conducted in six countries. Eleven included studies were of medium quality and one included study was of high quality. Being underweight may be related to the occurrence of primary dysmenorrhea (12 studies, n = 6545, OR 1.43, 95% CI 1.18–1.73). Being overweight (12 studies, n = 3098) and obesity (four studies, n = 94) may not be associated with the development of primary dysmenorrhea. CONCLUSIONS: Being underweight may increase the risk of the occurrence of primary dysmenorrhea, whereas overweight and obesity might not be associated with primary dysmenorrhea. Due to the limitations of the meta‐analysis, more studies are needed to investigate the relation between each category of BMI and the occurrence of primary dysmenorrhea. To maintain a balanced diet and an appropriate lifestyle is beneficial for people to have the normal category of BMI and live a healthy life, which may play a role in preventing the occurrence of primary dysmenorrhea. John Wiley and Sons Inc. 2022-09-20 /pmc/articles/PMC9812105/ /pubmed/36124820 http://dx.doi.org/10.1111/aogs.14449 Text en © 2022 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG). https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Systematic Reviews
Wu, Lingsha
Zhang, Jing
Tang, Jie
Fang, Haiyan
The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title_full The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title_fullStr The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title_full_unstemmed The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title_short The relation between body mass index and primary dysmenorrhea: A systematic review and meta‐analysis
title_sort relation between body mass index and primary dysmenorrhea: a systematic review and meta‐analysis
topic Systematic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9812105/
https://www.ncbi.nlm.nih.gov/pubmed/36124820
http://dx.doi.org/10.1111/aogs.14449
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