Asupan Gizi Makro dan Durasi Tidur pada Remaja Usia 16-18 Tahun dan Hubungannya terhadap Lama Menstruasi
Abstract
Factors influence variations in adolescent menstrual duration would change the hormonal rhythm of thehypothalamic-pituitary-ovarian cycle, so that it indirectly changes the level of secretion of the reproductive hormones.Nutritional intake is predicted to be one of the factors in the regulation of reproductive hormones, as wellas the sleep and wake cycles in a teenager. This study analyzed the relationship between macro nutrient intake andsleep duration with menstrual duration in adolescents aged 16-18 years. 120 adolescents was selected by usingcluster random sampling from 6 high schools in Magelang City-Central Java for this cross sectional study. Allof variable were collected through interview techniques using a questionnaire. Analysis with correlation test andmultiple linear regression used to analyze the relationship between each independent variable with the dependentvariable with a significance value <0.05 and the relationship of all independent variables on the dependent variable.The correlation (Pearson correlation test) between energy intake(r=0.397:p=0.000), fat(r=0.396:p=0.000),carbohydrate(r=0.337:p=0.000), and sleep duration(r=0.315:p=0.000) with menstrual duration was significant,whereas for protein intake (Spearman Rank test) was not significantly associated (r=0.018:p=0.841). The value ofR2 = 0.252.Based on this, it is important to regulate macro nutrient intake and sleep duration for having normalmenstrual duration.
References
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32. Patil S., Joglekar C., Desai M., Yadav A., Sonawane S., Chavan R., & Mohite R. Nutritional Status and Psychological Impairment In Rural Adolescent Girls: Pilot data from “KOKAN” region of Western India. Frontiers in Public Health. 2018; 6: 160.
33. Wansink B., Payne C. R, & Shimizu M. ”Is this a meal or snack?” Situational Cues that Drive Perceptions. Appetite.2010;54:214-6.
34. Wadhera D., & Capaldi E. D. Categorization of Foods as “snack” and “meal” by College Students. Appetite. 2012;58:882–8.
35. Larson N., Story M., Eisenberg M. E., & Neumark-Sztainer D. Secular Trends in Meal and Snack Patterns among Adolescents From 1999 to 2010. Journal of the Academy of Nutrition and Dietetics. 2016;116(2):240-250.e2.
36. Mumford S. L., Chavarro J. E., Zhang C., Perkins N. J., Sjaarda L. A, Pollack A. Z., Schliep K. C., Michels K. A., Zarek S. M., Plowden T. C., Radin R. G., Messer L. C., Frankel R. A., & Wactawski-Wende J. Dietary Fat Intake and Reproductive Hormone Concentrations and Ovulation in Regularly Menstruating Women. The American Journal of Clinical Nutrition.2016;103(3):868-77.
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38. Vani K. R., Veena K. S., Subita L., Hemanth K. V. R., & Bupathy A. Menstrual Abnormalities in School Going Girls are They Related to Dietary and Exercise Pattern? Journal of Clinical and Diagnostic Research. JCDR. 2013; 7(11):2537–2540.
39. Yavangi M., Amirzargar M. A., Amirzargar N., & Dadashpour M. Does Ramadan Fasting has Any Effects on Menstrual Cycles?. Iranian Journal of Reproductive Medicine. 2013;11(2):145-50.
40. Eittah H. F. A. Effect of Breakfast Skipping on Young Females’ Menstruation. Health Science Journal. 2014;8(4):469-484.
41. Mohamadirizi S., & Kordi M. The Relationship between Food Frequency and Menstrual Distress in High School Females. Iranian Journal of Nursing and Midwifery Research. 2015;20(6):689-93.
42. Dars S., Sayed K., & Yousufzai Z. Relationship of Menstrual Irregularities to BMI and Nutritional Status in Adolescent Girls. Pakistan Journal of Medical Sciences. 2014;30(1):141-144.
43. Hirshkowitz M., Whiton K., Albert S. M., Alessi C., Bruni O., DonCarlos L., Hazen N., Herman J., Katz E. S, Kheirandish-Gozal L., Neubauer D.N., O’Donnell A. E., Ohayon M., Peever J., Rawding R., Sachdeva R. C., Setters B., Vitiello M. V., Ware J. C, Adams Hillard P. J. National Sleep Foundation’s Sleep Time Duration Recommendations: Methodology And Results Summary. Sleep Health.2015;1(1):40-43.
44. Owens J. Insufficient Sleep in Adolescents and Young Adults: an Update on Causes and Consequences. Pediatrics. 2014;134(3):e921- 32.
45. Hysing M., Pallesen S., Stormark K. M., Jakobsen R., Lundervold A. J., Sivertsen B. Sleep and Use of Electronic Devices in Adolescence: Results from a Large Population Based Study. BMJ open, 2015;5(1):e006748.
46. Wheaton A. G., Chapman D. P., & Croft J. B. School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review Of The Literature. The Journal of School Health. 2016;86(5):363-381.
47. Lim H. S., Kim T. H., Lee H. H., Park Y. H., Lee B. R., Park Y. J., & Kim Y. S. Fast Food Consumption Alongside Socioeconomic Status, Stress, Exercise, and Sleep Duration are Associated with Menstrual Irregularities in Korean Adolescents: Korea National Health and Nutrition Examination Survey 2009-2013. Asia Pacific Journal of Clinical Nutrition. 2018;27(5):1146-1154.
48. Gomez-Gonzalez B., Dominguez-Salazar E., Hurtado-Alvarado G Esqueda-Leon E., Santana-Miranda R., Rojas-Zamorano J. A., & Vel azquez-Moctezuma J. Role of Sleep in the Regulation of the Immune System and the Pituitary Hormones. Annals of The New York Academy of Science. 2012;126:97-106.
49. Mehta N., Shafi F., & Bhat A. Unique Aspects of Sleep in Women. Missouri Medicine. The Journal of Missiori State Medical Association. 2015;112(6):430-4.
50. Strauss J. F. Barbiieri R. Yen & Jaffe’s Reproductive Endocrinology: Physiology, Pathophysiology, and Clinical Management 7th edition.1600 John of Kennedy Blv: Philadelphia, PA 19103-2899; 2014.
51. Moen B. E., Baste V., Morken T., Alsaker K., Pallesen S., & Bjorvatn B. Menstrual Characteristics and Night Work among Nurses. Industrial ealth. 2015;53(4):354-60.
52. Santos I. S., Minten G. C., Valle N. C., Tuerlinckx G. C., Silva A. B., Pereira G. A., Carriconde J. F. Menstrual Bleeding Patterns: a Community Based Cross Sectional Study among Women Aged 18-45 Years in Southern Brazil. BMC Women’s Health. 2011;11(1):26.
53. Elshiekh M., Ali Mohammed A. M. Influence of Socioeconomic Status in the Age of Menarche And Duration of Menstrual Bleeding. Materia Socio-Medica. 2011;23(4):195-9.
2. Faramarzi, M., Salmalian, H. Association of Psychologic and Nonpsychologic factors with primary dysmenorrhea. Iranian Red Crescent Medical Journal, 2014;16(8):e16307.
3. Nooh A., Abdul-Hady, & Nadia El-Attar. Nature and Prevalence of Menstrual Disorders among Teenage Female Students at Zagazig University, Zagazig, Egypt. Journal of Pediatric and Adolescent Gynecology. 2016;29(2):137-142.
4. Hennegan J, Dolan C, Wu M, Scott L & Montgomery P. Schoolgirls’ Experience and Appraisal of Menstrual Absorbents in Rural Uganda: a Cross-Sectional Evaluation of Reusable Sanitary Pads. Reproductive Health. 2016;13(1):143.
5. Zhang Q., Wang Y. Y., Zhang Y., Zhang H. G., Yang Y., He Y., Xu J. H., Zhao J., Peng Z. Q., & Ma X1. The Influence of Age at Menarche, Menstrual Cycle Length and Bleeding Duration on Time to Pregnancy: a large prospective cohort study among rural Chinese women. An International Journal of Obstretric and Gynaecology.
017;124(11):1654-1662.
6. Rigon F., De Sanctis V., Bernasconi S., Bianchin L., Bona G., Bozzola M., Buzi F., Radetti G., Tatò L., Tonini G., De Sanctis C., & Perissinotto E. Menstrual Pattern and Menstrual Disorders among Adolescents: an Update Of The Italian Data. Italian Journal of Pediatrics. 2012;38,38.
7. Vo K. T., Grooms L., Klima J., Holland-Hall C., & O’Brien S. H. Menstrual Bleeding Patterns and Prevalence of Bleeding Disorders In A Multidisciplinary Adolescent Haematology Clinic. Haemophilia. 2013;19(1):71-5.
8. Sharma S, Deuja S, & Saha C. G. Menstrual Pattern among Adolescent Girls of Pokhara Valley: a cross sectional study. BMC Women’s Health. 2016;16(1):74.
9. Ikhsan M., Siregar FGM., & Muharam R. The Relationship Between Ramadan Fasting with Menstrual Cycle Pattern Changes in Teenagers. Middle East Fertility Society Journal. 2017;22(1):43-47.
10. Jones R. E., & Lopez K. H. Human Reproductive Biology. London: Academic Press; 2014.
11. Dasharathy S. S., Mumford S. L., Pollack A. Z., Perkins N. J., Mattison D. R., WactawskiWende J., & Schisterman EF. Menstrual Bleeding Patterns among Regularly Menstruating Women. American Journal of Epidemiology. 2012;175(6):536-45.
12. Depkes RI. Laporan Nasional Riset Kesehatan Dasar Tahun 2010. Jakarta: Depkes RI; 2010.
13. Badan Pusat Statistik Kabupaten Magelang [homepage on the Internet]. Kemiskinan dan pola konsumsi Kabupaten Magelang; 2016 [updated 2017 Des 27; cited 2018 Aug 17]. Available from: https://magelangkab.bps.go.id/publication/2017/12/27/ a56fcd5874713f9ed4f06872/kemiskinan-dan-pola-konsumsi-penduduk-kabupaten-magelang-2016.html.
14. Colrain I. M., & Baker F. C. Changes in Sleep as a Function of Adolescent Development. Neuropsychology Review. 2011;21(1):5-21.
15. Lord C., Sekerovic Z., & Carrier J. Sleep Regulation and Sex Hormones Exposure in Men and Women Across Adulthood. Pathologie Biologie. 2014;26(5):302-10.
16. Liu X., Chen H., Liu Z. Z., Fan F., & Jia C. X. Early Menrche and Menstrual Problems are Associated with Sleep Disturbance in Large Sample of Chinese Adolescents Girl. Sleep. 2017;40(9).
17. Basch C. E., Basch C. H., Ruggles K.V., & Rajan S. Prevalence of Sleep Duration on an Average School Night among 4 Nationally Representative Successive Samples of American High School Students, 2007–2013. Preventing Chronic Disease. 2014;11:E216.
18. Hysing M., Pallesen S., Stormark K. M., Lundervold A. J., & Sivertsen B. Sleep Patterns And Insomnia among Adolescents: a population based study. Journal Sleep Research. 2013;22(5):549–556.
19. Meldrum R. C., & Restivo E. The Behavioral and Health Consequences of Sleep Deprivation Among U.S.High School Students: relative deprivation matters. Preventive Medicine. 2014;63:24-28.
20. Gradisar M., Gardner G., & Dohnt H. Recent Worldwide Sleep Patterns and Problems During Adolescence: A Review and Meta-Analysis Of Age, Region, and Sleep. Sleep Medicine. 2011;12(2):110–118.
21. Santos I. S., Minten G. C., Valle N. C., Tuerlinckx G. C., Silva A. B., & Pereira G. A. Carriconde JF. Menstrual Bleeding Patterns: A Community-Based Cross-Sectional Study among Women Aged 18-45 Years in Southern Brazil. BMC Women’s Health. 2011;11(1):26. DOI:10.1186/1472-6874-11-26.
22. Sarwono, Prawiroharjo. Ilmu Kebidanan. Yayasan Bina Pustaka Sarwono Prawirohardjo; Jakarta; 2014.
23. Wronka I., Teul I., & Marchewka J. The Influence of Age at Menarche on The Prevalence of Disorders of The Menstrual Cycle among Healthy University Students. Annales Academiae Medicae Stetinensis. 2013;59(2):94-8
24. De La Vega R., Tomé-Pires C., Solé E., Racine M., Castarlenas E., Jensen M. P., & Miró J. The Pittsburgh Sleep Quality Index: Validity and Factor Structure in Young People. Psychological Assessement. 2015;27(4): e22-7.
25. Curcio G., Tempesta D., Scarlata S., Marzano C., Moroni F., Rossini P. M, Ferrara M., De Gennaro L. Validity of the Italian Version of the Pittsburgh Sleep Quality Index (PSQI). Neurological Sciences. 2013;34(4):511-9.
26. Alim I. Z. Uji Validitas daan Reliabilitas Instrumen Pittsburgh Sleep Quality Index versi Bahasa Indonesia [Tesis]. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2015.
27. The American College of Obstetrician and Gynecologist. Menstruation in Girls and Adolescent: Using Menstrual Cycle as a Vital Sign. Obstetrics & Gynecology. 2015;126(6): e143-146.
28. Dambhare D. G., Wagh S. V., & Dudhe J. Y. Age at Menarche and Menstrual Cycle Pattern among School Adolescent Girls in Central India. Global Journal of Health Science. 2012; 4(1):105-111.
29. Zegeye D. T., Megabiaw B., & Mulu A. Age at Menarche and The Menstrual Pattern of Secondary School Adolescents in Northwest Ethiopia. BMC Women’s Health. 2009;9:29.
30. Heffner L. J., Schust D. J.. The Menstrual Cycle The Reproductive System At a Glance. UK: Wiley- Blackwell. 2010;38-9.
31. Peraturan Menteri Kesehatan Republik Indonesia [homepage on the internet]. Permenkes Indonesia no. 75 tahun 2013: Angka Kecukupan Gizi yang dianjurkan bagi Bangsa Indonesia; 2013 [cited 2017 Jul 3]. Available from: http://gizi.depkes.go.id/download/Kebijakan%20Gizi/PMK%2075-2013.pdf.
32. Patil S., Joglekar C., Desai M., Yadav A., Sonawane S., Chavan R., & Mohite R. Nutritional Status and Psychological Impairment In Rural Adolescent Girls: Pilot data from “KOKAN” region of Western India. Frontiers in Public Health. 2018; 6: 160.
33. Wansink B., Payne C. R, & Shimizu M. ”Is this a meal or snack?” Situational Cues that Drive Perceptions. Appetite.2010;54:214-6.
34. Wadhera D., & Capaldi E. D. Categorization of Foods as “snack” and “meal” by College Students. Appetite. 2012;58:882–8.
35. Larson N., Story M., Eisenberg M. E., & Neumark-Sztainer D. Secular Trends in Meal and Snack Patterns among Adolescents From 1999 to 2010. Journal of the Academy of Nutrition and Dietetics. 2016;116(2):240-250.e2.
36. Mumford S. L., Chavarro J. E., Zhang C., Perkins N. J., Sjaarda L. A, Pollack A. Z., Schliep K. C., Michels K. A., Zarek S. M., Plowden T. C., Radin R. G., Messer L. C., Frankel R. A., & Wactawski-Wende J. Dietary Fat Intake and Reproductive Hormone Concentrations and Ovulation in Regularly Menstruating Women. The American Journal of Clinical Nutrition.2016;103(3):868-77.
37. Pérez P. A., Sánchez J. F., Maymo J. L., Dueñas J. L., Varone C. L., & Ahanhez M. V. Role of Leptin in Female Reproduction; De Gruyter. Clinical Chemistry and Laboratory Medicine. 2015;53(1):15-28.
38. Vani K. R., Veena K. S., Subita L., Hemanth K. V. R., & Bupathy A. Menstrual Abnormalities in School Going Girls are They Related to Dietary and Exercise Pattern? Journal of Clinical and Diagnostic Research. JCDR. 2013; 7(11):2537–2540.
39. Yavangi M., Amirzargar M. A., Amirzargar N., & Dadashpour M. Does Ramadan Fasting has Any Effects on Menstrual Cycles?. Iranian Journal of Reproductive Medicine. 2013;11(2):145-50.
40. Eittah H. F. A. Effect of Breakfast Skipping on Young Females’ Menstruation. Health Science Journal. 2014;8(4):469-484.
41. Mohamadirizi S., & Kordi M. The Relationship between Food Frequency and Menstrual Distress in High School Females. Iranian Journal of Nursing and Midwifery Research. 2015;20(6):689-93.
42. Dars S., Sayed K., & Yousufzai Z. Relationship of Menstrual Irregularities to BMI and Nutritional Status in Adolescent Girls. Pakistan Journal of Medical Sciences. 2014;30(1):141-144.
43. Hirshkowitz M., Whiton K., Albert S. M., Alessi C., Bruni O., DonCarlos L., Hazen N., Herman J., Katz E. S, Kheirandish-Gozal L., Neubauer D.N., O’Donnell A. E., Ohayon M., Peever J., Rawding R., Sachdeva R. C., Setters B., Vitiello M. V., Ware J. C, Adams Hillard P. J. National Sleep Foundation’s Sleep Time Duration Recommendations: Methodology And Results Summary. Sleep Health.2015;1(1):40-43.
44. Owens J. Insufficient Sleep in Adolescents and Young Adults: an Update on Causes and Consequences. Pediatrics. 2014;134(3):e921- 32.
45. Hysing M., Pallesen S., Stormark K. M., Jakobsen R., Lundervold A. J., Sivertsen B. Sleep and Use of Electronic Devices in Adolescence: Results from a Large Population Based Study. BMJ open, 2015;5(1):e006748.
46. Wheaton A. G., Chapman D. P., & Croft J. B. School Start Times, Sleep, Behavioral, Health, and Academic Outcomes: A Review Of The Literature. The Journal of School Health. 2016;86(5):363-381.
47. Lim H. S., Kim T. H., Lee H. H., Park Y. H., Lee B. R., Park Y. J., & Kim Y. S. Fast Food Consumption Alongside Socioeconomic Status, Stress, Exercise, and Sleep Duration are Associated with Menstrual Irregularities in Korean Adolescents: Korea National Health and Nutrition Examination Survey 2009-2013. Asia Pacific Journal of Clinical Nutrition. 2018;27(5):1146-1154.
48. Gomez-Gonzalez B., Dominguez-Salazar E., Hurtado-Alvarado G Esqueda-Leon E., Santana-Miranda R., Rojas-Zamorano J. A., & Vel azquez-Moctezuma J. Role of Sleep in the Regulation of the Immune System and the Pituitary Hormones. Annals of The New York Academy of Science. 2012;126:97-106.
49. Mehta N., Shafi F., & Bhat A. Unique Aspects of Sleep in Women. Missouri Medicine. The Journal of Missiori State Medical Association. 2015;112(6):430-4.
50. Strauss J. F. Barbiieri R. Yen & Jaffe’s Reproductive Endocrinology: Physiology, Pathophysiology, and Clinical Management 7th edition.1600 John of Kennedy Blv: Philadelphia, PA 19103-2899; 2014.
51. Moen B. E., Baste V., Morken T., Alsaker K., Pallesen S., & Bjorvatn B. Menstrual Characteristics and Night Work among Nurses. Industrial ealth. 2015;53(4):354-60.
52. Santos I. S., Minten G. C., Valle N. C., Tuerlinckx G. C., Silva A. B., Pereira G. A., Carriconde J. F. Menstrual Bleeding Patterns: a Community Based Cross Sectional Study among Women Aged 18-45 Years in Southern Brazil. BMC Women’s Health. 2011;11(1):26.
53. Elshiekh M., Ali Mohammed A. M. Influence of Socioeconomic Status in the Age of Menarche And Duration of Menstrual Bleeding. Materia Socio-Medica. 2011;23(4):195-9.
Authors
Fauziah, L. F., Hanim, D., & Pamungkasari, E. P. (2019). Asupan Gizi Makro dan Durasi Tidur pada Remaja Usia 16-18 Tahun dan Hubungannya terhadap Lama Menstruasi. Media Kesehatan Masyarakat Indonesia, 15(1), 35-45. https://doi.org/10.30597/mkmi.v15i1.5844
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