The study was conducted over a period of one year on a randomised sample size of 200 students (MBBS, BDS & GNM) in Medical Teaching institution. A questionnaire was distributed among these girls regarding: details of menstrual cycle and other associated symptoms. Enquiry was made regarding family history and dietary habits as well.
Assessment of the physical profile such as height (m), weight (kg), BMI, abdominal girth (cm), Waist-Hip Ratio, measurement of subcutaneous fat tissue (at the level of lower abdomen, mid thigh and triceps with vernier calipers) was done. Prevalence of menstrual irregularity was there in 40.5% of the students, 74.5% belonged to upper socioeconomic class. Average age at menarche was 12.31 years. It was attained earlier in the upper SE class of society (90%). 31.5% girls had BMI more than 25 (majority from upper SE class).
Girls with high (90.4%) BMI have irregular cycles.Girls with hirsutism were overweight (46.03%). Higher fat percentage was (31-34%) associated with large number of girls with irregular menstrual cycles (89.13%). There is a statistically significant correlation between irregular cycles and high BMI (χ2=49.826) (p<0.001). There is also statistically significant correlation between very high and very low body fat percentages and menstrual irregularities (χ2=35.839) (p<0.001).
Incidence of irregular menstruation is significantly associated to upper SE class (χ2=44.5809) (p<0.001). Diagnosis and management of these problems will not only improve the girls current health, sense of well being and overall quality of life but may also lower her risks for future disease and ill health after proper advice about diet and exercise.
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