The Effect of Exercise Plan Based on FITT Protocol on Primary Dysmenorrhea in Medical Students: A Clinical Trial Study

Rashid Heidarimoghadam, Elaheh Abdolmaleki, Farideh Kazemi, Seyedeh Zahra Masoumi, Batoul Khodakarami, Younes Mohammadi, Rashid Heidarimoghadam, Elaheh Abdolmaleki, Farideh Kazemi, Seyedeh Zahra Masoumi, Batoul Khodakarami, Younes Mohammadi

Abstract

Background: We aimed to investigate the effects of exercise based on a specific protocol on the severity and duration of primary dysmenorrhea in students residing in dormitories of Hamadan University of Medical Sciences, western Iran in 2017.

Study design: Randomized controlled trial study.

Methods: Overall, 86 students (43 in the interventional group and 43 in the control group) with mild to moderate dysmenorrhea were enrolled. The exercise based on the FITT protocol (Intensity of exercise, time of exercise, and type of exercise) was implemented for the interventional group in 8 weeks. The McGill Pain scale was used to determine the severity of pain in dysmenorrhea. Duration of pain was calculated in terms of the day. Research data were analyzed using SPSS 20 and the significance level was considered 0.05.

Results: The mean dysmenorrhea severity in the first menstrual cycle after the intervention in intervention group was significantly lower than the control group (3.06 (1.78) and 4.74 (2.14), respectively) and in the second menstrual cycle (2.01 (1.54) and 4.61 (2.01) respectively) (P<0.001). The mean duration of dysmenorrhea in the first menstrual cycle after the intervention in intervention group was less than the control group (1.29 (0.92) and 2.32 (1.26) respectively) P<0.001) and in the second menstrual cycle (0.94 (0.93) and 2.13 (1.24) respectively) P<0.001).

Conclusion: Sports activities based on a certain and organized protocol could improve dysmenorrhea.

Keywords: Dysmenorrhea; Exercise; Students.

Conflict of interest statement

The authors declare that there is no conflict of interests

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References

    1. Aksoy AN, Gözükara I, Kabil Kucur S. Evaluation of the efficacy of F ructus agni casti in women with severe primary dysmenorrhea: A prospective comparative D oppler study. J Obstet Gynaecol Res. 2014;40(3):779–84.
    1. Delaram M, Sadeghian Z, Parvin N, Kazemiyan A , Shams S . Comparison of analgesic effect of agnogol with mefenamic acid in the treatment of primary dysmenorrhea. Journal of Research Development in Nursing & Midwifery. 2015;12:1–7.
    1. Bavil DA, Dolatian M, Mahmoodi Z, Baghban AA. Comparison of lifestyles of young women with and without primary dysmenorrhea. Electron Physician. 2016;8(3):2107–14.
    1. Rahbar N, Asgharzadeh N, Ghorbani R. Effect of omega‐3 fatty acids on intensity of primary dysmenorrhea. Int J Gynaecol Obstet. 2012;117(1):45–7.
    1. Noorbakhsh M, Alijani E, Kohandel M, Mehdizadeh Toorzani Z, Mirfaizi M , Hojat S . The effect of physical activity on primary dysmenorrhea of female university students. World Appl Sci J. 2012;17:1246–52.
    1. Jiang HR, Ni S, Li JL, Liu MM, Li J, Cui XJ, Zhang BM. Systematic review of randomized clinical trials of acupressure therapy for primary dysmenorrhea. Evid Based Complement Alternat Med. 2013;2013:169692.
    1. Fernández-Martínez E, Onieva-Zafra MD , Parra-Fernández ML . Lifestyle and prevalence of dysmenorrhea among Spanish female university students. PloS One. 2018;13(8):e0201894.
    1. Gilasi H, Suki Z, Kohzadi S , Khasi B . Investigate the prevalence of dysmenorrhea and some related factors in female students in Kashan university of medical sciences. Zanco J Med Sci. 2015;16:27–34.
    1. Negi P, Mishra A , Lakhera P . Menstrual abnormalities and their association with lifestyle pattern in adolescent girls of Garhwal, India. J Family Med Prim Care. 2018;7:804–8.
    1. Hashemi SA, Azadeh S, Nouri BM , Navai RA . Review of Pharmacological Effects of Zataria multiflora Boiss(Thyme of Shiraz) International Journal of Medical Research and Health Sciences. 2017;6:78–84.
    1. Ezbarami SM, Mirzaei B, Esfarjani F. Comparison the prevalence and severity of dysmenorrhea among athletes and non-athletes and its relation with body composition. Arak Medical University Journal. 2014;16:80–8.
    1. Safarzadeh A, Zare S, Arbabisarjou A, Ghoreishinia G. The relationship between Exercise and premenstrual syndrome. International Journal of Medical Research & Health Sciences. 2016;5:183–9.
    1. Sammon CJ, Nazareth I , Petersen I . Recording and treatment of premenstrual syndrome in UK general practice: a retrospective cohort study. BMJ Open. 2016;6:e010244.
    1. Sutar A, Paldhikar S, Shikalgar N, Ghodey S. Effect of aerobic exercises on primary dysmenorrhea in college students. J Nurs Health Sci. 2016;5:20–4.
    1. Nasri M, Barati a A , Ramezani A . The effects of aerobic training and pelvic floor muscle exercise on primary dysmenorrhea in adolescent girls. Journal of Clinical Nursing and Midwifery. 2017;5:53–61.
    1. Shobeiri F, Masoumi SZ, Nikravesh A, Heidari Moghadam R , Karami M . The impact of aerobic exercise on quality of life in women with breast cancer: a randomized controlled trial. J Res Health Sci. 2016;16:127–32.
    1. Han S-H, Hur M-H, Buckle J, Choi J, Lee MS. Effect of aromatherapy on symptoms of dysmenorrhea in college students: A randomized placebo-controlled clinical trial. Journal of Alternative & Complementary Medicine. 2006;12:535–41.
    1. Younesy S, Amiraliakbari S, Esmaeili S, Alavimajd H , Nouraei S . Effects of fenugreek seed on the severity and systemic symptoms of dysmenorrhea. J Reprod Infertil. 2014;15:41–8.
    1. Salehi F, Marefati H, Mehrabian H, Sharifi H. Effect of pilates exercise on primary dysmenorrhea. Journal of Research in Rehabilitation Sciences. 2012;1:248–53.
    1. Golomb LM, Solidum AA, Warren MP. Primary dysmenorrhea and physical activity. Med Sci Sports Exerc. 1998;30:906–9.
    1. Reyhani T, Jafarnejad F, Behnam H, Aiam M, Baghaei B. The effect of brisk walking on primary dysmenorrhea in girl students. Iranian Journal of Obstetrics, Gynecology and Infertility. 2013;16:14–9.
    1. Sarhaddi S, Ramezani A, Gholami M, Taheri H. The effect of an aerobic training cycle in the morning and evening on primary dysmenorrhea and some physiological variables in matured girls. Iranian Journal of Obstetrics, Gynecology and Infertility. 2015;18:11–20.
    1. Choi PY , Salmon P . Stress responsivity in exercisers and non-exercisers during different phases of the menstrual cycle. Soc Sci Med. 1995;41:769–77.
    1. Harlow SD , Park M . A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Bjog: An International Journal Of Obstetrics & Gynaecology. 1996;103:1134–42.
    1. Haidari F, Akrami A, Sarhadi M , Mohammad Shahi M . Prevalence and severity of primary dysmenorrhea and its relation to anthropometric parameters. Journal of Hayat. 2011;17:70–7.
    1. Shahrjerdi S , Hosaini S S . The effect of 8 weeks stretching exercise on primary dysmenorrhea in 15-17 aged high school student girls in Arak. Journal of Shahrekord Uuniversity of Medical Sciences. 2010;11:84–91.
    1. Koushkie Jahromi M , Salesi M . Comparison ginger and resistance training on primary dysmenorrhea in female students of Shiraz university. Iran South Med J. 2015;18:100–9.
    1. Khodaveisi M, Khah MS, Bashirian S, Karami M M , Khodaveisi M M . The Effect of Health Belief Model-Based Training on Preventive Behaviors of Hepatitis B in Addicts Referred to the Substance Abuse Treatment Centers of Hamadan Province in 2015. Int J High Risk Behav Addict. 2018;7:1–6.
    1. Masoumi Z, Keramat A , Hajiaghaee R . Systematic review on effect of herbal medicine on pain after perineal episiotomy and cesarean cutting. Journal of Medicinal Plants. 2011;10:1–16.
    1. Oshvandi K, Keshmiri K, Salavati M, Emkanjoo Z , Musavi S . Effectiveness of education based on Orem's self-care model in self-care activity of patients with implantable cardioverter defibrillators. Hayat. 2014;19:47–55.

Source: PubMed

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