title: Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation.
abstract: OBJECTIVE
  To find out the relation between the frequency of dysmenorrhea and body mass index in adolescents and to assess the impact of socio-demographic factors, especially rural/urban variation in the frequency of dysmenorrhea.
  
  
  METHODS
  Cross-sectional study of 200 urban and 200 rural school going adolescent girls at Udaipur and Bedla Districts, Rajasthan.
  
  
  RESULTS
  Of the 400 girls, the prevalence of dysmenorrhea was found to be very high (81.5 % rural and 76 % urban). In the rural setup, of the total girls with mild dysmenorrhea, 71.84 % had BMI < 16.5, with 27.18 % underweight. All girls with moderate and severe dysmenorrhea had BMI < 16.5. In the urban setup, of all girls with mild dysmenorrhea, 38.05 % had BMI < 16.5 and 54.86 % were underweight. All girls with severe and 80 % with moderate dysmenorrhea had BMI < 16.5. All girls with no dysmenorrhea had normal BMI. There was significant rural versus urban variation.
  
  
  CONCLUSIONS
  Relation between dysmenorrhea and BMI was found to be significant (p < 0.01) with increased prevalence in the low BMI group. Hence, improving the nutritional status of adolescent girls may reduce dysmenorrhea.
authors.affiliation: Department of Obstetrics & Gynecology, R.N.T. Medical College, Udaipur, Rajasthan India.
authors.forename: Madhubala
authors.initials: M
authors.lastname: Chauhan
authors.forename: Jyoti
authors.initials: J
authors.lastname: Kala
keywords: Adolescents; Body mass index; Dysmenorrhea
references.citation: J Biosoc Sci. 1996 Jul;28(3):315-23
references.pmid: 8698711
references.citation: Indian J Physiol Pharmacol. 2008 Oct-Dec;52(4):389-97
references.pmid: 19585756
references.citation: Br J Obstet Gynaecol. 1979 Jun;86(6):484-7
references.pmid: 465399
references.citation: Nihon Koshu Eisei Zasshi. 2002 Jun;49(6):516-24
references.pmid: 12138714
references.citation: Dan Med Bull. 1979 May;26(3):126-8
references.pmid: 446110
references.citation: Indian Pediatr. 1996 Mar;33(3):197-201
references.pmid: 8772838
references.citation: Arch Gynecol. 1981;230(3):173-7
references.pmid: 7247462
references.citation: Am Fam Physician. 1999 Aug;60(2):489-96
references.pmid: 10465224
references.citation: Br J Obstet Gynaecol. 1996 Nov;103(11):1134-42
references.pmid: 8917003
references.citation: Am J Obstet Gynecol. 1982 Nov 15;144(6):655-60
references.pmid: 7137249
references.citation: Am J Epidemiol. 2001 Apr 15;153(8):790-3
references.pmid: 11296152
references.citation: Am J Med. 1984 Jul 13;77(1A):87-94
references.pmid: 6380282
references.citation: J Med Assoc Thai. 2004 Oct;87 Suppl 3:S69-73
references.pmid: 21218593