Abstrak: Iron, potassium, zinc, and other minerals might impact the development of premenstrual syndrome (PMS) through multiple mechanisms, but few studies have evaluated these relations. We conducted a case-control study nested within the prospective Nurses' Health Study II (1991-2001). Participants were free from PMS at baseline. After 10 years, 1,057 women were confirmed as PMS cases and 1,968 as controls. Mineral intake was assessed using food frequency questionnaires completed in 1991, 1995, and 1999. After adjustment for calcium intake and other factors, women in the highest quintile of nonheme iron intake had a relative risk of PMS of 0.64 (95% confidence interval (CI): 0.44, 0.92; P for trend = 0.04) compared with women in the lowest quintile. Women in the highest quintile of potassium intake had a relative risk of 1.46 (95% CI: 0.99, 2.15; P for trend = 0.04) compared with women in the lowest quintile. High intake of zinc from supplements was marginally associated with PMS (for intake of ≥25 mg/day vs. none, relative risk = 0.69, 95% CI: 0.46, 1.02; P for trend = 0.05). Intakes of sodium, magnesium, and manganese were unrelated to PMS risk. These findings suggest that dietary minerals may be useful in preventing PMS. Additional studies are needed to confirm these relations.

Abstrak: Premenstrual Syndrome (PMS) adalah kumpulan gejala fisik, psikologis, dan emosional yang terkait dengan siklus menstruasi yang biasanya terjadi 7-14 hari sebelum periode menstruasi dan menghilang ketika menstruasi dimulai. Gejala yang muncul dapat mengganggu aktivitas. Salah satu faktor penyebab Premenstrual Syndrome adalah usia menarche dan asupan zat gizi mikro. Tujuan dari penelitian ini yaitu untuk menganalisis data sekunder terkait hubungan antara usia menarche dan asupan zat gizi mikro dengan kejadian Premenstrual Syndrome pada remaja putri di SMAN 4 Surabaya tahun 2017. Penelitian ini menggunakan studi Cross Sectional dengan pendekatan kuantitatif. Data dianalisis secara multivariat dengan uji regresi logistik. Hasil analisis bivariat menunjukkan bahwa ada hubungan antara usia menarche (p=0,0005), vitamin B1 (p=0,033), vitamin B2 (p=0,011), vitamin B6 (p=0,023), vitamin E (p=0,045), zink (0,014), dan kolesterol (0,001) dengan kejadian Premenstrual Syndrome. Hasil analisis multivariat menunjukkan bahwa asupan natrium merupakan variabel yang paling dominan berhubungan dengan kejadian Premenstrual Syndrome dengan OR=5,787 artinya remaja putri yang memiliki asupan natrium tinggi berisiko mengalami kejadian Premenstrual Syndrome 5,8 kali lebih tinggi dibandingkan remaja putri yang tidak mengonsumsi natrium secara berlebih, setelah dikontrol usia menarche, vitamin B1, vitamin B2, zink, dan kolesterol

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Premenstrual Syndrome (PMS) consists of physical, psychological, and emotional symptoms associated with menstrual cycle which usually occurs 7-14 days before the menstrual period and disappears when menstruation begins. The symptoms can even cause interference activities. Menarche and micronutrition intake are the factors causing PMS. The purpose of this study was to analyze the relationship between menarche and micronutrition intake with PMS in adolescent girls at SMAN 4 Surabaya in 2017. This study uses a ross sectional study with a quantitative approach. Data analyzed by logistic regression. The result of bivariate analysis found correlation between menarche (p=0,0005), vitamin B1 (p=0,033), vitamin B2 (p=0,011), vitamin B6 (p=0,023), vitamin E (p=0,045), zinc (0,014), dan cholesterol (0,001) with Premenstrual Syndrome. The results of multivariate analysis found that sodium intake is the dominant variable in the correlation with Premenstrual Syndrome, OR=5,787 means that adolescent girls with high sodium intake will increase the risk of Premenstrual Syndrome 5,8 times higher than adolescent girls with normal sodium intake, after controlled by menarche, vitamin B1, vitamin B2, zinc, dan cholesterol.

Abstrak:

ABSTRAK Nama :  Ayatun Fil Ilmi Program studi : Ilmu Kesehatan Masyarakat Judul :  Faktor Dominan Gejala Premenstrual Syndrome pada Mahasiswi Universitas Indonesia Premenstrual syndrome merupakan kumpulan gejala fisik, psikologis, dan emosi, yang dialami wanita pada 7-14 hari sebelum mentruasi akibat perubahan hormonal yang berhubungan dengan siklus ovulasi. Tujuan penelitian ini adalah mengetahui faktor dominan yang berhubungan dengan gejala premenstrual syndrome. Desain studi dalam penelitian ini adalah cross sectional dengan teknik sampling consecutive sampling. Sampel penelitian berjumlah 130 mahasiswi yang berasal dari S1 reguler Fakultas Kesehatan Masyarakat dan Departemen Arsitek Fakultas Teknik angkatan 2015/2016. Variabel yang diteliti terdiri dari gejala premenstrual syndrome, tingkat stres, aktivitas fisik, asupan gizi mikro (piridoksin, vitamin D, kalsium dan magnesium), pola tidur, dan status gizi. Hasil penelitian menunjukan sebanyak 36,9% mahasiswi mengalami premenstrual syndrome gejala sedang hingga berat. Terdapat hubungan yang signifikan antara tingkat stres (p=0,001), asupan piridoksin (p=0,003), asupan magnesium (p=0,044), pola tidur (p=0,006) dengan gejala premenstrual syndrome. Faktor yang paling dominan terhadap premenstrual syndrome adalah pola tidur (OR=3,580), diikuti tingkat stres dan asupan piridoksin. Mahasiswi dengan pola tidur yang buruk berisiko mengalami premenstrual syndrome 3,580 kali lebih tinggi dibandingkan dengan mahasiswi yang memiliki pola tidur yang baik. Disarankan pihak kampus dapat memberikan promosi kesehatan yang berhubungan dengan gejala premenstrual syndrome, pentingnya pola tidur yang baik dan cukup, pengendalian stress, dan pentingnya asupan gizi mikro. Kata kunci : premenstrual syndrome, tingkat stress, aktivitas fisik, asupan gizi mikro, pola tidur, status gizi

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ABSTRACT Name :  Ayatun Fil Ilmi Study Program :  Public Health Title :  The Dominant Factor of Premenstrual Syndrome Symptom in Female Student of Universitas Indonesia Premenstrual syndrome is a complex of symptoms, including physic, phsycology, and emotion that is experienced by some women, 7-14 days before women’s period, it is cause by  hormonal changes related to ovulation. The purpose of this study was to determine the risk factors related to PMS. The research used cross sectional study design with sampling technique used consecutive sampling. A sample of this study was 130 student at FKM and Architecture Departement of Universitas Indonesia. Data collected include PMS occurrence, stress level, phsycal activities, intake of micronutrient (pyridoxine, vitamin D, Ca, Mg), sleep pattern and nutritional status. The result showed 36,9% of subject had moderat to severe PMS level. There was relationship between stress level (p = 0,001), pyridoxine intake (p=0,003), Mg intake (p=0,044), sleep patern (p=0,006) with PMS. Sleep pattern (OR=3,580) was the most dominant influence of premenstrual syndrome followed by stress level and pyridoxine intake. Student with poor sleep pattern had experience PMS 3,580 higher than student with good sleep pattern. Researcher recommend to The University able to give health promotion related to PMS, the importance of good sleeping pattern, stress management, the importance of micronutrient intake. Keyword : premenstrual syndrome, stress level, phsycal activity, micronutrient intake, sleep pattern, nutritional status