Understanding menstrual characteristics from the perspective of reproductive energetics: a study on the adolescent Oraon tribal populations

Joyeeta Thakur; Monali Goswami; Subho Roy

doi:10.2478/anre-2020-0009

Authors

Joyeeta Thakur Department of Anthropology, University of Calcutta, 35 Ballygunj Circular Road, Kolkata 700019, West Bengal
Monali Goswami Department of Anthropology, University of Calcutta, 35 Ballygunj Circular Road, Kolkata 700019, West Bengal
Subho Roy Department of Anthropology, University of Calcutta, 35 Ballygunj Circular Road, Kolkata 700019, West Bengal

DOI:

https://doi.org/10.2478/anre-2020-0009

Keywords:

Menstrual characteristics, energetics, adolescent, Oraon

Abstract

The energetic costs of ovarian functions rely on the oxidizable fuels synthesized from carbohydrate, protein and fat that contribute to body’s fat storage. Energy deficient diet in association with low body fat may disrupt normal ovulatory function and lead to several menstrual irregularities. We examined the association of nutritional status with menstrual characteristics among a group of adolescent Oraon tribal population of West Bengal, India. We selected 301 adolescent girls, aged 10-19 years. Information on socio-demographic status, menstrual characteristics and assessment of the dietary intake and nutritional status were collected following standard protocol. ‘Healthy weight’ participants more likely reported irregularity in periods and skipping of menstrual cycle and shorter cycle length. Multivariate analysis revealed PBF has inverse association with PMS, duration of discharge and skipping of cycle (p<0.05); carbohydrate intake has direct association with duration of menstrual discharge (p<0.05); increased dietary fat intake has direct association with skipping of cycle, but not with BMI (p<0.05); increase in MUAC has direct association with dysmenorrhoea (p<0.05). Conclusion: Our study indicates energy deficiency does alter the menstrual characteristics of the Oraon adolescent girls.

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References

Aeberli I, Molinari L, Spinas G, Lehmann R, l’Allemand D, Zimmermann MB. 2006. Dietary intakes of fat and antioxidant vita-mins are predictors of subclinical inflammation in overweight Swiss children. Am J Clin Nutr 84(4):748–55.
View in Google Scholar

Agarwal AK, Agarwal A. 2010. A Study of dysmenorrhea during menstruation in adolescent girls. Indian J Community Med 35(1):159–64.
View in Google Scholar

Bajalan Z, Alimoradi Z, Moafi F. 2019. Nutrition as a potential factor of primary dysmenorrhea: a systematic review of observational studies. Gynecol Obstet Invest 84(3):209–24.
View in Google Scholar

Barnard ND, Scialli AR, Hurlock D, Bertron P. 2000. Diet and sex-hormone binding globulin, dysmenorrhea, and premenstrual symptoms. Obstet Gynecol 95(2):245–50.
View in Google Scholar

Bendich A. 2000. The potential for dietary supplements to reduce premenstrual syndrome (PMS) symptoms. J Am Coll Nutr 19(1):3–12.
View in Google Scholar

Bertone-Johnson ER, Ronnenberg AG, Houghton SC, Nobles C, Zagarins SE, Takashima-Uebelhoer BB, Faraj JL, Whitcomb BW. 2014. Association of inflammation markers with menstrual symptom severity and premenstrual syndrome in young women. Hum Reprod 29(9):1987–94.
View in Google Scholar

Bhowmik SK. 1996. Tea plantation workers in West Bengal. In: Bhowmik SK, Xaxa V, Kalam MA, editors. Tea plantation labour in India. Electronic ed. New Delhi: Friedrich Ebert Stiftung; p. 43–80.
View in Google Scholar

Bronson FH, Manning J. 1991. The energetic regulation of ovulation: a realistic role for body fat. Biol Reprod 44(6):945–50.
View in Google Scholar

Bullen BA, Skrinar GS, Beitins IZ, von Mering G, Turnbull BA, McArthur JW. 1985. Induction of menstrual disorders by strenuous exercise in untrained women. N Engl J Med. 312(21):1349–53.
View in Google Scholar

Bussell G. 2014. Premenstrual syndrome (PMS), food factsheet. British Dietetic Association (BDA). [Accessed 2019 May 05]. Available at https://www.bda.uk.com/foodfacts/pms.pdf
View in Google Scholar

Census of India 2011. Census of India. Government of India, New Delhi. [Accessed 2019 June 08]. Available at http://www.censusindia.gov.in/2011census/PCA/ST.html
View in Google Scholar

Census of India 2011. District census handbook, Jalpaiguri, West Bengal. Census of India, Government of India, New Delhi; 2011. [Accessed 2019 June 08]. Available at http://censusindia.gov.in/2011census/dchb/1902_PART_B_DCHB_JALPAIGURI.pdf
View in Google Scholar

Centers for Disease Control and Prevention. The BMI for age growth charts. Centers for Disease Control and Prevention. The United States Department of Health & Human Services. [Accessed 2019 June 16]. Available at https://www.cdc.gov/growthcharts/html_charts/bmiagerev.htm#females
View in Google Scholar

Chaput JP, Katzmarzyk PT, Barnes JD, Fogel-holm M, Hu G, Kuriyan R, Kurpad A, Lambert EV, Maher C, Maia J et al. 2017. Mid-upper arm circumference as a screening tool for identifying children with obesity: a 12-country study. Pediatr Obes 12(6):439–45.
View in Google Scholar

Charrondiere UR, Haytowitz D, Stadlmayr B. 2012. FAO/INFOODS density database. version 2.0. Food and Agriculture Organization of the United Nations. Rome, Italy. [Accessed 2019 July 12]. Available at http://www.fao.org/3/ap815e/ap815e.pdf
View in Google Scholar

Chaudhury S, Varma N. 2002. Between gods/ goddesses/demons and “science”: perceptions of health and medicine among plantation laborers in Jalpaiguri district, Bengal. Social Scientist 30(5/6):18–38.
View in Google Scholar

Chauhan M, Kala J. 2012. Relation between dysmenorrhea and body mass index in adolescents with rural versus urban variation. J Obstet Gynaecol India 4(62):442–45.
View in Google Scholar

Chavarro JE, Gaskins AJ, Afeiche MC. 2015. Nutrition and ovulatory function. In: Tremellen K, Pearce K, editors. Nutrition, fertility and human reproductive function. 1st ed. USA: CRC Press: Boca Raton, FL; p. 27.
View in Google Scholar

Choudhary S, Mishra CP, Shukla KP. 2009. Correlates of nutritional status of adolescent girls in the rural area of Varanasi. The Internet J of Nutr and Wellness 7(2):1–10.
View in Google Scholar

Craig E, Bland R, Ndirangu J, Reilly JJ. 2014. Use of midupper arm circumference for determining overweight and overfatness in children and adolescents. Archives of Disease in Childhood (ADC) 99(8):763–66.
View in Google Scholar

Dawood MY. 1987. Dysmenorrhea and pros-taglandins. In: Gold JJ, Josimovich JB, editors. Gynecologic endocrinology. 4th ed. Vol 4. New York: Plenum Publishing Corporation; p. 405–421.
View in Google Scholar

Della Torre S, Benedusi V, Fontana R, Maggi A. 2014. Energy metabolism and fertility: A balance preserved for female health. Nat Rev Endocrinol 10(1):13–23.
View in Google Scholar

Della Torre S, Rando G, Meda C, Stell A, Chambon P, Krust A, Ibarra C, Magni P, Ciana P, Maggi A. 2011. Amino acid-dependent activation of liver estrogen receptor alpha integrates metabolic and reproductive functions via IGF-1. Cell Metab 13(2):205–14.
View in Google Scholar

Ellison PT. 2001. On fertile ground: a natural history of human reproduction. Massachusetts: Harvard University Press, Cambridge.
View in Google Scholar

Ellison PT. 2003. Energetics and reproductive effort. Am J Hum Biol 15(3):342–51.
View in Google Scholar

Ellison PT. 2008. Energetics, reproductive ecology and human evolution. Paleo Anthropology. p. 172−200. [Accessed 2019 May 12]. Available at https://evolution.binghamton.edu/evos/wp-content/uploads/2010/01/PA20080172.pdf
View in Google Scholar

Ferin M, Jewelewicz R, Warren M, 1993. The menstrual cycle: physiology, reproductive disorders and infertility. New York: Oxford Press.
View in Google Scholar

Frisch RE, Revelle R, Cook S. 1973. Components of weight at menarche and the initiation of the adolescent growth spurt in girls: estimated total water, lean body weight and fat. Hum Biol 45(3):469–83.
View in Google Scholar

Frisch RE. 1976. Critical weights, a critical body composition, menarche, and the maintenance of menstrual cycles. In: Watts ES, Johnston FE, Lasker GW, editors. Biosocial Interrelations in Population Adaptation. 1st ed. Paris: Moulton Press; p. 319–352.
View in Google Scholar

Frisch RE. 1978 Population, food intake, and fertility. There is historical evidence for a direct effect of nutrition on reproductive ability. Science 199(4324):22–30.
View in Google Scholar

Frisch RE. 1988. Fatness and fertility. Sci Am 258(3):88–95.
View in Google Scholar

Gagua T, Tkeshelashvili B, Gagua D. 2012. Primary dysmenorrhea: prevalence in adolescent population of Tbilisi, Georgia and risk factors. J Turk Ger Gynecol Assoc 13(3):162–68.
View in Google Scholar

Ghosh, B. 2014. Vulnerability, forced migration and trafficking in children and women: a field view from the plantation industry in West Bengal. Econ and Political Wkly 49(26–27):58–65.
View in Google Scholar

Ghosh-Jerath S, Singh A, Kamboj P, Goldberg G, Magsumbol M. 2015. Traditional knowledge and nutritive value of indigenous foods in the oraon tribal community of jharkhand: an exploratory cross-sectional study. Ecol Food Nutr 54(5):493–519.
View in Google Scholar

Gold EB, Bair Y, Block G, Greendale GA, Harlow SD, Johnson S, Kravitz HM, Rasor MO, Siddiqui A, Sternfeld B et al. 2007. Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample: study of women’s health across the nation (SWAN). J Womens Health (Larchmt) 16(5):641–56.
View in Google Scholar

Hirata M, Kumabe K, Inoue Y. 2002. Relationship between the frequency of menstrual pain and weight in female adolescents. Nihon Koshu Eisei Zasshi 49(6):510–24.
View in Google Scholar

Hoekstra WG. 1963. Metabolic Interrelationships of Fats, Proteins and Carbohydrates. American meat science association. AMSA-RMC Proceedings. [Accessed 2019 May 23] Available at https://meatscience.org/publications-resources/rmc-proceedings/1963 and https://meatscience.org/docs/default-source/publications-resources/rmc/1963/metabolic-interrelationships-of-fats-proteins-and-carbohydrates.pdf?sfvrsn=1ed3bbb3_2
View in Google Scholar

Horrobin DF. 1983. The role of essential fatty acids and prostaglandins in the premenstrual syndrome. J Reprod Med 28(7):465–68.
View in Google Scholar

Hossain MG, Sabiruzzaman M, Islam S, Hisyam RZ, Lestrel PE, Kamarul T. 2011. Influence of anthropometric measures and sociodemographic factors on menstrual pain and irregular menstrual cycles among university students in Bangladesh. Anthropol Sci 119(3):239–46.
View in Google Scholar

Houghton S, Bertone-Johnson ER. 2015. Macronutrients and premenstrual syndrome. In: Berhardt LV, editor. Advances in medicine and biology. Vol. 87. New York: Nova Science Publishers, Inc. Hauppauge; p. 137–156.
View in Google Scholar

Houghton SC. 2016. Macronutrients and the risk of premenstrual syndrome [doctoral dissertations]. Massachusetts: University of Massachusetts Amherst. [Accessed 2019 May 23]. Available at https://pdfs.semanticscholar.org/bda3/a2f766cf3a1e-61ccef0a0090442630f8bb5d.pdf
View in Google Scholar

Howland BE, Kirkpatrick RL, Pope AL, Casida LE.1966. Pituitary and ovarian function in ewes fed on two nutritional levels. J Anim Sci 25(3):716–21.
View in Google Scholar

Iacovides S, Avidon I, Baker FC. 2015. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update 21(6):762–78.
View in Google Scholar

Jaiswal M, Bansal R, Agarwal A. 2017. Role of mid-upper arm circumference for determining overweight and obesity in children and adolescents. J Clin Diagn Res 11(8):SC05–SC08.
View in Google Scholar

Jena P, Panda J, Mishra A, Agasti N. 2017. Menstrual pattern and Body Mass Index in adolescent school girls; a cross-sectional study. Global Journal for Research Analysis (GJRA) 6(6):29–31.
View in Google Scholar

Jenkins DJ, Wong JM, Kendall CW, Esfahani A, Ng VW, Leong TC, Faulkner DA, Vidgen E, Greaves KA, Paul G et al. 2009. The effect of a plant-based low-carbohydrate (“Eco-Atkins”) diet on body weight and blood lipid concentrations in hyperlipidemic subjects. Arch Intern Med 169(11):1046–54.
View in Google Scholar

Johnson MH, Everitt BJ. 1988. Essential reproduction. 3rd ed. Oxford: Blackwell Scientific, United Kingdom.
View in Google Scholar

Johnson S, Weddell S, Godbert S, Freundl G, Roos J, Gnoth C. 2015. Development of the first urinary reproductive hormone ranges referenced to independently determined ovulation day. Clin Chem Lab Med 53(7):1099–108.
View in Google Scholar

Joshi JV, Pandey SN, Galvankar P, Gogate JA. 2010. Prevalence of premenstrual symptoms: preliminary analysis and brief review of management strategies. J Midlife Health 1(1):30–34.
View in Google Scholar

Ju H, Jones M, Mishra GD. 2015. A U-shaped relationship between body mass index and dysmenorrhea: a longitudinal study. PLoS One 10(7):1–12.
View in Google Scholar

Jungheim ES, Travieso JL, Carson KR, Moley KH. 2012. Obesity and reproductive function. Obstet Gynecol Clin North Am 39(4):479–93.
View in Google Scholar

Kaur TJ, Kochar GK, Agarwal T. 2007. Impact of nutrition education on nutrient adequacy of adolescent girls. Stud Home Comm Sci 1(1):51–55.
View in Google Scholar

Key TJ, Allen NE, Verkasalo PK, Banks E. 2001. Macronutrient Metabolism Group Symposium on ‘Energy flux and cancer’: Energy balance and cancer: the role of sex hormones. Proc Nutr Soc 60:81–89.
View in Google Scholar

Kirchengast S, Huber J. 2004. Body composition characteristics and fat distribution patterns in young infertile women. Fertil Steril 81(3):539–44.
View in Google Scholar

Kuokkanen S, Polotsky AJ, Chosich J, Bradford AP, Jasinska A, Phang T, Santoro N, Appt SE. 2016. Corpus luteum as a novel target of weight changes that contribute to impaired female reproductive physiology and function. Syst Biol Reprod Med 62(4):227–42.
View in Google Scholar

Lee LK, Chen PC, Lee KK, Kaur J. 2006. Menstruation among adolescent girls in Malaysia: A cross-sectional school survey. Singapore Med J 47(10):869–74.
View in Google Scholar

Leonard WR, Ulijaszek SJ. 2002. Energetics and evolution: an emerging research domain. Am J Hum Biol 14(5):547–50.
View in Google Scholar

Lohman TG, Roche AF, Martorell R. 1988. Anthropometric standardization reference manual. Champaign, IL: Human Kinetics Books, USA.
View in Google Scholar

Longvah T, Ananthan R, Bhaskarachary K, Venkaiah K. 2017. Indian food composition table 2017. National Institute of Nutrition. Indian Council of Medical Research. Ministry of Health and Family Welfare, Govt. of India. Hyderabad. [Accessed 2019 May 14]. Available at http://ninindia.org/Downloads/IFCT%202017%20Book.pdf
View in Google Scholar

Memon GN, Antoniewicz RJ, Benevenga NJ, Pope AL, Casida LE. 1969. Some effects of differences in dietary energy and protein levels on the ovary and the anterior pituitary gland of the ewe. J Anim Sci 28(1):57–62.
View in Google Scholar

Menkes DB, Coates DC, Fawcett JP. 1994. Acute tryptophan depletion aggravates premenstrual syndrome. J Affect Disord 32(1):37–44.
View in Google Scholar

Miller KK, Grinspoon S, Gleysteen S, Grieco KA, Ciampa J, Breu J, Herzog DB, Klibanski A. 2004. Preservation of neuroendocrine control of reproductive function despite severe undernutrition. J Clin Endocrinol Metab 89(9):4434–38.
View in Google Scholar

Mohamadirizi S, Kordi M. 2013. Association between menstruation signs and anxiety, depression, and stress in school girls in Mashhad in 2011–2012. Iran J Nurs Midwifery Res 18(5):402–07.
View in Google Scholar

Mohamadirizi S, Kordi M.2015. The relationship between food frequency and menstrual distress in high school females. Iran J Nurs Midwifery Res 20(6):689–93.
View in Google Scholar

Mohite RV, Mohite VR, Kumbhar SM, Ganganahalli P. 2013. Common menstrual problems among slum adolescent girls of western Maharashtra, India. Journal of Krishna Institute of Medical Sciences University 2(1):89–97.
View in Google Scholar

Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. 2011. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 364(25):2392–404.
View in Google Scholar

Mukherjee P, Mishra S, Ray S. 2014. Menstrual characteristics of adolescent athletes: A study from West Bengal, India. Coll Antropol 38(3):917–923.
View in Google Scholar

Myerson M, Gutin B, Warren MP, May MT, Contento I, Lee M, Pi-Sunyer FX, Pierson RN Jr, Brooks-Gunn J. 1991. Resting metabolic rate and energy balance in amenorrheic and eumenorrheic runners. Med Sci Sports Exerc 23(1):15–22.
View in Google Scholar

Nagata C, Hirokawa K, Shimizu N, Shimizu H. 2004. Soy, fat and other dietary factors in relation to premenstrual symptoms in Japanese women. BJOG: An Int J of Obstet and Gynaecol. 111(6):594–99.
View in Google Scholar

National Institute Of Nutrition. 2009. Assessment of diet and nutritional status of rural population and prevalence of hypertension and type 2 diabetes mellitus among adults: A field operational manual. National Institute Of Nutrition, Indian Council of Medical Research, Hyderabad.
View in Google Scholar

National Institute of Nutrition. 2002. Diet and nutritional status of rural population. National Nutrition Monitoring Bureau Technical Report No.21. NIN, Indian Council of Medical Research, Hyderabad. [Accessed 2019 July 25]. Available at http://nnmbindia.org/NNMBRE-PORT2001-web.pdf
View in Google Scholar

National Institute of Nutrition. 2011. Dietary Guidelines for Indians-A Manual. NIN, Indian Council of Medical Research, Hyderabad. [Accessed 2019 July 25]. Available at http://ninindia.org/DietaryGuidelinesforNINwebsite.pdf
View in Google Scholar

National Institute Of Nutrition. 2009. Nutrient requirements and recommended dietary allowances for Indians, 2010. A Report of the Expert Group of the Indian Council of Medical Research. Indian Council of Medical Research, Hyderabad.
View in Google Scholar

Nattiv A, Agostini R, Drinkwater B, Yeager KK. 1994. The female athlete triad: The interrelatedness of disordered eating, amenorrhea, and osteoporosis. Clin Sports Med 13(2):405–18.
View in Google Scholar

Nourjah P. 2008. Premenstrual syndrome among teacher training university students in Iran. J Obstet Gynecol India 58(1):49–52.
View in Google Scholar

Obert J, Mafongoya P. 2016. Tepary bean: a climate smart crop for food and nutritional security. J Nutr Food Sci 6:490.
View in Google Scholar

Osman AH. 2016. Protein energy malnutrition and susceptibility to viral infections as zika and influenza viruses. J Nutr Food Sci 6(3):489.
View in Google Scholar

Parimalavalli R, Sangeetha M. 2011. Anthropometric measurements and nutrient in-take of adolescent girls. Anthropologist 13(2):111–15
View in Google Scholar

Petridou E, Syrigou E, Toupadaki N, Zavitsanos X, Willett W, Trichopoulos D. 1996. Determinants of age at menarche as early life predictors of breast cancer risk. Int J Cancer 68(2):193–98.
View in Google Scholar

Pezeshki A, Zapata RC, Singh A, Yee NJ, Chelikani PK. 2016. Low protein diets produce divergent effects on energy balance. Scientific Reports No. 6 (article no. 25145):1–13. [Accessed 2019 May 30]. Available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4848496/pdf/srep25145.pdf
View in Google Scholar

Pirke KM, Schweiger U, Laessle R, Dickhaut B, Schweiger M, Waechtler M. 1986. Dieting influences the menstrual cycle: vegetarian versus non vegetarian diet. Fertil Steril 46(6): 1083–88.
View in Google Scholar

Price PN, Duncan SL, Levin RJ.1981. Oxygen consumption of human endometrium during the menstrual cycle measured in vitro using an oxygen electrode. J Reprod Fertil 63(1):185–92.
View in Google Scholar

Prior JC, Yuen BH, Clement P, Bowie L, Thomas J. 1982. Reversible luteal phase changes and infertility associated with marathon training. Lancet 2(8292):269–70.
View in Google Scholar

Randhawa JK, Mahajan K, Kaur M, Gupta A. 2016. Effect of dietary habits and socio-economic status on menstrual disorders among young females. Am J Biol Sci 4(3–1):19–22.
View in Google Scholar

Reddy UM, Branum AM, Klebanoff MA. 2005. Relationship of maternal body mass index and height to twinning. Obstet Gynecol 105(3):593–97.
View in Google Scholar

Roba KT, Abdo M, Wakayo T. 2016. Nutritional status and its associated factors among school adolescent girls in Adama city, central Ethiopia. J Nutr Food Sci 6(3):493.
View in Google Scholar

Rocha Filho EA, Lima JC, Pinho Neto JS, Montarroyos U. 2011. Essential fatty acids for premenstrual syndrome and their effect on prolactin and total cholesterol levels: a randomized, double blind, placebo-controlled study. Reprod Health. 8(2):1–9.
View in Google Scholar

Samieipour IS, Kiani F, Samiei-pour Y, Heydarabadi AB, Tavassoli E, Rahim-zade R. 2016. Comparing the effects of vitamin B1 and calcium on premenstrual syndrome (PMS) among female students. Int J Pediatr 4(9):3519–28.
View in Google Scholar

Santos S, Oliveira A, Lopes C. 2013. Systematic review of saturated fatty acids on inflammation and circulating levels of adipokines. Nutr Res 33(9):687–95.
View in Google Scholar

Schneider, J.E. 2004. Energy balance and reproduction. Physiol Behav 81(2):289–317.
View in Google Scholar

Schweiger U, Laessle R, Pfister H, Hoehl C, Schwingenschloegel M, Schweiger M, Pirke KM.1987. Dietinduced menstrual irregularities: effects of age and weight loss. Fertil Steril 48(5):746–51.
View in Google Scholar

Scott EC, Johnston FE. 1982. Critical fat, menarche, and the maintenance of menstrual cycles: a critical review. J Adolesc Health Care 2(4):249–60.
View in Google Scholar

Shapira, N. 2013. Women’s higher health risks in the obesogenic environment: A gender nutrition approach to metabolic di-morphism with predictive, preventive, and personalised medicine. EPMA J 4(1):1–12.
View in Google Scholar

Sherly DG, Siva-Priya DV, Rama-Swamy C. 2017. Prevalence of menstrual irregularities in correlation with body fat among students of selected colleges in a district of Tamil Nadu, India. Natl J Physiol Pharm Pharmacol 7(7):740–43.
View in Google Scholar

Shils ME, Olson JA, Shike M. 1994. Modern nutrition in health and disease. 8th ed. Philadelphia: Lea & Febiger.
View in Google Scholar

Stearns SC. 1992. The evolution of life histories. Oxford: Oxford University Press, London. p. 249.
View in Google Scholar

Stokić E, Srdić B, Barak O. 2005. Body mass index, body fat mass and the occurrence of amenorrhea in ballet dancers. Gynecol Endocrinol 20(4):195–99.
View in Google Scholar

Strassmann BI. 1996. The evolution of endometrial cycles and menstruation. Q Rev Biol 71(2):181–220.
View in Google Scholar

Strassmann BI. 1997. Energy Economy in the Evolution of Menstruation. Evol Anthropol 5(5):157–64.
View in Google Scholar

Tangchai K, Titapant V, Boriboonhirunsarn D. 2004. Dysmenorrhea in Thai adolescents, frequency, impact, and knowledge of treatment. J Med Assoc Thai 87(Suppl 3):S69–73.
View in Google Scholar

Tena-Sempere M. 2007. Roles of ghrelin and leptin in the control of reproductive function. Neuroendocrinology 86(3):229–41.
View in Google Scholar

Terri K. 2008. Essentials of Pediatric Nursing. India: Wolter Kluwer Publisher.
View in Google Scholar

The American College of Obstetricians and Gynecologists. 2015. Premenstrual syndrome. [Accessed July 12]. Available at https://www.acog.org/Patients/FAQs/Premenstrual-Syndrome-PMS
View in Google Scholar

Treloar AE, Boynton RE, Behn BG, Brown BW. 1967. Variation of the human menstrual cycle through reproductive life. Int J Fertil 12(1 Pt 2):77–126.
View in Google Scholar

United Nations Children’s Fund (UNICEF). 2011. Risks and opportunities for the world’s largest national population of adolescent girls. New York: UNICEF. [Accessed 2019 May 18]. Available at https://www.unicef.org/sowc2011/pdfs/India.pdf
View in Google Scholar

Van der Walt LA, Wilmsen EN, Jenkins T. 1978. Unusual sex hormone pattern among desert-dwelling hunter-gatherers. Clin Endocrinol Metab 46(4):658–63.
View in Google Scholar

VanItallie TB, Yang MU, Heymsfield SB, Funk RC, Boileau RA. 1990. Height-normalized indices of the body’s fat-free mass and fat mass: potentially useful indicators of nutritional status. Am J Clin Nutr 52(6):953–59.
View in Google Scholar

Verma A, Neerubala, Srivastava B. 2015. Nutritional composition and antinutritional factors in indian sorrel leaves (oxalis corniculata) and its product development. World J Pharm and Pharma Sci 4(6):1641–46.
View in Google Scholar

Vlitos ALP, Davies GJ. 1996. Bowel function, food intake and the menstrual cycle. Nutr Res Rev 9(1):111–34.
View in Google Scholar

Vollman RF. 1977. The menstrual cycle. In: Friedman EA, editor. Major problems in obstetrics and gynecology. Philadelphia: WB Saunders, Pa, USA; p.74–159.
View in Google Scholar

Wang L, Wang X, Wang W, Chen C, Ronnennberg AG, Guang W, Huang A, Fang Z, Zang T, Wang L et al. 2004. Stress and dysmenorrhoea: a population based prospective study. Occup Environ Med 61(12):1021–1026.
View in Google Scholar

World Health Organization (WHO). 1996. The use and interpretation of anthropometry. World Health Organization Expert Committee on Physical Status. Technical Report Series No. 854, World Health Organization. Geneva. [Accessed 2019 May 16]. Available at https://www.cdc.gov/nccdphp/dnpao/growthcharts/training/bmiage/page4.html
View in Google Scholar

World Health Organization (WHO). 1989. The health of youth. Document A42, Technical Discussions 2. World Health Organization. Geneva. [Accessed 2019 May 18]. Available at: apps.who.int/iris/bitstream/10665/172242/1/WHA42_TD-2_eng.pdf.
View in Google Scholar

World Health Organization. 2000. Obesity: preventing and managing the global epidemic. Report of a WHO Consultation of Obesity. Geneva, Switzerland. [Accessed 2019 May 16]. Available at http://www.who.int/nutrition/publications/obesity/WHO_TRS_894/en/
View in Google Scholar

World Health Organization. 1986. World Health Organization multicenter study on menstrual and ovulatory patterns in adolescent girls. II. Longitudinal study of menstrual patterns in the early postmenarcheal period, duration of bleeding episodes and menstrual cycles. World Health Organization Task Force on Adolescent Reproductive Health. J Adolesc Health Care 7(4):236–44.
View in Google Scholar

Ziomkiewicz A, Ellison PT, Lipson SF, Thune I, Jasienska G.2008. Body fat, energy balance and estradiol levels: a study based on hormonal profiles from complete menstrual cycles. Hum Reprod 23(11):2555–63.
View in Google Scholar