THE INFLUENCE OF OCCUPATIONAL PHYSICAL-ACTIVITY ON THE MENSTRUAL-CYCLE AND FECUNDABILITY

被引:38
作者
FLORACK, EIM
ZIELHUIS, GA
ROLLAND, R
机构
[1] Department of Medical Informatics and Epidemiology, University of Nijmegen, Nijmegen
[2] Department of Obstetrics and Gynecology, University Hospital, Nijmegen
关键词
OCCUPATIONAL PHYSICAL ACTIVITY; MENSTRUAL CYCLE LENGTH; MENSTRUAL IRREGULARITY; FECUNDABILITY; EXERCISE; WORKING HOURS;
D O I
10.1097/00001648-199401000-00004
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined the influence of the level of occupational physical activity per working hour (intensity score) and per working day (fatigue score) on menstrual function and fecundability in a population of 260 nonmedical female workers who were employed at 39 Dutch hospitals and were planning a pregnancy. We studied the influence of the intensity and fatigue scores as such and in combination with unfavorable working hours (before 8:00 am or after 6:00 pm) and high working speed (working at high speed for more than 50% of the time). The data did not reveal a clear relation between the occupational physical activity levels (representing an estimated energy requirement of up to 3 times the basal metabolic rate) and menstrual function, bur the presence of a small effect could have been missed. The fecunda bility of women with a high fatigue score, particularly in association with unfavorable working hours, was lower than that of women with a low fatigue score (fecundability odds ratio = 0.37; 95% confidence interval = 0.18-0.17). Moderate levels of physical activity, as found in cleaners, kitchen staff, and clerical workers at hospitals, appear to affect the female reproductive system. Fecundability, as measured by the time to pregnancy, seems to be a more sensitive parameter for these biological changes than menstrual function.
引用
收藏
页码:14 / 18
页数:5
相关论文
共 27 条
[1]  
Feicht C.B., Johnson T.S., Martin B.J., Sparkes K.E., Wagner W.W., Secondary amenorrhea in athletes, Lancet, 2, pp. 1145-1146, (1978)
[2]  
Dale Epsilon., Gerlach D.H., Wilhite A.L., Menstrual dysfunction in distance runners, Obstet Gynecol, 54, pp. 47-53, (1979)
[3]  
Frisch R.E., Wyshak G., Vincent L., Delayed menarche and amenorrhea in ballet dancers, N Engl J Med, 303, pp. 17-19, (1980)
[4]  
Baker E.R., Mathur R.S., Kirk R.F., Williamson H.O., Female runners and secondary amenorrhea: Correlation with age, parity, mileage and plasma hormonal and sex-hormone-binding globulin concentrations, Fertil Steril, 36, pp. 183-187, (1981)
[5]  
Wakat D., Sweeney K.A., Rogol A.D., Reproductive system function in women cross-country runners, Med Sci Sports Exerc, 14, pp. 263-269, (1982)
[6]  
Shangold M.M., Levine H.S., The effect of marathon training upon menstrual function, Am J Obstet Gynecol, 143, pp. 862-869, (1982)
[7]  
Sanborn G.F., Martin B.J., Wagner W.W., Is athletic amenorrhea specific to runners?, Am J Obstet Gynecol, 143, pp. 859-861, (1982)
[8]  
Wilson C., Emans S.J., Mansfield J., Podolsky C., Grace E., The relationships of calculated percent body fat, sports participation, age, and place of residence on menstrual patterns in healthy adolescent girls at an independent New England high school, J Adolesc Health Care, 5, pp. 248-253, (1984)
[9]  
Bullen B.A., Skrinar G.S., Beitins I.Z., Mering von G., Turnbull B.A., McArthur J.W., Induction of menstrual disorders by strenuous exercise in untrained women, N Engl J Med, 312, pp. 1349-1353, (1985)
[10]  
Glass A.R., Deuster P.A., Kyle S.B., Yahiro J.A., Vigersky R.A., Schoomaker E.B., Amenorrhea in Olympic marathon runners, Fertil Steril, 48, pp. 740-745, (1987)