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Premenstrual Syndrome and Premenstrual Dysphoric Disorder in Japanese Collegiate Athletes
Takashi Takeda1, Yoko Imoto1, Hiroyo Nagasawa1
1Division of Women's Health, Research Institute of Traditional Asian Medicine, Kinki University School of Medicine, Osaka, Japan.
Study Objective:
To determine the prevalence and impact of premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in Japanese collegiate athletes, with a focus on their disruption of athletic performance.
Design:
Cross-sectional study.
Setting:
A university in Osaka, the largest city in western Japan.
Participants:
232 female collegiate athletes.
Main Outcome Measures:
Premenstrual symptoms and social activities.
Results:
The prevalence of each premenstrual symptom was high. The prevalence of moderate to severe PMS and PMDD was 8.6% and 2.9%, respectively, the same as in general high school students. The athletic performance of 44.3% of athletes was found to suffer in a game or in practice. "Elite athletes" (OR 8.63, 95% CI: 1.22-120.0), "Difficulty concentrating" (OR 3.15, 95% CI: 1.05-10.6), and "Fatigue or lack of energy" (OR 5.92, 95% CI: 1.32-34.5) increased the risk of poor athletic performance.
Conclusions:
This study showed that premenstrual symptoms affect not only the daily activities but also the athletic performance of collegiate athletes.
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