青春期晚期女性月经失调与体成分的关系的调查研究  

Correlation of menstrual irregularity and body composition during late phase of puberty

作　　者：王艳红[1] 何仲[2] 林守清[1] 李志会[2] 马伟光[2] 张欢[2] 王巍[2] 刘凤兰[2] 孙常昆[2] 陈凤领[1] 张颖[1] 

机构地区：[1]中国医学科学院 北京协和医学院 北京协和医院妇产科,100730 [2]北京协和医学院护理学院,100730

出　　处：《中华现代护理杂志》2010年第23期2732-2735,共4页Chinese Journal of Modern Nursing

摘　　要：目的 探讨青春期晚期女性月经失调与体成分的关系.方法 采取方便抽样方法 抽取北京某高校住校女生159名,回顾性记录前3次月经,使用双能X线吸收仪测量研究对象体成分.结果月经失调的女性其腹部/臀部脂肪比明显高于月经正常者（0.33±0.07,0.35±0.06,P〈0.05）.腹部/臀部脂肪比、躯干/大腿脂肪比、全身脂肪百分比、全身肌肉组织和体重指数（BMI）有正相关关系（β=7.880,P=0.000;β=6.345,P=0.000;β=11.750,P=0.000;β=0.440,P=0.000）.随着年龄的增长和卵泡刺激素的降低,全身肌肉质量增加（β=0.215,P=0.007;β=-0.198,P=0.014）.结论 青春期晚期月经失调的女性体成分分布呈中心型分布.Objective To explore the relationship between menstrual irregularity and body composition during late phase of puberty. Methods 159 girls were investigated in one university who lived in campus. The menstruation of last three times were recorded retrospectively and body compositions were measured by Dual-energy x-ray absorptiometry（ DEXA）. Results Fat distribution rate of abdomen/ buttock among women with menstrual irregularity was higher than women with menstrual regularity（ 0.33 ± 0.07,0.35 ± 0.06, P 〈 0. 05 ）. Body Mass Index was positively related with Fat distribution rate of abdomen/buttock, the rate of Trunk/Leg、 percentage of total fat mass and systemic muscle tissue （ β= 7. 880, P = 0. 000,β=6. 345, P = 0. 000, β = 11.750,P = 0. 000）. Systemic muscle tissue increased with the decline of FSH and growth of the age（β = 0. 215 ,P = 0. 007; β = - 0. 198, P = 0. 014 ）. Conclusions Body compositions of women with menstrual irregularity during late phase of puberty is central distribution type.

关 键 词：月经失调 青春期晚期 体成分 

分 类 号：R711.51[医药卫生—妇产科学]