Analysis of the Relationship between Nutritional Status and Stress with the Menstrual Cycle in Adolescent Girls
DOI:
https://doi.org/10.36590/jika.v7i3.1305Keywords:
nutritional status, stress, menstrual cycleAbstract
The causes of menstrual cycle irregularities in adolescents are multifactorial, including nutritional status and stress levels. Irregular menstrual patterns, if left unaddressed, may have long-term implications for reproductive health. This study aimed to analyze the association between nutritional status and stress levels with menstrual cycle patterns in 127 adolescent girls aged 13–15 years from three private junior high schools within the service area of Bantar Community Health Center, Tasikmalaya City. A cross-sectional design was employed. Nutritional status was assessed using anthropometric measurements, stress levels were evaluated through the DASS questionnaire, and data on menstrual cycle regularity and intervals were collected via a structured questionnaire. Chi-square analysis indicated a significant correlation between nutritional status and menstrual cycle patterns (p-value = 0,027), with adolescents experiencing malnutrition showing a higher proportion of menstrual irregularities compared to those with normal nutritional status. Fisher’s exact test also demonstrated a significant association between stress levels and menstrual cycle patterns (p-value = 0,043), with adolescents exhibiting high stress levels having an increased risk of menstrual cycle disturbances. These findings underscore that imbalanced nutritional status and elevated stress levels can disrupt hormonal function and compromise menstrual cycle regularity in adolescent girls. Therefore, monitoring nutritional status and implementing stress management strategies are essential to support regular menstrual cycles and promote reproductive health in this population.
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Alifiya, S.R., Utami, N.V., Intiasari, A.D., Wahyuningsih, E., 2025. The Importance of Nutritional Intake and Nutritional Status to the Adolescent Menstrual Cycle: A Systematic Literature Review. Journal of Universal Studies 5(10), 11912–11920. https://doi.org/10.59188/eduvest.v5i10.51271
Amalia, I.N., Budhiana, J., Sanjaya, W., 2023. Hubungan Stres dengan Gangguan Siklus Menstruasi pada Remaja Putri. Jurnal Wacana Kesehatan 8(2), 75–82. https://doi.org/10.52822/jwk.v8i2.526
Anggraeni, L., Fauziah, N., Gustina, I., 2022. Dampak Tingkat Stres terhadap Siklus Menstruasi pada Mahasiswa Tingkat Akhir di Universitas Binawan. Jurnal Educational and Development 10(20, 629–633. https://www.neliti.com/publications/562551/dampak-tingkat-stres-terhadap-siklus-menstruasi-pada-mahasiswa-tingkat-akhir-di#cite
Elhakeem, A., Frysz, M., Soares, A.G., Bell, J.A., Cole, T.J., Heron, J., Howe, L.D., Sebert, S., Tilling, K., Timpson, N.J., Lawlor, D.A., 2024. Evaluation and Comparison of Nine Growth and Development-Based Measures of Pubertal Timing. Communication Medicine 4(159), 1–11. https://doi.org/10.1038/s43856-024-00580-1
Fitri, S., Sofianita, N.I., Octaria, Y.C., 2024. Faktor yang Mempengaruhi Siklus Menstruasi pada Mahasiswi di Depok, Indonesia Factors Influencing the Menstrual Cycle of Female College Students in Depok, Indonesia. Amerta Nutrition 8(3SP), 94–104. https://doi.org/10.20473/amnt.v8i3SP.2024.94-104
Ganisia, A., Pramista, T.R.A., 2025. Dampak Stres terhadap Kesuburan dan Siklus Menstruasi Wanita. Vitamin Jurnal Ilmu Kesehat Umum 3(1), 253–258. https://journal.arikesi.or.id/index.php/Vitamin/article/view/1048
Henriques-Neto, D., Peralta, M., Marques, A., 2023. Editorial: Puberty: Neurologic and Physiologic Development. Frontiers 14, 10–12. https://doi.org/10.3389/fendo.2023.1258656
Howard, S.R., 2021. Interpretation of Reproductive Hormones Before, During and After the Pubertal Transition Identifying Health and Disordered Puberty. Clinical Endocrinology 95(5), 702–715. https://doi.org/10.1111/cen.14578
Ilham, M.A., Islamy, N., Nasution, S.Y., 2023. Gangguan Siklus Menstruasi pada Remaja: Literature Review. Jurnal Penelitian Perawat Profesional 5(1), 185–192. https://jurnal.globalhealthsciencegroup.com/index.php/JPPP/article/view/1385
Iwasa, T., Minato, S., Imaizumi, J., Yoshida, A., Kawakita, T., Yoshida, K., Yamamoto, Y., 2021. Effects of Low Energy Availability on Female Reproductive Function. Reproductive Medicine and Biology 21(1), 1–8. https://doi.org/10.1002/rmb2.12414
Klein, D.A., Paradise, S.L., Reeder, R.M., 2019. Amenorrhea: A Systematic Approach to Diagnosis and Management. American Family Physician 100(1), 39–48. https://pubmed.ncbi.nlm.nih.gov/31259490/
Martini, S., Putri, P., Caritas, T., 2021. Hubungan Tingkat Stres Akademik dengan Siklus Menstruasi pada Masa Pandemi COVID-19 di SMA Muhammadiyah 2 Palembang. Jurnal Keperawatan Merdeka 1(1), 17–23. https://jurnal.poltekkespalembang.ac.id/index.php/jkm/article/view/978
Nadirahilah, N., Fitriyani, L., 2024. Pengalaman Menarche pada Remaja Putri Usia Awal. Jurnal Kesehatan Tambusai 5(2), 5231–5236. https://journal.universitaspahlawan.ac.id/index.php/jkt/article/view/28349
Naftolin, F., Khafaga, A., Nachtigall, M., 2019. The Hypothalamic-Pituitary-Ovarian Axis and Regulation of the Menstrual Cycle. Menstrual Cycle Related Disorders, 1–13. https://doi.org/10.1007/978-3-030-14358-9_1
Nuraida, I., Rahayu, Y.S., Suciati, N., Putri, D.L., 2023. The Relationship Between Nutritional Status and Menarche Cycle in Students. Scientific Periodical Journal of Public Health and Coastal Health 5(2), 302–309. https://jurnal.uinsu.ac.id/index.php/contagion/article/view/14955
Prastiwi, N.D., Ariasih, R.A., Nurfadhilah, N., Romdhona, N., 2024. Factors Related to Early Menarche in Adolescent Girls at Muhammadiyah 4 Junior High School East Jakarta. Media Publikasi Promosi Kesehatan Indonesia 7(8), 2116–2121. https://www.jurnal.unismuhpalu.ac.id/index.php/MPPKI/article/view/5508
Prayuni, E.D., Imandiri, A., Adianti, M., 2019. Therapy for Irregular Menstruation with Acupunture and Herbal Pegagan (Centela asiatica (L.)). Journal of Vocational Health Studies 2(2), 86–90. https://e-journal.unair.ac.id/JVHS/article/view/11468
Rismatiti, R., Liyanovitasari, L., 2022. Hubungan Stress dengan Siklus Menstruasi Remaja di SMA Bhinneka Karya 2. Journal of Holistics and Health Sciences 4(2), 301–308. https://doi.org/10.35473/jhhs.v4i2.149
Rosanti, R., Purwanti, P., Wicaksono, L., 2022. Studi Tentang Stres Akademik pada Peserta Didik Kelas VIII SMP Negeri 18 Pontianak. Jurnal Pendidikan dan Pembelajaran Khatulistiwa 11(9), 1576–1583. https://jurnal.untan.ac.id/index.php/jpdpb/article/view/58102
Saadedine, M., Kapoor, E., Shufelt, C., 2023. Functional Hypothalamic Amenorrhea: Recognition and Management of a Challenging Diagnosis. Mayo Clinic Proceedings 98(9), 1376–1385. https://doi.org/10.1016/j.mayocp.2023.05.027
Sari, A.N., Ediyono, S., 2024. Tingkat Pengetahuan Remaja Putri Tentang Gangguan Menstruasi. Avicenna Journal of Health Research 7(1), 54–63. https://doi.org/10.36419/avicenna.v7i1.1029
Sari, F.H.D.K., Retna, T., Wahyurianto, Y., 2024. Faktor Penyebab Ketidakteraturan Siklus Menstruasi Pada Remaja di SMAN 4 Tuban. Jurnal Ilmiah Wahana Pendidikan 10(6), 322–329. https://doi.org/10.5281/zenodo.10642883
Schliep, K.C., Mumford, S.L., Vladutiu, C.J., Ahrens, K.A., Perkins, N.J., Sjaarda, L.A., Kissell, K.A., Prasad, A., Wactawski-Wende, J., Schisterman, E.F., 2015. Perceived Stress, Reproductive Hormones, and Ovulatory Function: A Prospective Cohort Study. Epidemiology 26(2), 177–184. https://doi.org/10.1097/ede.0000000000000238
Simanjuntak, M.R., Turnip, N.L., Mahulae, A.C., Lubis, G.J., Naibaho, D., 2024. Analisis Perkembangan Fisik dan Psikologi pada Remaja. Jurnal Pendidikan Sosial dan Humaniora 3(2), 1436–1444. https://publisherqu.com/index.php/pediaqu/article/view/1046
Wang, Z., Asokan, G., Onnela, J., Baird, D.D., Jukic, A.M.Z., Wilcox, A.J., 2024. Menarche and Time to Cycle Regularity Among Individuals Born Between 1950 and 2005 in the US. Jama Netw Open 7(5), 1–15. https://doi.org/10.1001/jamanetworkopen.2024.12854
Wanggy, D.M., Ulfiana, E., Suparmi, S., 2022. Hubungan antara Status Gizi, Pola Makan, Aktivitas Fisik, dan Stres dengan Gangguan Siklus Menstruasi. Indonesian Journal Midwifery 5(2), 90–101. https://jurnal.unw.ac.id/index.php/ijm/article/view/1866
Wijayanti, L.A., Nurseskasatmata, S.E., 2024. Relationship between Nutritional Status and Menstrual Cycle and Anemia. Jurnal Ilmiah Kesehatan Sandi Husada 13(2), 306–314. https://doi.org/10.35816/jiskh.v13i2.1217
[WHO] World Health Organization., 2024. Adolescent Health Overview: Adolescence is The Phase of Life Between Childhood and Adulthood. World Health Organization, Geneva.
Zheng, L., Yang, L., Guo, Z., Yao, N., Zhang, S., Pu, P., 2024. Obesity and Its Impact on Female Reproductive Health: Unraveling the Connections. Frontiers 1–9. https://doi.org/10.3389/fendo.2023.1326546
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