Disorders In Adolescent Girls Research Articles

Eating Disorders in Adolescent Girls. Gynecologist’s Point of View

This review presents an analysis of the literature data for the last 10 years (2012–2022) investigating the effect of eating disorders on the health of adolescent girl, its diagnosis, and possible tactics of gynecologist. The most common predictor of restoring menstrual function in girls with this pathology is body mass index change, however normalization of weight does not lead to remission in all cases. Thus, estimation of fat percentage, insulin-like growth factor, and leptin is more effective. We suggest directing further research on the study of more effective methods of reproductive disorders correction and the development of multidisciplinary clinical guidelines for the effective diagnosis and management of eating disorders and any gynecological complications.

The Relationship between Fad Diet, Body Image, Stress, Peer Pressure with Eating Disorders in Adolescent Girls Aged 16-18 Years

Background: Girls experience increases in body fat and weight from puberty through late adolescence. In order to achieve their ideal body weight, young women as a consequence changed their eating habits, exercised, took care of their bodies, and used diet pills among other things. Eating disorders are caused by this practice. Persistent eating disorders can result in illness among those affected. Objectives: The aim of this research was to examine how eating disorders in female teenagers are related to fad diets, body image, stress, and peer pressure. Methods: An observational research methodology employing a cross-sectional analytic polling design was utilized. Purposive sampling Simple random sampling was used to collect data from a total of 111 individuals. From July to August 2022, the study was carried out in several secondary schools in Malang City. Results: Research results revealed a significant connection between binge eating disorder and body image (p=0.002), stress (p=0.001), and social pressure (p=0.000). However, there was no observed association between fad diets and binge eating disorder. Eating disorders exhibited a multivariate relationship with fad dieting, body image, stress, and peer pressure, as evidenced by a Nagelkerke R square value of 0.595. Conclusions: There is a correlation between eating disorders and fad diets, as well as stress, peer pressure, and body image.

Exploring eating behaviors, knowledge and attitudes of adolescent Indian girls.

Data on the eating behaviors, knowledge, and attitudes of adolescent girls in Visnagar, India, focusing on the prevalence of non-communicable diseases [NCDs] and their association with dietary practices is of interest. Adolescence, a crucial developmental phase, sets the foundation for lifelong health habits, necessitating an understanding of the determinants influencing eating behaviors. The research aims to identify gaps in knowledge, attitudes, and practices [KAP], providing insights for culturally sensitive public health strategies. Through structured questionnaires and Likert scales, data were collected from a purposive sample of adolescent girls [ages 12-18] in a selected school. Descriptive statistics and correlation analyses were employed to assess knowledge, attitudes, and behaviors, considering demographic variables. Non-significant associations were found between these variables and demographics. The mean knowledge score was 25.11, reflecting a moderate level, while the mean attitudes score was 99.54, indicating generally positive attitudes. Adolescent girls demonstrated an overall mean behaviour score of 110.93, with a positive correlation [0.72] between knowledge and behaviors and a stronger correlation [0.99] between attitudes and behaviors. Findings highlight the universal importance of knowledge in influencing eating behaviors and emphasize the need for culturally tailored interventions considering regional influences. The study contributes valuable insights into the interplay of knowledge, attitudes, and behaviors related to eating disorders in adolescent girls, serving as a foundation for targeted public health strategies.

Obesity and menstrual disorders in adolescent girls -is there a relationship?

The development of menstrual cycle disorders (MCD) in adolescent girls is often combined with obesity, therefore, it seems relevant to study the effect of pathological body weight gain on pubertal development. The purpose of the study. To study the association of obesity and menstrual disorders in adolescent girls. Materials and methods. Group 1 (40 people): obese and MCD, group 2 (40 people): with obesity without MCD. Laboratory tests: assessment of carbohydrate and lipid metabolism, calculation of the HOMA index; blood plasma levels of kisspeptin, thyroid-stimulating hormone (TSH), free thyroxine, total testosterone, prolactin, free androgen index (ISA), anti-muller hormone (AMH), 17-0H Progesterone(17-OHP), lutenizing hormone (LH), follicle stimulating hormone (FSH), estradiol (Е2). The obtained data were analyzed by constructing a mathematical model of the pathogenetic mechanisms associated with MCD in obese adolescent girls. Results. There were no differences in the degree of obesity in the groups: SDS BMI (Me1=2.9; Me2=2.94, p=0.459). In group 1, significantly more often: impaired glucose tolerance (1 g.=15%; 2 g.=2.5%, p=0.048) (NTU), hypertriglyceridemia (1 g.=37.5%; 2 g.=15%, p=0.048). Significantly higher in the group with MCD: levels of LH (Me1=8.85 mIU/ml; Me2=6.70 mIU/ml, p=0.022), kisspeptin (Me1=55.4 pg/ml; Me2=38.3 pg/ml, p=0.001), total testosterone (Me1=1.90 nmol/l; Me2=1.25 nmol/l, p=0.026), ISA (Me1=14.5; Me2=8.65, p=0.027), AMG (Me1=6.61 ng/ml; Me2=24.26 ng /ml, p=0.014), with a significantly lower level of Е2 (Me1=33.5 pg/ml; Me2=5.0 pg/ml, p=0.012). Conclusions. 1. Adolescent girls with obesity and MCD are significantly more likely to have NTU and hypertriglyceridemia compared with girls with similar severity of obesity without MCD; 2. When obesity and MCD are combined, significantly higher levels of kisspeptin, LH, AMH, total testosterone, ISA are noted; 3. Among the pathogenetic mechanisms associated with MCD, hormonal and matabolic independent associations have been established, the effect of which is independent; hormonal: kisspeptin - LH - testosterone, and metabolic: BMI - insulin and BMI - leptin.

Trait and state anxiety, symptoms of insomnia and their influence on daytime functioning in adolescent girls

To investigate the relationship between symptoms of trait anxiety, state anxiety and symptoms of insomnia and the degree of their influence on daytime functioning disorders in adolescent girls. The study included 50 healthy adolescent girls, senior school students, aged 15-17 years, selected as simple random sample. Insomnia symptoms and their impact on daytime functioning were assessed using the SLEEP-50 (S-50) questionnaire. Trait and state anxiety were assessed using the Spielberger questionnaire. The method of path analysis was used to identify significant associations. There was a positive association of the severity of daytime functioning disorders with the severity of insomnia symptoms (β=0.45; p<0.001) and the level of trait anxiety (β=0.34; p=0.004). Trait anxiety was also a significant predictor of state anxiety (p<0.001), with a direct relationship between these parameters (β=0.62). Positive covariation of insomnia symptoms severity and state anxiety was found (β=0.53; p<0.001). Improving sleep quality and daytime functioning in adolescents with insomnia symptoms should take into account personality characteristics. High levels of trait anxiety increase the negative effects of insomnia on the impaired daytime functioning.

Характер психічних відхилень та їх гормональний супровід у дівчат-підлітків з розладами менструальної функції

The pubertal period is accompanied by the tension of the adaptation system during the hormonal adjustment. Purpose - to define the hormonal determinants of stress-related menstrual disorders in adolescent girls with comorbid mental disorders and the peculiarities of adaptation reactions. Materials and methods. 150 adolescent girls with menstrual cycle disorders were examined. The levels of luteotropic hormone (LH), follicle-stimulating hormone (FSH), prolactin (PRL), estradiol (E2), testosterone (T), cortisol (K), dehydroepiandrosterone sulfate (DHEA-S) were determined. They were divided into three groups depending on the examination by a psychiatrist: without mental status disorders, with anxiety-phobic disorders and depressive states. The control group included 35 girls of similar age with a normal menstrual cycle who were examined in the early follicular phase. Results. There were no significant differences in the content of gonadotropic hormones in girls with menstrual function disorders in view of the state of mental health. However, in girls with oligomenorrhea (OM), in relation to patients with abnormal uterine bleeding (AUB), elevated LH values are significantly more often registered (p&lt;0.03). Levels of peripheral T, as well as its precursor DHEA-S and metabolite (E2), were associated with mental health status. The lowering of E2 significantly elevated in adolescents with comorbid psychopathology. The number of girls with high T values increased in the presence of psychopathology in AUB and remained unchanged in OM. Cortisol in psychopathology, regardless of the type of menstrual function disorders, was reduced in relation to the control group, however, in girls with OM, its content was significantly higher, especially in depressive states (p˂0.05). The specific gravity of girls with a reduced level of DHEA-S in patients with AUB increased with comorbid psychopathology. In case of OM, a reduced and increased content of DHEA-S was registered with the same frequency. An increase in the C/DHEA-S indicator of the functioning of the hypothalamic-pituitary-adrenal system in patients with OM was noted much less frequently than in patients with AUB (p˂0.006). Conclusions. It is believed that the hormonal relationship between cortisol and DHEA-S indicates the body’s response to stressors and can be used as one of the biomarkers of neurotic and depressive states. An increase in the C/DHEA-S ratio suggests a possible dissociation of their secretion. Adolescents with AUB, unlike girls with OM, have a decrease in the “protective” hormone DHEA-S, which can affect the deterioration of mental health. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

Risk Factors That Predict Future Onset of Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, and Purging Disorder in Adolescent Girls

Because very few prospective studies have identified risk factors that predicted future onset of threshold/subthreshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD), we analyzed prospective data collected from a large cohort of adolescent girls followed over an 8-year period to advance knowledge about risk factor specificity. Adolescent girls recruited from middle schools in Texas (N = 492; M age = 13.02 [SD = 0.73], age range = 11–15) completed questionnaires assessing risk factors at baseline and diagnostic interviews assessing eating disorders annually over 8 years. Only low BMI predicted future AN onset. Pressure to be thin, thin-ideal internalization, body dissatisfaction, negative emotionality, low parent support, and modeling of eating pathology predicted future BN onset. Pressure to be thin, thin-ideal internalization, negative emotionality, low parent support, and modeling of eating pathology predicted future BED onset. Pressure to be thin, body dissatisfaction, dietary restraint, low parent support, modeling of eating pathology, and high BMI predicted future PD onset. Predictive effects were medium-to-large. Results support etiological theories of eating disorders that postulate the pursuit of the thin ideal, body dissatisfaction, negative affect, dietary restraint, and interpersonal issues increase risk for most eating disorders. The evidence that girls with low body weight are at risk for AN, whereas girls with high body weight are at risk for PD are novel. Although several risk factors predicted future onset of BN, BED, and PD, results suggest that risk factors for AN are qualitatively distinct and should be investigated further.

Клінічні особливості порушень менструальної функції, асоційованих із психопатологією

The health of the younger generation is a public value. Today, the state of health of teenage girls is of particular concern due to its progressive deterioration. Purpose - to study the features of the clinical course of menstrual function disorders in adolescent girls with comorbid mental health disorders. Materials and methods. 154 girls aged 11-17 were examined with menstrual cycle disorders (77 with oligomenorrhea (OM) and 77 with abnormal uterine bleeding (AUB)). Assessment of physical and sexual development, age of menarche was carried out. Depending on the examination by a psychiatrist, all girls with OM and AUB were divided into groups: without deviations in mental status, with anxiety-phobic disorders and depressive states. Results. It was found that the average growth indicators were probably higher in girls with OM in relation to adolescents with AUB, especially in the presence of psychopathology. The use of BMI did not reveal a significant difference when comparing patients with OM and AUB. Abnormalities of sexual development were probably more often registered in patients with AUB, with its advance, this acquired a significant difference (p˂0.01) and depended on both body mass index (BMI) and psychopathology. If the percentage of patients with disorders of sexual development did not differ depending on psychopathology in girls with AUB, then in adolescents with OM, the specific weight of girls with abnormalities of sexual development increased with the appearance of psychopathology. The average age of menarche was significantly lower in patients with AUB compared to patients with OM (p˂0.003). Early menarche was more typical for AUB. Much more often in adolescents with AUB, it was registered with normative fluctuations of BMI and its excess, as well as with anxiety-phobic disorders both with AUB and OM. Conclusions. The analysis of the conducted studies indicates reliable differences regarding the clinical course of menstrual function disorders by the type of OM and AUB with comorbid psychopathology. It was established that there are significant differences in such indicators as growth, puberty, time of menarche, which depended on the type of menstrual disorders and comorbid psychopathology. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors.

Hormonal profiles and adjustment disorders in adolescent girls with menstrual abnormalities and comorbid pathology

Background. The reproductive health of girls has acquired great social significance in connection with the problem of quantitative and qualitative reproduction of the population. The purpose of the study was to determine the hormonal status of adolescent females with menstrual disorders and various somatic pathologies and to investigate the state of adaptive-compensatory capacities in these patients. Materials and methods. The hormonal background was studied in 391 girls aged 12–17 years: 175 with abnormal uterine bleeding (AUB) and 216 with oligomenorrhea (OM). All patients were examined by a multidisciplinary team. Results. A comorbid pathology was found in the absolute majority of girls with menstrual abnormalities. Endocrine disorders were noted more often (pϕ &lt; 0.001–0.00001). Indicators of hormone concentration in patients with menstrual disorders had no significant differences depending on the type of comorbidity. Probable changes in the content of some hormones were observed depending on the type of menstrual disorders. A significant increase in the level of luteinizing hormone (pu &lt; 0.02) and a decrease in estradiol (pu &lt; 0.02) were observed in patients with OM compared to those with AUB. The assessment of the adjustment state revealed that in girls with menstrual disorders, the average cortisol content did not differ from that of controls, and insulin was higher than in the comparison group (pu &lt; 0.001). Ho­wever, high cortisol values (above 90 percentile) were noted in 8–13 % of patients with AUB and OM. The stress index (C/In) as a marker of a nonspecific stress response was lower than in the comparison group (pu &lt; 0.0001), and it was probably higher in girls with OM than in adolescents with AUB (pu &lt; 0.004). Conclusions. An interdisciplinary approach is a mo­dern strategy in the treatment of menstrual disorders in adolescence. A decrease in the stress index was found in girls with menstrual disorders, which may indicate a decrease in adaptive capacity. Moreover, adolescents with OM are more adjusted to menstrual disorders than girls with AUB.

THE RELATIONSHIP BETWEEN ACADEMIC STRESS LEVELS AND MENSTRUAL DISORDER IN CLASS IX GIRLS AT SMP NEGERI 1 COMPRENG IN 2022

Background: Menstrual disorders are a problem that many women face. (WHO) stated in 2015 that the problem of adolescents worldwide is menstrual disorders (38.45%). In Indonesia, according to 2013 Riskesdas data, the percentage of menstrual irregularities at the age of 10-29 years is 16.4%. 51% of adolescent girls cited academic stress as the cause of their menstrual cycle irregularities. Research Objectives: To determine the relationship between academic stress levels and menstrual disorders in class IX girls at SMP Negeri 1 Compreng in 2022. Research Methods: This research method is a quantitative type that is analytic with cross sectional. The population of this study was class IX students of SMP Negeri 1 Compreng using the Probability Sampling technique with the type of Simple Random Sampling. Research Results: Univariate analysis showed that most of the young women experienced severe stress 78 respondents (73.6%). Experiencing severe menstrual disorders 86 respondents (81.1%). Bivariate analysis showed that most of the young women experienced severe academic stress levels with severe menstrual disorders 71 respondents (67.0%) statistical test results using chi-square obtained p-value of 0.00 &lt;0.05. Conclusion: There is a relationship between the level of academic stress with menstrual disorders in adolescent girls in grade IX at SMP Negeri 1 Compreng in 2022.

Daily ovarian hormone exposure and loss of control eating in adolescent girls: A registered report.

The daily biobehavioral factors that precipitate loss of control eating (LOCE) in adolescent girls are not well known. Ovarian hormone levels are key biological factors associated with the etiology of eating disorders in adolescent girls. Yet, models on how daily ovarian hormone exposure predicts LOCE in adolescent girls are underdeveloped. The goal of this study is to examine the daily patterns and mechanisms of ovarian hormone levels on LOCE across the menstrual cycle in adolescent girls and the mediating roles of food-related reward anticipation and response inhibition. Ecological momentary assessment (EMA) paired with daily hormonal sampling will be used to examine (1) daily associations between within-person hormones and LOCE, and (2) the mediating role of within-person food-related reward anticipation and response inhibition. Normally cycling adolescent girls who have reached menarche will provide daily saliva samples for hormone analysis and complete EMA for 35 days. During EMA, girls will report LOCE and will complete task-based and self-report measures of food-related response inhibition and reward anticipation. This work has implications for the development of new real-world biobehavioral models of LOCE in adolescent girls, which will guide theory improvements and treatment for LOCE. Results will provide preliminary evidence for treatment targets for novel interventions for adolescent girls-for example, a response inhibition intervention. Adolescent eating disorders are severe mental health conditions, often marked by loss of control eating. Estrogen and progesterone play a role in the development and persistence of loss of control eating. The current study will examine how daily exposure to estrogen and progesterone predicts loss of control eating in adolescent girls and identify possible daily mechanisms linking estrogen and progesterone exposure and loss of control eating.

Investigation of immune-endocrine disorders in adolescent girls with anorexia nervosa

Investigation of immune-endocrine disorders in adolescent girls with anorexia nervosa

Are menstrual disorders in adolescent girls related to metabolic disorders?

Menstrual disorders in adolescent girls are acommon clinical problem. They are often accompanied by lipid and glucose metabolism disturbances. The aim of the study was to investigate to what extent the metabolic profile of adolescent girls relates to the severity of their menstrual disorders. The study included 165 girls with menstrual disturbances and 49 regularly menstruating girls (REG) without clinical hyperandrogenism, matched for age and BMI. The subjects from the study group were divided into 2 subgroups: OLIGO - 111 girls with oligomenorrhea and SA - 54 girls with secondary amenorrhoea. In all girls, hormonal, lipid, and carbohydrate metabolism profiles were assessed. In the SA subgroup concentrations of total cholesterol (TC) and LDL were significantly higher than in the REG and OLIGO groups. Triglyceride (TG) concentration was also the highest in the SA group and significantly higher than in the REG group. The prevalence of lipid metabolism disorders was higher in the SA group (65%) vs. the REG (40%) and OLIGO (51%) groups. The subgroups did not differ significantly in terms of fasting and OGTT glucose and insulin as well as HOMA-IR. TyG index was significantly higher in the OLIGO and SA groups than in the REG group. BMI z-score correlated with TG, LDL, fasting and 120' OGTT glucose and insulin, HOMA-IR, and TyG and negatively with HDL. No relationship between hormonal concentration and metabolic disturbances was found. Adolescent girls with menstrual disorders are insulin resistant, regardless of PCOS diagnosis. The severity of menstrual disorders may be related to the incidence of lipid disorders in adolescent girls.

Avoidant/restrictive food intake disorder in adolescent girls

To analyze the premorbid features, clinical manifestations, dynamics and outcomes of ARFID in adolescent girls, as well as to clarify the relationship of ARFID with other eating disorders (EDs) and comorbid mental pathology. The study included 52 female adolescents, aged 10.2-16.7 years (mean age 13.1±1.9 years) who, at the time of admission, met the DSM-5 ARFID criteria. The average follow-up period was 5.6±1.6 years, the average age at the time of the last follow-up examination was 19.1±2.7 years. Patients with ARFID accounted for 8.4% of the sample of female adolescents with EDs. The stability of the clinical manifestations of ARFID indicates the validity of considering ARFID as an independent diagnostic category. The clinical picture of ARFID is determined by specific symptom complexes amalgamated with constitutional features. The latter are manifested from early childhood by neuroticism, anxiety, a weakened and somewhat perverted food instinct, metabolic features, partly determining the low need for food, immaturity and weakness of autonomic regulation that may form a predisposition for the development of psychosomatic/somatopsychic disorders. The study allows us to talk about a special predisposition, in the form of psychosomatic diathesis, which predisposes to ARFID and is a significant component of the response to psychogenic factors. It is assumed that diathesis as an abnormal constitution that determines the regulation of mental, autonomic and metabolic processes is a significant pathogenetic mechanism for other EDs. A certain commonality of the etiology and pathogenesis of ARFID and the entire group of EDs is confirmed by the high burden of family history of patients with various forms of EDs (13.5%) and a significant frequency of transformation of ARFID into other EDs.

Социально-гигиенические и клинико-микробиологические особенности формирования нарушений репродуктивного здоровья девочек-подростков

Studies show that inflammatory diseases of the small pelvis and inflammatory diseases of the external genital organs are risk factors for the formation of reproductive health disorders in adolescent girls, the reason for seeking advice and treatment in outpatient and inpatient medical organizations. It is generally believed that pelvic inflammatory disease, as a consequence of the activity of a polymicrobial infection, usually occurs in sexually active women and is rare in young women and adolescent girls who are not sexually active. However, worldwide the prevalence of pelvic inflammatory disease remains quite high among children and adolescent girls of prepubertal and sexually inactive age. In contrast, inflammatory gynecological diseases of the external genital organs are considered a common pathology in girls of early and prepubertal age, however, studies show that they are common among adolescent girls due to the high prevalence of risk factors. Early diagnosis and treatment of pelvic inflammatory disease (PID) in adolescent girls is essential to ensure fertility and reproductive health in this population.

MENSTRUAL DISORDER IN ADOLESCENTS DURING WAR.

The aim: To investigate the peculiarities of menstrual cycle disorders in teenagers against the background of excessive stress in order to develop a scientifically based set of measures for their correction. Materials and methods: 120 girls aged 9-18 who were in the war zone or became forced migrants were examined. Examination methods included anamnesis collection, assessment of psycho-emotional state, anthropometry, laboratory and instrumental studies. Results: It was found that the frequency of menstrual cycle disorders in the subjects was 65.8% (n = 79). Among menstrual cycle disorders: dysmenorrhea - 45.6% (n = 36), excessive menstruation - 27.8% (n = 22), secondary amenorrhea - 26.6% (n = 21). 71.7% (n = 86) of the examinees noted a change in eating behavior over the past few months. Almost half of these children had dyshormonal disorders or met the criteria of metabolic syndrome - 45.3% (n = 39). Conclusion: Timely detection and adequate correction of psycho-emotional and metabolic disorders in adolescent girls in stressful conditions contributes to the prevention of disorders of menstrual and reproductive function.

Role of vitamin D in the formation of abnormal uterine bleeding in the pubertate period

The problem of the participation of vitamin D in the pathogenesis of various diseases has been attracted the attention of scientists in recent years. Vitamin D deficiency is regarded as a global problem that increases the risk of many chronic diseases. More recently, the emphasis has shifted to the non-skeletal effects of vitamin D. A lot of literature suggests that vitamin D plays an important role in the regulation of processes in the ovaries that determine female fertility, female reproductive potential. Vitamin D receptor enzymes involved in its metabolism are expressed in both the central and peripheral reproductive organs (hypothalamic-pituitary system, ovaries, uterus, placenta). All of this suggests that vitamin D is involved in the regulation of menstrual function. The aim of the study is to identify the relationships between gonadotropic and steroid hormones with the content of vitamin D in menstrual disorders in adolescent girls by type of abnormal uterine bleeding (AUB). 167 adolescent girls with AUB were examined. The levels of Luteinizing hormone (LH), Follicle-stimulating hormone (FSH), Prolactin (PRL), total estradiol (E2), testosterone (T), cortisol (C), vitamin D were determined. It was revealed that in 92.1% of girls with AUB have a decrease in the level of vitamin D, and 53.9% of them have a sharp reduce of its. A factorial model of the relationship between pituitary-gonadal hormones and vitamin D, on the basis of which it may be assumed that vitamin D makes a significant contribution to the formation of AUB in adolescence. It participates in the mechanisms of stimulation of gonadotropins, affects the activity of sex hormones through the promoters of receptors located both in the hypothalamic-pituitary region and in the periphery in the ovaries. This is evidenced by factor weights, which serve as analogues of the correlation ratios and show the degree of interconnection between the variables in the factors selected. The changes in the content of vitamin D revealed indicate the need and expediency of its determination in the blood of patients with AUB during puberty for early diagnosis of its abnormalities and timely prevention of serious complications in the future.

The Effect of High-Intensity Interval Training and Sleep Regulation on Some Inflammatory Markers, Anaerobic Capacity, and Body Composition in Teenage Girls with Sleep Disorders

Introduction: The present study aimed to compare the effect of high-intensity interval training (HIIT), sleep regulation, and the combined method on interleukin-6 (IL-6), high-sensitivity reactive protein (hs-CRP), anaerobic capacity, and body mass index (BMI) of adolescent girls with sleep disorders. Method: Eighty teenage girls with sleep disorders were randomly assigned to HIIT, sleep regulation, a combination of the two (HIIT+ sleep regulation), and control groups. All girls participated in pre-test and post-test sessions for the measurements two days before and after the research process. The participants in the HIIT and combined groups underwent a HIIT training program for four weeks, three sessions per week, and the subjects in the sleep regulation and combined groups performed the sleep regulation program by extending the sleep time duration by five minutes every night. Results: The findings showed a significant difference between groups for the serum levels of IL-6 and hs-CRP, BMI, and anaerobic power (P&lt;0.001). Bonferroni's post hoc test showed a significant decrease in BMI and serum levels of IL-6 and hs-CRP and a significant increase in the minimum power in the combined group compared to the other three groups (P&lt;0.001). In addition, a significant increase in anaerobic power (peak and average power) was respectively observed in the combined and HIIT groups, compared to the sleep regulation and control groups (P&lt;0.001). Conclusion: The HIIT+ sleep regulation combined intervention can be a valuable interventional treatment to improve the care of sleep disorders in adolescent girls and, consequently, reduce the problems and costs of treatment for these individuals and their families

The Relationship Of Stress Level With Menstrual Cycle Disorders In SMK Health Nafsiah Stabat Year 2022

High and continuous stress can endanger the health of adolescents, where adolescents are the forerunners of the nation's successors. The future of the nation is in their hands. Adolescent girls as teenagers besides being the nation's successors in the field of development also play a role in giving birth to the next generation biologically. As the nation's successor, young women are expected to be healthy so that the quality of the nation's children is physically, psychologically and intellectually healthy. Normally, young women experience menstruation every month with a span of 21-35 days each time they menstruate. The normal menstrual cycle physiologically describes the reproductive organs that tend to be healthy and not problematic. When young women are stressed, it can cause menstrual cycle disorders, This study aims to determine the relationship between stress levels and menstrual cycle disorders in adolescent girls in grades X and XI at the Nafsiah Stabat Health Vocational School in 2022. The type of research used is descriptive correlation with a cross sectional study design. The research was conducted at the Nafsiah Stabat Health Vocational School with a sample of 34 people. Based on the results of the chi-square test using a computer, the results (p value) = 0.000 which is smaller than 0.05 can be concluded that Ho is rejected and Ha is accepted at a 5% significance level. So there is a relationship between stress levels and menstrual cycle disorders in adolescent girls at the Nafsiah Stabat Health Vocational School in 2022 at the level of confidence/significant (a) = 5% (0.05) obtained p value = 0.

Audio Visual Media-Based Health Education Increases Knowledge of Menstrual Disorders in Adolescence

Background: students' knowledge about menstrual disorders is still inadequate so that it will have an impact on disrupting learning activities, difficulty concentrating, mood changes, anemia, etc. So it is necessary to increase knowledge about menstrual disorders with interesting health education by using audio-visual media. Purpose: to determine the effect of health education with audio-visual media on knowledge of menstrual disorders in adolescents. Method s : this study used a pre-experimental design with a one-group pretest-posttest design. The sampling technique used proportional random sampling technique as many as 41 respondents, the sample selection used the lottery technique. The research instrument used is a questionnaire. Data analysis used the Wilcoxon test. Results: based on the results p -value = 0.000, it can be concluded that there is an effect of health education with audio-visual media on the level of knowledge about menstrual disorders in adolescent girls. Conclusion: it is needed that teenagers can increase their knowledge about menstrual disorders through reading books, electronics, or other printed media so that they can handle menstrual disorders when they occur.