Does quality of sleep determine the menstrual cycle? A cross-sectional study on teenager
DOI: https://doi.org/10.33024/minh.v8i12.1789
Menstrual Cycle Quality of Sleep Teenager
Abstract
Background: Irregularities in the menstrual cycle are a frequent occurrence and may negatively impact daily productivity. In Indonesia, approximately 32% of women aged 17–29 report experiencing irregular menstruation. Disturbances in sleep quality can interfere with melatonin and estrogen regulation, thereby contributing to menstrual cycle disruption.
Purpose: To investigate the association between sleep quality and menstrual cycle regularity.
Method: A cross-sectional design was employed involving 111 female students who met the inclusion criteria: maintaining records of the first day of menstruation between December 2024 and February 2025 and having no diagnosed reproductive system disorders. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while menstrual cycle data were obtained through questionnaires. Statistical analysis was performed using the chi-square test.
Results: Among the respondents, 37 students (33.3%) with good sleep quality reported regular menstrual cycles, whereas 40 students (36%) with poor sleep quality experienced irregular cycles. The analysis yielded a p-value of 0.001, indicating statistical significance.
Conclusion: Sleep quality was found to be significantly associated with menstrual cycle regularity.
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References
Arendt, J., & Aulinas, A. (2000). Physiology of the pineal gland and melatonin. In K. R. Feingold, R. A. Adler, S. F. Ahmed, et al. (Eds.), MDText.com, Inc.
Attia, G. M., Alharbi, O. A., & Aljohani, R. M. (2023). The Impact of Irregular Menstruation on Health: A Review of the Literature. Cureus, 15(11), e49146.
Barrett, K. E., Barman, S. M., Boitano, S., & Brooks, H. L. (2019). Ganong’s review of medical physiology (26th ed.). McGraw-Hill Education.
Bijlsma, N., Conduit, R., Kennedy, G., & Cohen, M. (2024). Does radiofrequency radiation impact sleep? A double-blind, randomised, placebo-controlled, crossover pilot study. Frontiers in Public Health, 12, 1481537.
Botutihe, F., Suntin, S., & Tiala, N. H. (2022). Aktivitas Fisik dan Tingkat Stres dengan Gangguan Pola Menstruasi. Sulawesi Selatan: CV. Ruang Tentor.
Calem, M., Bisla, J., Begum, A., Dewey, M., Bebbington, P. E., Brugha, T., & Stewart, R. (2012). Increased prevalence of insomnia and changes in hypnotics use in England over 15 years: analysis of the 1993, 2000, and 2007 National Psychiatric Morbidity Surveys. Sleep, 35(3), 377-384.
Ernawati, D. I., Ekawati, H., Gumelar, W. R., & Rahmadani, A. (2024). The Relationship Between Stress Levels and Sleep Quality with The Menstrual Cycle on Nursing Students. Journal of Vocational Nursing, 5(2), 122–127.
Fitriani, R. J., Probandari, A., & Wiboworini, B. (2019). Body mass index, sleep quality, stress conditions determine menstrual cycles among female adolescents. International Journal of Public Health Science (IJPHS), 8(1), 101.
He, H., Yu, X., Chen, T., Yang, F., Zhang, M., & Ge, H. (2021). [Retracted] Sleep Status and Menstrual Problems among Chinese Young Females. BioMed Research International, 2021(1), 1549712.
Li, H., Chen, J., Overstreet, J. W., Nakajima, S. T., & Lasley, B. L. (2002). Urinary follicle-stimulating hormone peak as a biomarker for estimating the day of ovulation. Fertility and Sterility, 77(5), 961–966.
Lopez-Minguez, J., Gómez-Abellán, P., & Garaulet, M. (2016). Circadian rhythms, food timing and obesity. The Proceedings of the Nutrition Society, 75(4), 501–511.
Manuaba, I. A. C., Manuaba, I. B. G. F., & Manuaba, I. B. G. (2010). Ilmu kebidanan, penyakit kandungan, dan KB untuk pendidikan bidan (2nd ed.). Jakarta: EGC.
Ministry of Health of the Republic of Indonesia. (2018). Riset Kesehatan Dasar (Riskesdas) 2018. Retrieved from: https://repository.kemkes.go.id/book/1323
Nam, G. E., Han, K., & Lee, G. (2017). Association between sleep duration and menstrual cycle irregularity in Korean female adolescents. Sleep Medicine, 35, 62–66.
Peng, Y.-X., & Chang, W.-P. (2024). Influence of chronotype on sleep quality and menstrual regularity in nurses on monthly shift rotations. Journal of Occupational Health, 66(1), uiae058.
Salmela-Aro, K. (2011). Stages of adolescence. In Encyclopedia of adolescence (pp. 360-368). Academic press.
Sánchez‐Barceló, E. J., Cos, S., Mediavilla, D., Martínez‐Campa, C., González, A., & Alonso‐González, C. (2005). Melatonin–estrogen interactions in breast cancer. Journal of Pineal Research, 38(4), 217–222.
Shim, J., Han, S., & Baek, J. (2024). Factors influencing menstrual regularity among female workers: a cross-sectional analysis study. BMC Women’s Health, 24(1), 299.
Siregar, H. S. N., Pane, A. H., Mustika, S. E., & Wardani, K. (2022). Hubungan kualitas tidur dengan siklus menstruasi pada mahasiswi FK UISU tahun 2021. Jurnal Kedokteran STM (Sains dan Teknologi Medik), 5(2), 101–108.
Yu, H. S., & Reiter, R. J. (2020). Melatonin: biosynthesis, physiological effects, and clinical applications. CRC press.
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