Figure 1 1 A: Age distribution of study participants
1 B: Distribution of age of menarche of study participants
1C: Marital status of study participants
1D: Duration of menstrual cycle of study participants
1E: Family history of PMS of study participants
1F: Comparison of the amount of exercise ofmedical and literature students
1G: Comparison of diets of medical and literature students
1H: Comparison of smoking habits of medical and literature students
1I: Comparison of caffeine intake of medical and literature students
1J: Box plot depicting the mean of SPAF for school of participants
1K: Box plot depicting the mean of SPAF for marital status of participants
1L: Box plot depicting the mean of SPAF for family history of participants

Figure 2 Evaluation of the severity of PMS symptoms in study participants

Figure 3 Effect of PMS severity on daily activities

Figure 4 4A: Assessment of dysmenorrhea severity of the study participants
4B: Box plot depicting the mean of SPAF for dysmenorrhea severity

Data type

School

Total (n=300)

Medical(n=150)

Literature(n=150)

No

%

No

%

No

%

Socio demographic data

Age in years

 

 

<20

12

8.0

24

16.0

36

12.0

20

55

36.7

38

25.3

93

31.0

21

42

28.0

42

28.0

84

28.0

22

11

7.3

22

14.7

33

11.0

23

19

12.7

16

10.7

35

11.7

24 & above

11

7.3

8

5.3

19

6.3

Mean±SD

21.1±1.9

21.0±1.5

21.5±1.7

Median

21

21

21

Min/Max

19/35

18/26

18/35

 

 

Age of Menarche

 

 

<=11

24

16.0

15

10.0

39

13.0

12-13

83

55.3

79

52.7

162

54.0

14& above

43

56

37.3

99

33.0

Mean±SD

12.8±1.8

28.7

13.0±1.6

12.9±1.7

Median

13

13

13

Min/Max

7/22

7/17

7/22

 

 

Marital Status

 

 

Single

146

97.3

147

98.0

293

97.7

Married

4

2.7

3

2.0

7

2.3

 

 

BMI (n=229)

 

 

<18.5

15

12.5

14

12.8

29

12.7

18.5-24.9

71

59.2

57

52.3

128

55.9

25-<30

23

19.2

10

9.2

33

14.4

30& Above

11

9.2

28

25.7

39

17.0

 

Reproductive data

Duration of menstruation

 

 

<6 days

36

24.0

34

22.7

70

23.3

6 days & above

114

76.0

116

77.3

230

76.7

 

 

Family history of PMS

 

 

No

63

42.0

33

22.0

96

32.0

Yes

87

58.0

117

78.0

204

68.0

 

 

Family historybreak-up

 

 

No

63

42.0

33

22.0

96

32.0

Mother

25

16.7

41

27.3

66

22.0

Sister

50

33.3

49

32.7

99

33.0

Aunt

5

3.3

12

8.0

17

5.7

Cousin

6

4.0

6

4.0

12

4.0

 

Others

1

0.7

9

6.0

10

3.3

Life style data

Exercise

 

 

 

 

 

 

 

1-3 hrs/ a week

44

29.3

22

14.7

66

22.0

 

< 1 hr a week

10

6.7

13

8.7

23

7.7

 

Irregular

67

44.7

113

75.3

180

60.0

 

Never

29

19.3

2

1.3

31

10.3

 

 

 

 

 

 

 

 

Food Habit

 

 

 

 

 

 

 

Regular and balanced diet

28

18.7

14

9.3

42

14.0

 

High carbohydrate and junk foods

35

23.3

13

8.7

48

16.0

 

High vegetables

8

5.3

2

1.3

10

3.3

 

Irregular

79

52.7

121

80.7

200

66.7

 

 

 

 

 

 

 

 

Smoking

 

 

 

 

 

 

 

Life long non-smoker

141

94.0

140

93.3

281

93.7

 

Cessation to smoking

7

4.7

4

2.7

11

3.7

 

Smoker

2

1.3

6

4.0

8

2.7

 

 

 

 

 

 

 

 

Caffeine

 

 

 

 

 

 

 

3 cups or more

38

25.3

52

34.7

90

30.0

 

1-2 cups

63

42.0

43

28.7

106

35.3

 

No

49

32.7

55

36.7

104

34.7

 

Table 1: Socio-demographic, reproductive and life style characteristics of study participants

Symptoms

School

Total (n=300)

Medical(n=150)

Literature(n=150)

No

%

No

%

No

%

Pain

 

 

1

32

21.3

44

29.3

76

25.3

2

33

22.0

23

15.3

56

18.7

3

38

25.3

25

16.7

63

21.0

4

23

15.3

20

13.3

43

14.3

5

18

12.0

21

14.0

39

13.0

6

6

4.0

17

11.3

23

7.7

 

 

Anxiety

 

 

1

31

20.7

31

20.7

62

20.7

2

43

28.7

30

20.0

73

24.3

3

36

24.0

19

12.7

55

18.3

4

18

12.0

22

14.7

40

13.3

5

15

10.0

22

14.7

37

12.3

6

7

4.7

26

17.3

33

11.0

Emotional Stress

 

 

1

23

15.3

20

13.3

43

14.3

2

30

20.0

17

11.3

47

15.7

3

34

22.7

21

14.0

55

18.3

4

21

14.0

25

16.7

46

15.3

5

27

18.0

17

11.3

44

14.7

6

15

10.0

50

33.3

65

21.7

Moodiness

 

 

 

1

31

20.7

20

13.3

51

17.0

2

32

21.3

10

6.7

42

14.0

3

36

24.0

24

16.0

60

20.0

4

23

15.3

17

11.3

40

13.3

5

11

7.3

16

10.7

27

9.0

6

17

11.3

63

42.0

80

26.7

Sadness

 

 

1

22

14.7

35

23.3

57

19.0

2

32

21.3

19

12.7

51

17.0

3

32

21.3

21

14.0

53

17.7

4

33

22.0

19

12.7

52

17.3

5

13

8.7

21

14.0

34

11.3

6

18

12.0

35

23.3

53

17.7

Back and Joint Pain

 

 

1

35

23.3

24

16.0

59

19.7

2

32

21.3

16

10.7

48

16.0

3

26

17.3

28

18.7

54

18.0

4

19

12.7

18

12.0

37

12.3

5

25

16.7

19

12.7

44

14.7

 

6

13

8.7

45

30.0

58

19.3

Weight Gain

 

 

 

 

 

 

 

1

64

42.7

91

60.7

155

51.7

 

2

32

21.3

21

14.0

53

17.7

 

3

26

17.3

13

8.7

39

13.0

 

4

19

12.7

14

9.3

33

11.0

 

5

6

4.0

5

3.3

11

3.7

 

6

3

2.0

6

4.0

9

3.0

 

 

 

 

 

 

 

 

Heaviness

 

 

 

 

 

 

 

1

20

13.3

31

20.7

51

17.0

 

2

36

24.0

13

8.7

49

16.3

3

39

26.0

19

12.7

58

19.3

 

4

23

15.3

20

13.3

43

14.3

 

5

20

13.3

23

15.3

43

14.3

 

6

12

8.0

44

29.3

56

18.7

 

 

 

 

 

 

 

 

Swelling

 

 

 

 

 

 

 

1

81

54.0

77

51.3

158

52.7

 

2

34

22.7

22

14.7

56

18.7

 

3

13

8.7

10

6.7

23

7.7

 

4

9

6.0

15

10.0

24

8.0

 

5

9

6.0

12

8.0

21

7.0

 

6

4

2.7

14

9.3

18

6.0

 

 

 

 

 

 

 

 

Belly Swelling

 

 

 

 

 

 

 

1

41

27.3

42

28.0

83

27.7

 

2

26

17.3

13

8.7

39

13.0

 

3

37

24.7

15

10.0

52

17.3

 

4

20

13.3

26

17.3

46

15.3

 

5

15

10.0

18

12.0

33

11.0

 

6

11

7.3

36

24.0

47

15.7

Table 2: Qualitative assessment of the severity of premenstrual symptoms

Functions

School

Total (n=300)

Medical(n=150)

Literature(n=150)

No

%

No

%

No

%

Family Function

Unaffected / Slightly affected

79

52.7

74

49.3

153

51.0

Moderately affected

61

40.7

59

39.3

120

40.0

Significantly/Seriously affected

10

6.7

17

11.3

27

9.0

Self-Care

Unaffected / Slightly affected

85

56.7

74

49.3

159

53.0

Moderately affected

53

35.3

51

34.0

104

34.7

Significantly/Seriously affected

12

8.0

25

16.7

37

12.3

Concentration in class

Unaffected / Slightly affected

77

51.3

58

38.7

135

45.0

Moderately affected

56

37.3

49

32.7

105

35.0

Significantly/Seriously affected

17

11.3

43

28.7

60

20.0

Exam Performance

Unaffected / Slightly affected

104

69.3

66

44.0

170

56.7

Moderately affected

34

22.7

41

27.3

75

25.0

 

Significantly/Seriously affected

12

8.0

43

28.7

55

18.3

Table 3: Effect of PMS severity on daily activities

Assessment of dysmenorrhea severity

School

Total (n=300)

Medical(n=150)

Literature(n=150)

No

%

No

%

No

%

Grade 0

26

17.3

12

8.0

38

12.7

Grade 1

66

44.0

51

34.0

117

39.0

Grade 2

51

34.0

76

50.7

127

42.3

Grade 3

7

4.7

11

7.3

18

6.0

Table 4: Assessment of dysmenorrhea severity of the study participants

Data type

No.

Shortened Premenstrual Assessment

Chi square

P-value

Mild (57)

Moderate (170)

Severe (73)

No

%

No

%

No

%

School

Medical

150

35

23.3

91

60.7

24

16.0

12.374

0.002

Literature

150

22

14.7

79

52.7

49

32.7

Marital Status

Single

293

52

17.7

168

57.3

73

24.9

13.111

0.001

Married

7

5

71.4

2

28.6

0

0.0

BMI

<18.5

29

5

17.2

17

58.6

7

24.1

2.418

0.878

18.5-24.9

128

29

22.7

68

53.1

31

24.2

 

 

 

 

 

 

 

 

 

 

 

25-<30

33

6

18.2

20

60.6

7

21.2

30& Above

39

5

12.8

23

59.0

11

28.2

Age of Menarche

<=11

39

9

23.1

21

53.8

9

23.1

2.561

0.634

12-13

162

28

17.3

98

60.5

36

22.2

14& above

99

20

20.2

51

51.5

28

28.3

Duration of the menstruation

<6 days

70

13

18.6

40

57.1

17

24.3

0.013

0.994

6 days & above

230

44

19.1

130

56.5

56

24.3

Family History

Non

96

26

27.1

57

59.4

13

13.5

11.794

0.003

 

Yes

204

31

15.2

113

55.4

60

29.4

 

 

Exercise

1-3 hrs/ a week

66

19

28.8

35

53.0

12

18.2

14.493

0.035

< 1 hr a week

23

7

30.4

13

56.5

3

13.0

Irregular

180

25

13.9

101

56.1

54

30.0

Never

31

6

19.4

21

67.7

4

12.9

Food Habit

Regular and balanced diet

42

12

28.6

26

61.9

4

9.5

14.146

0.001

High carbohydrate and junk foods

48

13

27.1

26

54.2

9

18.8

High vegetables

10

1

10.0

8

80.0

1

10.0

Irregular

200

31

15.5

110

55.0

59

29.5

Smoking

Lifelong non-smoker

281

56

19.9

157

55.9

68

24.2

3.018

0.395

Cessation to smoking

11

0

0.0

8

72.7

3

27.3

Smoker

8

1

12.5

5

62.5

2

25.0

Caffeine

 

3 cups or more

90

21

23.3

45

50.0

24

26.7

3.167

0.530

1-2 cups

106

16

15.1

65

61.3

25

23.6

None

104

20

19.2

60

57.7

24

23.1

 

 

Table S1: SPAF of socio-demographic data of study participants