PS 15-03 Hypertension in Association with Age at Menarche and Premenstrual Symptoms

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The objective of the study was to ascertain the association of PMS (Premenstrual Symptoms) and Menarche with Hypertension.

Design and Method:

A cross-sectional study was carried out among 225 Muslim women living in urban area of National capital of India. Subjects were matched for SES, Dietary and Physical activity pattern. Age at Menarche was obtained through recall method. For measuring the PMS, Menstrual Distress Questionnaire by Moos modified for Indian population was used.


The mean age at menarche for the studied population was found to be 13.5 years. 52% of the women had average age at menarche while 23.6% women had early age at menarche and 24.4% had late age at menarche. 36.4% of the women experienced PMS with different levels of severity. It was found that women with early age at menarche were more hypertensive or pre-hypertensive as compared to the women who had late age at menarche. The correlation coefficient showed that relationship of PMS with systolic BP (0.662) was stronger than diastolic BP (0.577). There was also a significant (p < 0.01) but negative correlation between PMS and Blood pressure. Similarly negative but significant (p < 0.01) correlation between age at menarche and SBP and DBP was also observed.


The study demonstrated that premenstrual symptom and age at menarche is closely associated with both systolic and diastolic blood pressure among Muslim women in North India. Thus, the PMS can be used as an important tool to be a pointer for cardiovascular health for timely intervention and prevention. Also it is advisable to seek medication for severe PMS. Further extensive studies are recommended to get an insight on the issue.

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