{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T06:50:19Z","timestamp":1773039019881,"version":"3.50.1"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T00:00:00Z","timestamp":1636502400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T00:00:00Z","timestamp":1636502400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Public Health"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The present study aims to analyse if dysmenorrhea is associated with activity limitations and participation restrictions in experencied by adult women.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a cross-sectional study carried out with adult women recruited from primary health services in Brazil between 2016 and 2017. Dysmenorrhea was measured via a self-report and the activity limitation and participation restrictions was assessed by the World Health Disability Assessment Schedule (WHODAS2.0). Pain and level of physical activity were assessed, respectively, by the numerical pain rating scale and International Physical Activity Questionnaire (IPAQ), short version. Associations between groups, dysmenorrhea and without dysmenorrhea (WD), were analysed by the median difference, Mann Whitney test, effect size measures and 95\u2009% confidence interval. Statistical significance was <jats:italic>p<\/jats:italic> &lt;0.05.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The prevalence of dysmenorrhea was 54\u2009%. The pain lasted an average of three days or more (66\u2009%). The average pain intensity, in the crisis period, was 6.1 \u00b1 2.6, women who presented severe pain complaints were associated with considerable difficulties in their domains of mobility (<jats:italic>p<\/jats:italic> = 0.003; 2\u2009=\u20090.115), participation (<jats:italic>p<\/jats:italic> = 0.030; 2\u2009=\u20090.063) and total score (<jats:italic>p<\/jats:italic> = 0.012; 2\u2009=\u20090.086), with a moderate effect size for all variables.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Severe dysmenorrhea was associated with higher scores of disabilities assessed by the WHODAS 2.0, especially in mobility, and participation domains.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13690-021-00721-1","type":"journal-article","created":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T03:05:30Z","timestamp":1636513530000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Association among dysmenorrhea and activity limitation and participation restrictions in adult women: a cross-sectional study, Brazil -2017"],"prefix":"10.1186","volume":"79","author":[{"given":"Luana","family":"Brito dos Santos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline Wanderley Souto","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline Gomes","family":"Gon\u00e7alves","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikaela Aparecida","family":"de Oliveira Xavier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jardelina Hermecina","family":"Dantas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle Ribeiro","family":"Barbosa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saionara Maria Aires","family":"da C\u00e2mara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1966-3352","authenticated-orcid":false,"given":"Diego","family":"Dantas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,11,10]]},"reference":[{"issue":"7","key":"721_CR1","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1016\/j.jogc.2016.12.023","volume":"39","author":"M Burnett","year":"2017","unstructured":"Burnett M, Lemyre M. No. 345-primary dysmenorrhea consensus guideline. J Obstet Gynaecol Canada. 2017;39(7):585\u201395.","journal-title":"J Obstet Gynaecol Canada"},{"issue":"3","key":"721_CR2","first-page":"37","volume":"3","author":"I Bouzas","year":"2006","unstructured":"Bouzas I. Principais queixas ginecol\u00f3gicas na adolesc\u00eancia. Adolesc\u00eancia Sa\u00fade. 2006;3(3):37\u201342.","journal-title":"Adolesc\u00eancia Sa\u00fade"},{"issue":"1","key":"721_CR3","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1093\/epirev\/mxt009","volume":"36","author":"H Ju","year":"2014","unstructured":"Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36(1):104\u201313.","journal-title":"Epidemiol Rev"},{"key":"721_CR4","doi-asserted-by":"crossref","unstructured":"Zannoni L, Giorgi M, Spagnolo E, Montanari G, Villa G, Seracchioli R. Dysmenorrhea, absenteeism from school, and symptoms suspicious for endometriosis in adolescents. J Pediatr Adolesc Gynecol. 2014;27(5):258\u201365.","DOI":"10.1016\/j.jpag.2013.11.008"},{"issue":"6","key":"721_CR5","doi-asserted-by":"publisher","first-page":"762","DOI":"10.1093\/humupd\/dmv039","volume":"21","author":"S Iacovides","year":"2015","unstructured":"Iacovides S, Avidon I, Baker FC. What we know about primary dysmenorrhea today: a critical review. Hum Reprod Update. 2015;21(6):762\u201378.","journal-title":"Hum Reprod Update"},{"issue":"1","key":"721_CR6","doi-asserted-by":"publisher","first-page":"5","DOI":"10.3390\/diseases7010005","volume":"7","author":"E Vlachou","year":"2019","unstructured":"Vlachou E, Owens DA, Lavdaniti M, Kalemikerakis J, Evagelou E, Margari N, et al. Prevalence, wellbeing, and symptoms of dysmenorrhea among university nursing students in Greece. Diseases. 2019;7(1):5.","journal-title":"Diseases"},{"issue":"January","key":"721_CR7","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1016\/j.cct.2019.05.004","volume":"81","author":"P Kannan","year":"2019","unstructured":"Kannan P, Chapple CM, Miller D, Claydon-Mueller L, Baxter GD. Effectiveness of a treadmill-based aerobic exercise intervention on pain, daily functioning, and quality of life in women with primary dysmenorrhea: a randomized controlled trial. Contemp Clin Trials. 2019;81(January):80\u20136.","journal-title":"Contemp Clin Trials"},{"key":"721_CR8","unstructured":"WHO. World Health Organization. International Classification of functioning, disability and health: ICF. World Heal Organ: Genebra; 2001."},{"issue":"5","key":"721_CR9","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1080\/09638288.2016.1277404","volume":"40","author":"YF Heerkens","year":"2018","unstructured":"Heerkens YF, de Weerd M, Huber M, de Brouwer CPM, van der Veen S, Perenboom RJM, et al. Reconsideration of the scheme of the international classification of functioning, disability and health: incentives from the Netherlands for a global debate. Disabil Rehabil. 2018;40(5):603\u201311.","journal-title":"Disabil Rehabil"},{"key":"721_CR10","first-page":"1","volume":"33","author":"D Dantas","year":"2020","unstructured":"Dantas D, de Correa S, Buchalla AP, Castro CM, de Castaneda SS. Biopsychosocial model in health care: reflections in the production of functioning and disability data. Fisioter em Mov. 2020;33:1\u20139.","journal-title":"Fisioter em Mov"},{"key":"721_CR11","doi-asserted-by":"crossref","unstructured":"Ust\u00fcn TB, Chatterji S, Kostanjsek N, et al. Developing the World Health Organization Disability Assessment Schedule 2.0. Bull World Health Organ. 2010;88(11):815\u201323.","DOI":"10.2471\/BLT.09.067231"},{"issue":"2","key":"721_CR12","first-page":"96","volume":"79","author":"RS Rapp","year":"2017","unstructured":"Rapp RS, Queri S. Validierung von Personbezogenen Faktoren im Bereich der onkologischen Brustkrebsrehabilitation - eine Delphi-Befragung auf nationaler Ebene. Gesundheitswesen. 2017;79(2):96\u2013104.","journal-title":"Gesundheitswesen"},{"issue":"5","key":"721_CR13","doi-asserted-by":"publisher","first-page":"721","DOI":"10.1589\/jpts.26.721","volume":"26","author":"FN De Carvalho","year":"2014","unstructured":"De Carvalho FN, Bergmann A, Koifman RJ. Functionality in women with breast cancer: the use of international classification of functioning, disability and health (ICF) in clinical practice. J Phys Ther Sci. 2014;26(5):721\u201330.","journal-title":"J Phys Ther Sci"},{"issue":"8","key":"721_CR14","doi-asserted-by":"publisher","first-page":"798","DOI":"10.3109\/09638288.2016.1161846","volume":"39","author":"ME Letellier","year":"2016","unstructured":"Letellier ME, Mayo N. Assessment of breast cancer disability: agreement between expert assessment and patient reports. Disabil Rehabil. 2016;39(8):798\u2013808.","journal-title":"Disabil Rehabil"},{"issue":"4","key":"721_CR15","doi-asserted-by":"publisher","first-page":"509","DOI":"10.32635\/2176-9745.RBC.2018v64n4.199","volume":"64","author":"L Castaneda","year":"2018","unstructured":"Castaneda L, Alves JCT, Dantas TH, dede Dantas M. Identifica\u00e7\u00e3o de Conceitos da Classifica\u00e7\u00e3o Internacional de Funcionalidade, Incapacidade e Sa\u00fade em Medidas de Qualidade de Vida para o C\u00e2ncer do Colo do \u00datero. Rev Bras Cancerol. 2018;64(4):509\u201316.","journal-title":"Rev Bras Cancerol"},{"issue":"13","key":"721_CR16","doi-asserted-by":"publisher","first-page":"1092","DOI":"10.3109\/09638288.2013.833300","volume":"36","author":"S Mall","year":"2014","unstructured":"Mall S, Honikman S, Evans B, Swartz L, Lund C. The impact of antenatal mental distress on functioning and capabilities: views of health care providers and service users in Cape Town, South Africa. Disabil Rehabil. 2014;36(13):1092\u20139.","journal-title":"Disabil Rehabil"},{"issue":"4","key":"721_CR17","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1016\/j.dhjo.2015.05.007","volume":"8","author":"M Mitra","year":"2015","unstructured":"Mitra M, Long-Bellil LM, Smeltzer SC, Iezzoni LI. A perinatal health framework for women with physical disabilities. Disabil Health J. 2015;8(4):499\u2013506.","journal-title":"Disabil Health J"},{"issue":"1","key":"721_CR18","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1002\/ijgo.12985","volume":"148","author":"THM Dantas","year":"2019","unstructured":"Dantas THM, Dantas DS, Correia GN, Viana ESR, Pereira ARR, Magalh\u00e3es AG. Disability and functioning of women with low-risk pregnancy: assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). Int J Gynecol Obstet. 2019;148(1):53\u20138.","journal-title":"Int J Gynecol Obstet"},{"issue":"12","key":"721_CR19","doi-asserted-by":"publisher","first-page":"1443","DOI":"10.1080\/09638288.2018.1431695","volume":"41","author":"TH Dantas","year":"2018","unstructured":"Dantas TH, de Castaneda M, Magalh\u00e3es L, de Dantas AG. Linking of assessment scales for women with urinary incontinence and the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2018;41(12):1443\u20139.","journal-title":"Disabil Rehabil"},{"key":"721_CR20","doi-asserted-by":"crossref","unstructured":"Dantas TH de M, Castaneda L, Correia GN, Campelo CL das C, Dantas D de S. Functioning and disability of premenopausal women with urinary incontinence: an assessment by using the World Health Organization Disability Assessment Schedule\u2014WHODAS 2.0. Neurourol Urodyn. 2019;38:1767\u201374.","DOI":"10.1002\/nau.24073"},{"key":"721_CR21","first-page":"1","volume":"33","author":"JH Dantas","year":"2020","unstructured":"Dantas JH, Dantas TH, de Pereira M, Correia ARR, Castaneda GN, de Dantas L. Sexual function and functioning of women in reproductive age. Fisioter em Mov. 2020;33:1\u201311.","journal-title":"Fisioter em Mov"},{"issue":"3","key":"721_CR22","first-page":"233","volume":"87","author":"V De Sanctis","year":"2016","unstructured":"De Sanctis V, Soliman AT, Elsedfy H, Soliman NA, Elalaily R, El Kholy M. Dysmenorrhea in adolescents and young adults: a review in different countries. Acta Biomed. 2016;87(3):233\u201346.","journal-title":"Acta Biomed"},{"issue":"3","key":"721_CR23","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1016\/j.ramb.2012.11.005","volume":"59","author":"C Silveira","year":"2013","unstructured":"Silveira C, Parpinelli MA, Pacagnella RC, De Camargo RS, Costa ML, Zanardi DM, et al. Adapta\u00e7\u00e3o transcultural da Escala de Avalia\u00e7\u00e3o de Incapacidades da Organiza\u00e7\u00e3o Mundial de Sa\u00fade (WHODAS 2.0) para o Portugu\u00eas. Rev Assoc Med Bras. 2013;59(3):234\u201340.","journal-title":"Rev Assoc Med Bras"},{"issue":"1","key":"721_CR24","first-page":"13","volume":"17","author":"M Pigozzo","year":"2010","unstructured":"Pigozzo M, Marotti J, Lagana D, Campos T, Neto P, Yamada M. Escalas subjetivas de dor e \u00edndices de preval\u00eancia de disfun\u00e7\u00e3o temporomandibular. Rev Pos Gr. 2010;17(1):13\u20138.","journal-title":"Rev Pos Gr"},{"key":"721_CR25","unstructured":"WHO. Global recommendations on physical activity for health. Geneva: World Health Organization; 2010."},{"issue":"1","key":"721_CR26","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1037\/a0024338","volume":"141","author":"CO Fritz","year":"2012","unstructured":"Fritz CO, Morris PE, Richler JJ. Effect size estimates: current use, calculations, and interpretation. J Exp Psychol Gen. 2012;141(1):2\u201318.","journal-title":"J Exp Psychol Gen"},{"issue":"1","key":"721_CR27","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12905-018-0516-1","volume":"18","author":"HA Abu Helwa","year":"2018","unstructured":"Abu Helwa HA, Mitaeb AA, Al-Hamshri S, Sweileh WM. Prevalence of dysmenorrhea and predictors of its pain intensity among Palestinian female university students. BMC Womens Health. 2018;18(1):1\u201311.","journal-title":"BMC Womens Health"},{"issue":"Suppl 2","key":"721_CR28","first-page":"383","volume":"24","author":"AC Rodrigues","year":"2011","unstructured":"Rodrigues AC, Gala S, Neves \u00c2, Pinto C, Meirelles C, Frutuoso C, et al. Dysmenorrhea in adolescents and young adults: prevalence, related factors and limitations in daily living. Acta Med Port. 2011;24(Suppl 2):383\u20138 quiz 389\u201392.","journal-title":"Acta Med Port"},{"issue":"5","key":"721_CR29","doi-asserted-by":"publisher","first-page":"442","DOI":"10.1111\/j.1447-0756.2010.01362.x","volume":"37","author":"M Tavallaee","year":"2011","unstructured":"Tavallaee M, Joffres MR, Corber SJ, Bayanzadeh M, Rad MM. The prevalence of menstrual pain and associated risk factors among Iranian women. J Obstet Gynaecol Res. 2011;37(5):442\u201351.","journal-title":"J Obstet Gynaecol Res"},{"key":"721_CR30","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.2147\/JPR.S132544","volume":"10","author":"DM Kamel","year":"2017","unstructured":"Kamel DM, Tantawy SA, Abdelsamea GA. Experience of dysmenorrhea among a group of physical therapy students from Cairo University: an exploratory study. J Pain Res. 2017;10:1079\u201385.","journal-title":"J Pain Res"},{"key":"721_CR31","unstructured":"Organiza\u00e7\u00e3o Mudial de Sa\u00fade. Avalia\u00e7\u00e3o de Sa\u00fade e Defici\u00eancia: Manual do WHO Disability Assessment Schedule (WHODAS 2.0). 2015. p. 153."},{"key":"721_CR32","doi-asserted-by":"publisher","first-page":"489","DOI":"10.2147\/IJWH.S112768","volume":"8","author":"S Hailemeskel","year":"2016","unstructured":"Hailemeskel S, Demissie A, Assefa N. Primary dysmenorrhea magnitude, associated risk factors, and its effect on academic performance: evidence from female university students in Ethiopia. Int J Womens Health. 2016;8:489\u201396.","journal-title":"Int J Womens Health"},{"key":"721_CR33","doi-asserted-by":"crossref","unstructured":"Rafique N, Al-Sheikh MH. Prevalence of primary dysmenorrhea and its relationship with body mass index. J Obstet Gynaecol Res. 2018;1\u20136.","DOI":"10.1111\/jog.13697"},{"issue":"8","key":"721_CR34","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0201894","volume":"13","author":"E Fern\u00e1ndez-Mart\u00ednez","year":"2018","unstructured":"Fern\u00e1ndez-Mart\u00ednez E, Onieva-Zafra MD, Laura Parra-Fern\u00e1ndez M. Lifestyle and prevalence of dysmenorrhea among Spanish female university students. PLoS One. 2018;13(8):1\u201311.","journal-title":"PLoS One"},{"key":"721_CR35","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-Mart\u00ednez E, Onieva-Zafra MD, Parra-Fern\u00e1ndez ML. The impact of dysmenorrhea on quality of life among Spanish female university students. Int J Environ Res Public Health. 2019;16(5):713.","DOI":"10.3390\/ijerph16050713"},{"key":"721_CR36","doi-asserted-by":"crossref","unstructured":"Armour M, Parry K, Manohar N, et al. The prevalence and academic impact of dysmenorrhea in 21,573 young women: a systematic review and meta-analysis. J Womens Health (Larchmt). 2019;28(8):1161-1171.","DOI":"10.1089\/jwh.2018.7615"},{"key":"721_CR37","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-Mart\u00ednez E, Onieva-Zafra MD, Abreu-S\u00e1nchez A, Fern\u00e1ndez-Mu\u00f1\u00f3z JJ, Parra-Fern\u00e1ndez ML. Absenteeism during menstruation among nursing students in Spain. Int J Environ Res Public Health. 2019;17(1):53.","DOI":"10.3390\/ijerph17010053"}],"container-title":["Archives of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13690-021-00721-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13690-021-00721-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13690-021-00721-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,10]],"date-time":"2021-11-10T03:07:49Z","timestamp":1636513669000},"score":1,"resource":{"primary":{"URL":"https:\/\/archpublichealth.biomedcentral.com\/articles\/10.1186\/s13690-021-00721-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,10]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["721"],"URL":"https:\/\/doi.org\/10.1186\/s13690-021-00721-1","relation":{},"ISSN":["2049-3258"],"issn-type":[{"value":"2049-3258","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,10]]},"assertion":[{"value":"21 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 October 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 November 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The research protocol was submitted and approved by the Research Ethics Committee of Federal University of Rio Grande do Norte under number: 49237315.9.0000.5568, and was conducted in line with the terms of the Declaration of Helsinki. All participants gave their informed consent for inclusion before they participated in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"194"}}