Dark chocolate as a non-pharmacological alternative to reduce dysmenorrhea in adolescents

Submitted: 14 September 2023
Accepted: 6 November 2023
Published: 21 November 2023
Abstract Views: 960
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Dysmenorrhea, menstrual pain often experienced by women of reproductive age, including teenage girls, can cause discomfort and hinder daily activities, necessitating treatment. Chocolate contains copper, which synthesizes neurotransmitters like collagen and endorphins, serving as an analgesic and natural sedative to alleviate pain. This study aimed to assess the effect of dark chocolate on reducing dysmenorrhea in adolescents. This study employed a quasi-experimental research design and was conducted over six months at a polytechnic in Bandung. Pain intensity was measured using a standardized instrument known as the WALIDD score. A total of forty students with primary dysmenorrhea participated in the study, selected through purposive sampling, and were divided into a treatment group and a control group. The independent variables included the administration of dark chocolate, while the dependent variable was the intensity of menstrual pain in students with primary dysmenorrhea. Data were analyzed using an independent t-test. The intervention group, which received education on menstruation and dark chocolate, exhibited a significant reduction in dysmenorrhea pain as early as the second day, with a p-value of <0.001. Administering dark chocolate at a dosage of 35 mg/day from the onset of menstruation helps reduce pain from the first day of menstruation compared to standard therapy, which includes education about menstruation. Chocolate enhances mood due to its copper content, releasing endogenous morphine that inhibits pain impulses. This makes chocolate a non-pharmacological alternative for alleviating dysmenorrhea.

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Wallace S, Keightley A, Gie C. Review Dysmenorrhoea. Obstet Gynaecol 2010;12:149–54. DOI: https://doi.org/10.1576/toag.12.3.149.27596
Hadianti DN, Ferina F. Senam Yoga Menurunkan Dismenore Pada Remaja. J Ris Kesehat Poltekkes Depkes Bandung 2021;13:239–45. DOI: https://doi.org/10.34011/juriskesbdg.v13i1.1910
Nursalam N, Oktaviani DWD, Armini NKA, Efendi F. Analysis of the stressor and coping strategies of adolescents with dysmenorrhoea. Indian J Public Heal Res Dev 2018;9:381–6. DOI: https://doi.org/10.5958/0976-5506.2018.01373.6
Harsetianingrum RA, Martiana T, Widjajati N. The risk factors analysis of menstrual disorders in women workers of shoes industry, Sidoarjo. Malaysian J Med Heal Sci 2019;15:26–9.
Por CS, Mogana R, Akowuah GA, Chinnappan S, Abdullah NH. Polyherbal Formulation for Primary Dysmenorrhea: A Review. Res J Pharm Technol 2022;15:1891–900. DOI: https://doi.org/10.52711/0974-360X.2022.00316
Nakame RM, Kiwanuka F, Robert A. Dysmenorrhoea among students aged 18–45 years attending University in Uganda: A cross‐sectional multicenter study of three Universities in Uganda. Nurs Open 2019;6:268–75. DOI: https://doi.org/10.1002/nop2.207
Por CS, Rajagopal MS, Akowuah GA, Chinnap-Pan S, Abdullah NH. Treatment of Primary Dysmenorrhea Affecting Menstruating Women Using Herbs: A Review. Nat Prod J 2022;12:11–23. DOI: https://doi.org/10.2174/2210315512666220329151557
Dawood MY. Dysmenorrhoea and prostaglandins: Pharmacological and therapeutic considerations. Curr Ther (Seaforth) 1982;23:71–83.
Suwito J, Putra ST, Sulistyono A. The Affirmation – Tapping on Pain Perception and Serotonin Serum Level of Post – Caesarian Section patients. J Ners 2019;14:124–8. DOI: https://doi.org/10.20473/jn.v14i2.16421
Peacock A, Alvi NS, Mushtaq T. Period problems: Disorders of menstruation in adolescents. Arch Dis Childhood 2012;97:554–60. DOI: https://doi.org/10.1136/adc.2009.160853
Ko HN, Sun Le S, Dol Kim S. Effects of Yoga on Dysmenorrhea: A Systematic Review of Randomized Controlled Trials. Altern Integr Med 2016;05(04). DOI: https://doi.org/10.4172/2327-5162.1000226
Faramarzi M, Salmalian H. Association of psychologic and nonpsychologic factors with primary dysmenorrhea. Iran Red Crescent Med J 2014;16(8). DOI: https://doi.org/10.5812/ircmj.16307
Prabhu S, Nagrale S, Shyam A, Sancheti P. Effect of yogasanas on menstrual cramps in young adult females with primary dysmenorrhea. Int J Physiother Res 2019;7:3129–34. DOI: https://doi.org/10.16965/ijpr.2019.140
Nag U. Effect of Yoga on Primary Dysmenorrhea and Stress in Medical Students. IOSR J Dent Med Sci 2013;4:69–73. DOI: https://doi.org/10.9790/0853-0416973
Faizah N, Mukhoirotin M. Pengaruh Pemberian Cokelat Hitam (Dark Chocolate) Dan Jahe Terhadap Intensitas Nyeri Haid (Dysmenorrhea). J Keperawatan 2020;8:43–9. DOI: https://doi.org/10.47560/kep.v8i2.128
Hanafi M, Iswaro, Arifah S. Pengaruh Pemberian Dark Chocolate Terhadap Dismenorhea Primer Pada Mahasiswi Keperawatan. J Keperawatan Soedirman 2017;12:77–83. DOI: https://doi.org/10.20884/1.jks.2017.12.2.680
Khairunnisa N, Sukohar A, Hanriko R, Septa T. Hubungan Pemberian Dark Chocolate Terhadap Penurunan Skala Nyeri Menstruasi (Dismenorea Primer) Yang Dipengaruhi Dengan Kondisi Stres Pada Mahasiswi Kedokteran Universitas Lampung. Majority 2018;7:81–9.
Verma A, Kadam A. Does Dark Chocolate Relieve Menstrual Pain in Adult Women?: A Study Among Indian Population. Int J Physiol 2019;7:16. DOI: https://doi.org/10.5958/2320-608X.2019.00130.6
Hajati A, Brondani M, Angerstig L, et al. Chocolate intake and muscle pain sensation: A randomized experimental study. PLoS One 2023;18:1–21. DOI: https://doi.org/10.1371/journal.pone.0284769
Teherán AA, Piñeros LG, Pulido F, Mejía Guatibonza MC. WaLIDD score, a new tool to diagnose dysmenorrhea and predict medical leave in University students. Int J Womens Health 2018;10:35–45. DOI: https://doi.org/10.2147/IJWH.S143510
Nur Asih S, Ate Yuviska I, Studi Kebidanan Universitas Malahayati P. Pengaruh Dark Chocolate Terhadap Pengurangan Nyeri Haid Pada Remaja. J Kebidanan 2020;6:497–503.
Nur Asih S, Ate Yuviska I, Studi Kebidanan Universitas Malahayati P. Pengaruh Dark Chocolate Terhadap Pengurangan Nyeri Haid Pada Remaja. J Kebidanan 2020;6:497–503. DOI: https://doi.org/10.33024/jkm.v6i4.1676
Karakuş Selçuk A, Baysal E. The effect of dark chocolate and music on pain and anxiety in young women with primary dysmenorrhea: Randomized controlled trial. Eur J Integr Med 2022;56. DOI: https://doi.org/10.1016/j.eujim.2022.102192
Handayani SG, Ayubi N, Komaini A, et al. N-3 polyunsaturated fatty acids (PUFAs) and physical exercise have the potential to reduce pain intensity in women with primary dysmenorrhea: Systematic Review. Retos 2023;48:106–12. DOI: https://doi.org/10.47197/retos.v48.96629
Kusumaningrum T, Nastiti AA, Dewi LC, Lutfiani A. The correlation between physical activity and primary dysmenorrhea in female adolescents. Indian J Public Heal Res Dev 2019;10:2559–63. DOI: https://doi.org/10.5958/0976-5506.2019.02252.6
Armini NKA, Setyani A, Nastiti AA, Triharini M. Knowledge and peer support for increase Menstrual Hygiene Management (MHM) in adolescents. Healthc Low-Res Set 2023;11:111193. DOI: https://doi.org/10.4081/hls.2023.11193
Aziato L, Dedey F, Clegg-Lamptey JNA. The experience of dysmenorrhoea among Ghanaian senior high and university students: Pain characteristics and effects. Reprod Health 2014;11(1). DOI: https://doi.org/10.1186/1742-4755-11-58
Katz DL, Doughty K, Ali A. Cocoa and chocolate in human health and disease. Antioxidants Redox Signal 2011;15:2779–811. DOI: https://doi.org/10.1089/ars.2010.3697
Kurniawati EM, Rahmawati NA, Safitri CT, Hanum SS. Informational and instrumental support related to menstruation: adolescents’ perspective. Int J Public Heal Sci 2022;11:1317–23. DOI: https://doi.org/10.11591/ijphs.v11i4.21806
Adi AC, Tawakal AI, Rasyidi MF, et al. Effect of cocoa husk Criollo tea on hypercholesterolemia in animal model. Foods Raw Mater 2023;11:206–14. DOI: https://doi.org/10.21603/2308-4057-2023-2-567
Natalia S, Astikasari ND. Pengaruh Permen Dark Chocolate terhadap Nyeri Dismenore Primer pada Remaja Putri di SMP Gaya Baru Desa Sumberejo Kecamatan Gedangan Kabupaten Malang. J Qual Women’s Heal 2019;2:31–7. DOI: https://doi.org/10.30994/jqwh.v2i2.35

How to Cite

Ferina, F., Hadianti, D. N., & Fatimah, Y. U. (2023). Dark chocolate as a non-pharmacological alternative to reduce dysmenorrhea in adolescents. Healthcare in Low-Resource Settings, 11(2). https://doi.org/10.4081/hls.2023.11809