Pathways of Change
Vol. 13 No. s1 (2025): Pathways of Change, Part I
https://doi.org/10.4081/hls.2025.13155

Relationship between sedentary lifestyle and body mass index with the risk of endometriosis among adolescent girls at a senior high school

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Received: 24 September 2024
Accepted: 17 March 2025
Published: 9 May 2025
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A significant portion (52.60%) of individuals with endometriosis are classified as obese. Obesity often results from a lifestyle characterized by minimal physical activity. This sedentary behavior encompasses using electronic devices, watching television, playing video games, and spending long periods sitting or reclining, all of which demand minimal energy expenditure. Consequently, excess energy is stored as body fat, leading to obesity. This research aimed to investigate the connections between sedentary habits, body mass index (BMI), and endometriosis risk in teenage girls. The study employed an observational cross-sectional approach. The research sample consisted of 102 participants, selected through purposive sampling techniques. Data analysis was conducted using the chi-squared test. The dependent variable was the risk of endometriosis, while the independent variables were sedentary lifestyle and BMI. The results of the analysis showed that the relationship between sedentary lifestyle and endometriosis risk had a p-value of 0.001, and the relationship between BMI and endometriosis risk had a p-value of 0.003. Based on the analysis results, it can be concluded that there is a significant relationship between sedentary lifestyle, BMI, and the risk of endometriosis. This suggests that teenagers should modify their lifestyle and uphold healthy eating habits.

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WHO. Endometriosis [Internet]. World Health Organitation. 2023 [cited 2024 Jan 9]. Available from: https://www.who.int/news-room/fact-sheets/detail/endometriosis
Daniera D. Transformasi Penanganan Endometriosis dengan Kecerdasan Buatan Mampu Tingkatkan Kualiatas Reproduksi [Internet]. Universitas Indonesia. 2023 [cited 2024 Jan 16]. Available from: https://www.ui.ac.id/transformasi-penanganan-endometriosis-dengan-kecerdasan-buatan-mampu-tingkatkan-kualiatas-reproduksi/#:~:text=Prevalensi endometriosis saat ini cukup,ditemukan pada wanita usia reproduktif.
Khashchenko EP, Uvarova EV, Fatkhudinov TK, et al. Endometriosis in adolescents: diagnostics, clinical and laparoscopic features. J Clin Med 2023;12.
Ragab A, Shams M, Badawy A. Prevalence of endometriosis among adolescent school girls with severe dysmenorrhea : a cross sectional prospective study. Int J Health Sci (Qassim) 2015;9:271-9.
Mukti P. Faktor Risiko Kejadian Endometriosis. Unnes J Public Heal 2014;3:1-10.
Thasmara G, Raharjo W, Ardiani Putri E. The relationship between lifestyle with the incident of primary dysmenorrhea in medical faculty female students of Tanjungpura University. J Nas Ilmu Kesehat 2020;2:130-40.
Vitonis AF, Maruti SS, Hankinson SE, et al. Adolescent physical activity and endometriosis risk. J Endometr 2009;1:157–63.
Hanina S, Fauzi A, Krisna R. Hubungan Obesitas Dengan Kejadian Endometriosis. Hub Obesitas Dengan Kejadian Endometr di RSUP Dr Mohammad Hoesin Palembang. 2018;50:107-13.
Park JH, Moon JH, Kim HJ, et al. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean J Fam Med 2020;41:365-73.
Winata M. Hubungan Sedentary Lifestyle Dan Indeks Massa Tubuh Dengan Risiko Sindrom Ovarium Polikistik Pada Remaja Putri Di SMAN 105 Jakarta. 2023;55.
Pitaloka SA, Triharini M, Nimah L. Relationship between nutritional status, exercise level and recreational level with dysmenorrhea in nursing students at Airlangga University. Pediomaternal Nurs J 2022;8:26-37.
Syamsudin F, Wungu CDK, Qurnianingsih E, Herawati L. High-intensity interval training for improving maximum aerobic capacity in women with sedentary lifestyle: a systematic review and meta-analysis. J Phys Educ Sport 2021;21:1788-97.
Paroi S, Hasanat MA, Roy BK. Study on the sedentary lifestyle of adolescents in Khulna city. Mediscope 2022;9:68-74.
Sachs MK, Dedes I, El-Hadad S, et al. Physical activity in women with endometriosis: less or more compared with a healthy control? Int J Environ Res Public Health 2023;20.
Holdsworth-Carson SJ, Dior UP, Colgrave EM, et al. The association of body mass index with endometriosis and disease severity in women with pain. J Endometr Pelvic Pain Disord 2018;10:79-87.
Tang Y, Zhao M, Lin L, et al. Is body mass index associated with the incidence of endometriosis and the severity of dysmenorrhoea: A case-control study in China? BMJ Open 2020;10:1-6.
Cho HH, Yoon YS. Development of an endometriosis self-assessment tool for patient. Obstet Gynecol Sci 2022;65:256-65.
Putri IIA, Romantika IW, Tahiruddin. Faktor-Faktor yang berhubungan dengan Tingkat Kecemasan Remaja Putri yang Mengalami Menarchedi SMPN 1 Sawa. J Ilm Karya Kesehat 2021;01:61-70.
El-Hadad S, Lässer D, Sachs MK, et al. Dysmenorrhea in adolescents requires careful investigation of endometriosis—an analysis of early menstrual experiences in a large case-control study. Front Reprod Heal [Internet] 2023;5. Available from: https://www.frontiersin.org/articles/10.3389/frph.2023.1121515/full
Syahfitri Y, Ernalia Y, Restuastuti T. Gambaran Status Gizi Siswa-Siswi SMP Negeri 13 Pekanbaru Tahun 2016. Jom FK 2017;4:1-12.
Putra WN. The association between dietary pattern, physical activity, sedentary activity and overweight at SMA Negeri 5 Surabaya. J Berk Epidemiol 2017;5:298.
Pradifa H, Fikri AM, Kurniasari R. Hubungan Sedentary Lifestyle dengan Status Gizi Remaja pada Masa Pandemi COVID-19. J Ilmu Kesehat Masy 2023;12:259-63.
World Health Organization. Body Mass Index - BMI [Internet] [cited 2024 Jul 18]. Available from: https://www.who.int/data/gho/data/themes/topics/topic-details/GHO/body-mass-index
Kementrian Kesehatan. Mengatasi Ancaman Sedentary Lifestyle untuk Kesehatan [Internet] 2023 [cited 2024 Jul 18]. Available from: https://ayosehat.kemkes.go.id/mengatasi-ancaman-sedentary-lifestyle-untuk-kesehatan.
Hirsch M, Dhillon-Smith R, Cutner AS, et al. The prevalence of endometriosis in adolescents with pelvic pain: a systematic review. J Pediatr Adolesc Gynecol 2020;33:623-30.
Milla SY, Mudayatiningsih S, Dewi N. Hubungan Obesitas Dengan Gangguan Menstruasi Pada Remaja Putri Di Kelurahan Tlogomas. Nurs News J Ilm Keperwatan 2018;3:72-82.
Pratama Z, Arifin AF, Basri RPL, et al. Pengaruh Overweight dan Obesitas Terhadap Siklus Menstruasi. Fakumi Med J J Mhs Kedokt 2022;2:306-11.
Apriliya AR. Hubungan Sedentary Lifestyle dengan Intensitas Dysmenorrhea Pada Mahasiswi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret [Internet] 2022. Available from: https://www.who.int/news-room/fact-sheets/detail/autism-spectrum-disorders
Muselli M, Mancinelli M, Limoncin E, et al. Investigating unhealthy behaviors associated with sf-36 domains in women with endometriosis—findings from a web-based survey data set. Behav Sci (Basel) 2024;14:199.
Ricci E, Viganò P, Cipriani S, et al. Physical activity and endometriosis risk in women with infertility or pain. Medicine (Baltimore) 2016;95:e4957.
Mori T, Ito F, Koshiba A, et al. Local estrogen formation and its regulation in endometriosis. Reprod Med Biol 2019;18:305-11.
Herington JL, Bruner-Tran KL, Lucas JA, Osteen KG. Immune interactions in endometriosis. Expert Rev Clin Immunol 2011;7:611-26.
Onstad MA, Schmandt RE, Lu KH. Addressing the role of obesity in endometrial cancer risk, prevention, and treatment. J Clin Oncol 2016;34:4225-30.

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Relationship between sedentary lifestyle and body mass index with the risk of endometriosis among adolescent girls at a senior high school. (2025). Healthcare in Low-Resource Settings, 13(s1). https://doi.org/10.4081/hls.2025.13155