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Assessment of Association between Body Mass Index with Menstrual Characteristics and Self Esteem among Nursing Students

Yıl 2025, Cilt: 20 Sayı: 1, 27 - 34
https://doi.org/10.17517/ksutfd.1448871

Öz

Objective: In recent years, the fact that increase in body mass index brings with it many health problems and many factors such as excessive stress, hormonal changes, obesity can cause menstrual irregularities. The study is aimed to evaluate the connection of menstrual cycle with body mass index (BMI), and self esteem level in nursing students.
Material and Methods: This descriptive and cross-sectional study was conducted in Nursing department in to evaluate of the effect of the menstrual cycle length, duration of the menstrual period and periodic menstrual blood loss on BMI and self esteem in 416 nursing students. Additionally, weight, height, body mass index, and self esteem were calculated.
Results: The mean age, height and weight of the students were 20.94±1.67years, 163.49±4.96cm and 57.21±8.91kg. The average of the BMI was 21.42±3.31kg/m2. The length of menstrual cycle results which was 21-35 days called as normal, was found in 346 subjects. In assessment of the duration of the menstrual period, 3-7 days accepted as normal was found in 307 nursing subjects. Also, the periodic menstrual blood loss was normal or moderate in 164 nursing subjects followed by mild (<15 pads; 149 subjects) and heavy (>20 pads; 103 subjects). According to these findings, there were found a significant difference between Body mass index, the duration of the menstrual period, the periodic menstrual blood loss and length of menstrual cycle. Additionally, the Rosenberg Self Esteem Scale of Nursing Students was 22.16 (2.62) point.
Conclusion: Body mass index values of nursing students showed as statistically significant correlation between menstrual cycle, duration and blood loss, while there was no significance on self esteem of BMI.

Kaynakça

  • Wu F, Juonala M, Sabin MA, Buscot MJ, Pahkala K, Smith KJ et al. Association of Body Mass Index in Youth With Adult Cardiometabolic Risk. J Am Heart Assoc. 2020;9(14):e015288. doi: 10.1161/JAHA.119.015288.
  • Anitha A, Celine D, Meennakshi BS. A comparative study of depression among obese and non-obese individuals. National Journal of Physiology 2021;9(2):31-36.
  • Mohapatra S, Acharya M, Jena SK. Body mass index: A modifying factor of median nerve conduction. National Journal of Physiology, Pharmacy and Pharmacology. 2021;11(12):1378-1382.
  • Amgain K, Subedi P, Yadav GK, Neupane S, Khadka S, Sapkota SD. Association of Anthropometric Indices with Menstrual Abnormality among Nursing Students of Nepal: A Cross-Sectional Study. J Obes. 2022;2022:6755436. doi: 10.1155/2022/6755436.
  • Park SL, Goodman MT, Zhang ZF, Kolonel LN, Henderson BE, Setiawan VW. Body size, adult BMI gain and endometrial cancer risk: the multiethnic cohort. Int J Cancer. 2010;126(2):490-499
  • Weiderpass E, Persson I, Adami HO, Magnusson C, Lindgren A, Baron JA. Body size in different periods of life, diabetes mellitus, hypertension, and risk of postmenopausal endometrial cancer (Sweden). Cancer Causes Control. 2000;11(2):185-192. doi:10.1023/a:1008946825313.
  • Soylu AC, Levent E, Sarıman N, Yurtlu S, Alparslan S, Saygı A. Obstructive sleep apnea syndrome and anthropometric obesity indexes. Sleep Breath. 2012;16(4):1151-1158. doi:10.1007/s11325-011-0623-9.
  • Haniarti, Rusman, Jumarna. Correlation of body mass index with regular menstrual cycle of young women. Eur J Mol Clin Med. 2020;7(08):168-172.
  • Jura M, Kozak LP. Obesity and related consequences to ageing. Age (Dordr). 2016;38(1):23. doi: 10.1007/s11357-016-9884-3.
  • Tang, Y., Chen, Y., Feng, H. et al. Is body mass index associated with irregular menstruation: a questionnaire study?. BMC Women's Health. 2020;20:226-231. https://doi.org/10.1186/s12905-020-01085-4
  • Soylu T, Nazik E. Sexual Quality of Life and Marital Adjustment in Women with menstrual irregularity. International Journal of Caring Sciences. 2022;15(1):435-43.
  • Singh M, Rajoura OP, Honnakamble RA. Menstrual patterns and problems in association with body mass index among adolescent school girls. J Family Med Prim Care. 2019;8(9):2855-2858.
  • Mohamed NS, Elsayed A. Menstrual pattern among university students. IOSRJ Nurs Health Sci. 2016;5(04):36-42.
  • Lias F, Hashim N, Majid N, Muhamad N, Ismail WMW, Mulud ZA. Self-Esteem and Quality Of Life among Women with the Menstrual Disorder at a Public Hospital. Mal J Med Sci. 2022;18:43-50.
  • Ibáñez MG, Horta MF, Campa JMG. Gynecological examination and most common abnormalities of the menstrual cycle in adolescence. Pediatría Integral. 2022;26(5):270-279.
  • Lambert-Messerlian G, Roberts MB, Urlacher SS, Ah-Ching J, Viali S, Urbanek M et al. First assessment of menstrual cycle function and reproductive endocrine status in Samoan women. Human Reproduction. 2011;26(9):2518–2524.
  • Vilšinskaitė DS, Vaidokaitė G, Mačys Ž, Bumbulienė Ž. The risk factors of dysmenorrhea in young women. Wiad Lek. 2019;72:1170-1174.
  • Çinar GN, Akbayrak T, Gürşen C, Baran E, Üzelpasacı E, Nakip G et al. Factors Related to Primary Dysmenorrhea in Turkish Women: a Multiple Multinomial Logistic Regression Analysis. Reprod Sci. 2021;28(2):381-392.
  • Shahid A, Tatiq M, Sulaman H, Shaista BS, Habib SA. Frequency and severity of primary dysmenorrhea in adolescent females. Pak J Med Sci. 2020;14:1952-1954.
  • Jiang W, Hua XG, Hu CY, Li FL, Huang K, Zhang XJ. The prevalence and risk factors of menstrual pain of married women in Anhui Province, China. Eur J Obstet Gynecol Reprod Biol. 2018;229:190-194.
  • Barcikowska Z, Wójcik-Bilkiewicz K, Sobierajska-Rek A, Grzybowska ME, Wąż P, Zorena K. Dysmenorrhea and associated factors among polish women: a cross-sectional study. Pain Res Manag. 2020;2020:6161536.
  • Anitha J, William BR. Relationship between Body Mass Index and Self Esteem among Early Adolescents in a Selected School, Coimbatore. Int J Pediatr Nurs. 2020;6(1):13–17.
  • Swallen KC, Reither EN, Haas SA, Meier AM. Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005;115(2):340-347. doi:10.1542/peds.2004-0678.
  • Yun EK, Lee H, Lee JU, Park JH, Noh YM, Song YG, et al. Longitudinal Effects of Body Mass Index and Self-Esteem on Adjustment From Early to Late Adolescence: A Latent Growth Model. J Nurs Res. 2019;27(1):1-7. doi: 10.1097/jnr.0000000000000266.
  • Hesketh K, Wake M, Waters E. Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship. Int J Obes Relat Metab Disord. 2004;28(10):1233-1237. doi:10.1038/sj.ijo.0802624.
  • Sung RY, Yu CW, So RC, Lam PK, Hau KT. Self-perception of physical competences in preadolescent overweight Chinese children. Eur J Clin Nutr. 2005;59(1):101-106. doi:10.1038/sj.ejcn.1602044.
  • National Youth Policy Institute, Korea. A comparative study on the life consciousness and friendship of high school students: Comparison of 4 countries in Korea, China, Japan and the US. Seoul, South Korea: Author. 2006.
  • Chen JL, Yeh CH, Kennedy C. Weight status, self-competence, and coping strategies in Chinese children. J Pediatr Nurs. 2007;22(3):176-185. doi:10.1016/j.pedn.2006.08.003.
  • Haspolat NK, Kağan M. Sosyal fobinin yordayıcıları olarak beden imajı ve benlik saygısı. Erzincan Üniversitesi Eğitim Fakültesi Dergisi. 2017;19(2):139-152.
  • Pop, C. Self-Esteem and body image perception in a sample of university students. Eurasian Journal of Educational Research 2016;64:31-44 http://dx.doi.org/10.14689/ejer.2016.64.2
  • Weir CB, Jan A. BMI Classification Percentile And Cut Off Points. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.
  • Güngördü N, Kurtul S. Association between self-reported menstrual disorders and occupational exposures in female healthcare workers: a university hospital experience from Turkey. Eur Res J. 2023;9(4):800-810. doi:10.18621/eurj.1186212.
  • Hahn KA, Wise LA, Riis AH, Mikkelsen EM, Rothman KJ, Banholzer K et al. Correlates of menstrual cycle characteristics among nulliparous Danish women. Clin Epidemiol. 2013;5:311-320. doi: 10.2147/CLEP.S46712.
  • Shinde CD, Patil PG, Katti K, Geetha KN. Study of endometrial thickness by ultrasonography in regular and irregular menstrual cycles. J Indian Med Assoc. 2013;111:674-681.
  • Kim I, Kim MH, Lim S. Reproductive hazards still persist in the microelectronics industry: increased risk of spontaneous abortion and menstrual aberration among female workers in the microelectronics industry in South Korea. PLoS One 2015;10:e0123679.
  • Chung FF, Yao CC, Wan GH. The associations between menstrual function and life style/working conditions among nurses in Taiwan. J Occup Health 2005;47:149-56.
  • Delara M, Woodgate RL. Psychological distress and its correlates among university students: a cross-sectional study. J Pediatr Adolesc Gynecol. 2015;28:240-4.
  • Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36:104-117.
  • Nishikitani M, Nakao M, Tsurugano S, Inoure M, Yano E. Relationship between menstruation status and work conditions in Japan. Biopsychosoc Med. 2017;11:26.
  • Yöndem ZN, Bilgin NÇ. Dysmenorrhea among hospital nurses and its effects on work life. Health Care Women Int. 2020;43:997-1014.
  • Saito R, Virji MA, Henneberger PK, Humann MJ, LeBouf RF, Stanton ML, et al. Characterization of cleaning and disinfecting tasks and product use among hospital occupations. Am J Ind Med. 2015;58:101-112.
  • Jiang Z, Wang J, Guo X, Feng L, Yu M, Zhou J, et al. Menstrual disorders and occupational exposures among female nurses: a nationwide cross-sectional study. Int J Nurs Stud. 2019;95:49-55.
  • Sawitri DPM, Ibáñez WA, Tianing WN, Primayanti DAID. The correlation between body mass index and menstrual cycle disorders in medical students of Udayana University. Bali Anatomy Journal. 2020;3:19-23.
  • Joshanloo M. Self-esteem predicts positive affect directly and self-efficacy indirectly: a 10-year longitudinal study. 2022;36(6):1211-17.
  • Rosenberg, M. Rosenberg self-esteem scale (RSE). Acceptance and Commitment Therapy. Measures Package. 1965;61:18.
  • Joshi S, Shah S, Bhave SY, Goel P, Sovani A. Self-Esteem: Relationship with Age, Gender and BMI in Adolescents. Indian Journal of Youth and Adolescent Health. 2023;10(2): 1-7.

Hemşirelik Öğrencilerinde Beden Kitle İndeksi ile Menstrüel Siklus ve Benlik Saygısı Arasındaki İlişkinin Değerlendirilmesi

Yıl 2025, Cilt: 20 Sayı: 1, 27 - 34
https://doi.org/10.17517/ksutfd.1448871

Öz

Amaç: Son yıllarda vücut kitle indeksindeki artışın birçok sağlık sorununu beraberinde getirmesi ve aşırı stres, hormonal değişiklikler, obezite gibi birçok faktör menstrüel düzensizliklere neden olabilmektedir. Çalışmanın amacı hemşirelik öğrencilerinde menstrual siklusun beden kitle indeksi ve benlik saygısı düzeyi ile ilişkisini belirlemektir.
Gereç ve Yöntem: Tanımlayıcı ve kesitsel tipteki bu çalışma, hemşirelik bölümünde öğrenim gören 416 hemşirelik öğrencisinin menstrual siklus uzunluğu, menstrual dönem süresi ve periyodik menstrual kan kaybının beden kitle indeksi ve benlik saygısı üzerine etkisini değerlendirmek amacıyla yapılmıştır. Ayrıca kilo, boy, beden kitle indeksi ve benlik saygısı hesaplanmıştır.
Bulgular: Öğrencilerin yaş, boy uzunluğu, vücut ağırlığı ve beden kitle indeksi ortalamaları 20,94±1,67yıl, 163,49±4,96cm, 57,21±8,91kg ve 21.42±3.31kg/m2’ydi. Menstrüel siklus uzunluğu 346 kişide normal olarak adlandırılan 21-35 gün arasında bulunmuştur. Menstrüel periyodun süresi değerlendirildiğinde 307 bireyde 3-7 gün normal olarak kabul edilmiştir. Ayrıca, periyodik menstrüel kan kaybı 164 bireyde normal veya orta düzeyde olup, bunu hafif (<15 ped; 149 birey) ve ağır (>20 ped; 103 birey) düzey takip etmiştir. Bu bulgulara göre, Beden kitle indeksi, menstrual siklus süresi, periyodik menstrual kan kaybı ve menstrual siklus uzunluğu arasında anlamlı bir fark bulunmuştur. Hemşirelik öğrencilerinin Rosenberg Benlik Saygısı Ölçeği'nden aldıkları puan 22.16 (2.62)'dır.
Sonuç: Hemşirelik öğrencilerinin beden kitle indeksi değerleri ile menstrüel siklus, menstrual süre ve menstrüel kan kaybı arasında istatistiksel olarak anlamlı bir korelasyon bulunmuştur. Ancak beden kitle indeksinin benlik saygısı üzerinde anlamlı bir etkisi bulunmamıştır.

Kaynakça

  • Wu F, Juonala M, Sabin MA, Buscot MJ, Pahkala K, Smith KJ et al. Association of Body Mass Index in Youth With Adult Cardiometabolic Risk. J Am Heart Assoc. 2020;9(14):e015288. doi: 10.1161/JAHA.119.015288.
  • Anitha A, Celine D, Meennakshi BS. A comparative study of depression among obese and non-obese individuals. National Journal of Physiology 2021;9(2):31-36.
  • Mohapatra S, Acharya M, Jena SK. Body mass index: A modifying factor of median nerve conduction. National Journal of Physiology, Pharmacy and Pharmacology. 2021;11(12):1378-1382.
  • Amgain K, Subedi P, Yadav GK, Neupane S, Khadka S, Sapkota SD. Association of Anthropometric Indices with Menstrual Abnormality among Nursing Students of Nepal: A Cross-Sectional Study. J Obes. 2022;2022:6755436. doi: 10.1155/2022/6755436.
  • Park SL, Goodman MT, Zhang ZF, Kolonel LN, Henderson BE, Setiawan VW. Body size, adult BMI gain and endometrial cancer risk: the multiethnic cohort. Int J Cancer. 2010;126(2):490-499
  • Weiderpass E, Persson I, Adami HO, Magnusson C, Lindgren A, Baron JA. Body size in different periods of life, diabetes mellitus, hypertension, and risk of postmenopausal endometrial cancer (Sweden). Cancer Causes Control. 2000;11(2):185-192. doi:10.1023/a:1008946825313.
  • Soylu AC, Levent E, Sarıman N, Yurtlu S, Alparslan S, Saygı A. Obstructive sleep apnea syndrome and anthropometric obesity indexes. Sleep Breath. 2012;16(4):1151-1158. doi:10.1007/s11325-011-0623-9.
  • Haniarti, Rusman, Jumarna. Correlation of body mass index with regular menstrual cycle of young women. Eur J Mol Clin Med. 2020;7(08):168-172.
  • Jura M, Kozak LP. Obesity and related consequences to ageing. Age (Dordr). 2016;38(1):23. doi: 10.1007/s11357-016-9884-3.
  • Tang, Y., Chen, Y., Feng, H. et al. Is body mass index associated with irregular menstruation: a questionnaire study?. BMC Women's Health. 2020;20:226-231. https://doi.org/10.1186/s12905-020-01085-4
  • Soylu T, Nazik E. Sexual Quality of Life and Marital Adjustment in Women with menstrual irregularity. International Journal of Caring Sciences. 2022;15(1):435-43.
  • Singh M, Rajoura OP, Honnakamble RA. Menstrual patterns and problems in association with body mass index among adolescent school girls. J Family Med Prim Care. 2019;8(9):2855-2858.
  • Mohamed NS, Elsayed A. Menstrual pattern among university students. IOSRJ Nurs Health Sci. 2016;5(04):36-42.
  • Lias F, Hashim N, Majid N, Muhamad N, Ismail WMW, Mulud ZA. Self-Esteem and Quality Of Life among Women with the Menstrual Disorder at a Public Hospital. Mal J Med Sci. 2022;18:43-50.
  • Ibáñez MG, Horta MF, Campa JMG. Gynecological examination and most common abnormalities of the menstrual cycle in adolescence. Pediatría Integral. 2022;26(5):270-279.
  • Lambert-Messerlian G, Roberts MB, Urlacher SS, Ah-Ching J, Viali S, Urbanek M et al. First assessment of menstrual cycle function and reproductive endocrine status in Samoan women. Human Reproduction. 2011;26(9):2518–2524.
  • Vilšinskaitė DS, Vaidokaitė G, Mačys Ž, Bumbulienė Ž. The risk factors of dysmenorrhea in young women. Wiad Lek. 2019;72:1170-1174.
  • Çinar GN, Akbayrak T, Gürşen C, Baran E, Üzelpasacı E, Nakip G et al. Factors Related to Primary Dysmenorrhea in Turkish Women: a Multiple Multinomial Logistic Regression Analysis. Reprod Sci. 2021;28(2):381-392.
  • Shahid A, Tatiq M, Sulaman H, Shaista BS, Habib SA. Frequency and severity of primary dysmenorrhea in adolescent females. Pak J Med Sci. 2020;14:1952-1954.
  • Jiang W, Hua XG, Hu CY, Li FL, Huang K, Zhang XJ. The prevalence and risk factors of menstrual pain of married women in Anhui Province, China. Eur J Obstet Gynecol Reprod Biol. 2018;229:190-194.
  • Barcikowska Z, Wójcik-Bilkiewicz K, Sobierajska-Rek A, Grzybowska ME, Wąż P, Zorena K. Dysmenorrhea and associated factors among polish women: a cross-sectional study. Pain Res Manag. 2020;2020:6161536.
  • Anitha J, William BR. Relationship between Body Mass Index and Self Esteem among Early Adolescents in a Selected School, Coimbatore. Int J Pediatr Nurs. 2020;6(1):13–17.
  • Swallen KC, Reither EN, Haas SA, Meier AM. Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005;115(2):340-347. doi:10.1542/peds.2004-0678.
  • Yun EK, Lee H, Lee JU, Park JH, Noh YM, Song YG, et al. Longitudinal Effects of Body Mass Index and Self-Esteem on Adjustment From Early to Late Adolescence: A Latent Growth Model. J Nurs Res. 2019;27(1):1-7. doi: 10.1097/jnr.0000000000000266.
  • Hesketh K, Wake M, Waters E. Body mass index and parent-reported self-esteem in elementary school children: evidence for a causal relationship. Int J Obes Relat Metab Disord. 2004;28(10):1233-1237. doi:10.1038/sj.ijo.0802624.
  • Sung RY, Yu CW, So RC, Lam PK, Hau KT. Self-perception of physical competences in preadolescent overweight Chinese children. Eur J Clin Nutr. 2005;59(1):101-106. doi:10.1038/sj.ejcn.1602044.
  • National Youth Policy Institute, Korea. A comparative study on the life consciousness and friendship of high school students: Comparison of 4 countries in Korea, China, Japan and the US. Seoul, South Korea: Author. 2006.
  • Chen JL, Yeh CH, Kennedy C. Weight status, self-competence, and coping strategies in Chinese children. J Pediatr Nurs. 2007;22(3):176-185. doi:10.1016/j.pedn.2006.08.003.
  • Haspolat NK, Kağan M. Sosyal fobinin yordayıcıları olarak beden imajı ve benlik saygısı. Erzincan Üniversitesi Eğitim Fakültesi Dergisi. 2017;19(2):139-152.
  • Pop, C. Self-Esteem and body image perception in a sample of university students. Eurasian Journal of Educational Research 2016;64:31-44 http://dx.doi.org/10.14689/ejer.2016.64.2
  • Weir CB, Jan A. BMI Classification Percentile And Cut Off Points. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023.
  • Güngördü N, Kurtul S. Association between self-reported menstrual disorders and occupational exposures in female healthcare workers: a university hospital experience from Turkey. Eur Res J. 2023;9(4):800-810. doi:10.18621/eurj.1186212.
  • Hahn KA, Wise LA, Riis AH, Mikkelsen EM, Rothman KJ, Banholzer K et al. Correlates of menstrual cycle characteristics among nulliparous Danish women. Clin Epidemiol. 2013;5:311-320. doi: 10.2147/CLEP.S46712.
  • Shinde CD, Patil PG, Katti K, Geetha KN. Study of endometrial thickness by ultrasonography in regular and irregular menstrual cycles. J Indian Med Assoc. 2013;111:674-681.
  • Kim I, Kim MH, Lim S. Reproductive hazards still persist in the microelectronics industry: increased risk of spontaneous abortion and menstrual aberration among female workers in the microelectronics industry in South Korea. PLoS One 2015;10:e0123679.
  • Chung FF, Yao CC, Wan GH. The associations between menstrual function and life style/working conditions among nurses in Taiwan. J Occup Health 2005;47:149-56.
  • Delara M, Woodgate RL. Psychological distress and its correlates among university students: a cross-sectional study. J Pediatr Adolesc Gynecol. 2015;28:240-4.
  • Ju H, Jones M, Mishra G. The prevalence and risk factors of dysmenorrhea. Epidemiol Rev. 2014;36:104-117.
  • Nishikitani M, Nakao M, Tsurugano S, Inoure M, Yano E. Relationship between menstruation status and work conditions in Japan. Biopsychosoc Med. 2017;11:26.
  • Yöndem ZN, Bilgin NÇ. Dysmenorrhea among hospital nurses and its effects on work life. Health Care Women Int. 2020;43:997-1014.
  • Saito R, Virji MA, Henneberger PK, Humann MJ, LeBouf RF, Stanton ML, et al. Characterization of cleaning and disinfecting tasks and product use among hospital occupations. Am J Ind Med. 2015;58:101-112.
  • Jiang Z, Wang J, Guo X, Feng L, Yu M, Zhou J, et al. Menstrual disorders and occupational exposures among female nurses: a nationwide cross-sectional study. Int J Nurs Stud. 2019;95:49-55.
  • Sawitri DPM, Ibáñez WA, Tianing WN, Primayanti DAID. The correlation between body mass index and menstrual cycle disorders in medical students of Udayana University. Bali Anatomy Journal. 2020;3:19-23.
  • Joshanloo M. Self-esteem predicts positive affect directly and self-efficacy indirectly: a 10-year longitudinal study. 2022;36(6):1211-17.
  • Rosenberg, M. Rosenberg self-esteem scale (RSE). Acceptance and Commitment Therapy. Measures Package. 1965;61:18.
  • Joshi S, Shah S, Bhave SY, Goel P, Sovani A. Self-Esteem: Relationship with Age, Gender and BMI in Adolescents. Indian Journal of Youth and Adolescent Health. 2023;10(2): 1-7.
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Sema Polat 0000-0001-7330-4919

Emir İbrahim Işık

Sevban Arslan 0000-0002-8893-9391

Evşen Nazik

Erken Görünüm Tarihi 24 Mart 2025
Yayımlanma Tarihi
Gönderilme Tarihi 8 Mart 2024
Kabul Tarihi 7 Mayıs 2024
Yayımlandığı Sayı Yıl 2025 Cilt: 20 Sayı: 1

Kaynak Göster

AMA Polat S, Işık Eİ, Arslan S, Nazik E. Assessment of Association between Body Mass Index with Menstrual Characteristics and Self Esteem among Nursing Students. KSÜ Tıp Fak Der. Mart 2025;20(1):27-34. doi:10.17517/ksutfd.1448871