The Relationship Between Premenstrual Syndrome and Dietary Habits and Nutrients Intake: Descriptive and Analytical Cross- Sectional Study
Year 2024,
, 510 - 516, 28.06.2024
Nülüfer Erbil
,
Duygu Mataracı Değirmenci
Abstract
Objective: This study aimed to examine the relationship between premenstrual syndrome (PMS) and nutrition in nursing students.
Methods: This is a descriptive and analytical cross-sectional study evaluating the relationship between premenstrual syndrome and nutrition in nursing students. In this descriptive and cross-sectional study, relationship between nutrient and PMS was examined by 219 nursing students using personal information form, 24-hour food consumption record and Premenstrual Syndrome Scale (PMSS). The macro and micronutrients consumed by the participants were determined through the analysis of their food consumption records in the Nutrition Information System (BEBIS) program. T test, chi-square test and Pearson correlation analysis test were used in analysis of data.
Results: It was determined that 53.4% of the students had PMS and dietary habits are important in the appearance of PMS symptoms. Breakfast and lunch consumption affected the presence of PMS, but there was no difference between the groups with and without PMS in terms of coffee, salt consumption and skipping meals. The total energy taken daily by the female students with PMS were higher, percentage of energy from protein was lower and difference was statistically significant (p<.05). There were significant correlations between PMSS score and daily energy intake, percentage of energy from protein, vitamin E, vitamin B6, magnesium, iron and zinc.
Conclusion: Results of this study was indicated that dietary habits, macro and micronutrient intake are important in increasing premenstrual symptom severity. In female students with PMS, it is recommended to raise awareness about the importance of nutrition in reducing or eliminating symptoms, inform experts about nutrition, and perform further research on this issue.
Ethical Statement
Institutional permit was obtained to conduct the research at the XXX University where the research will be conducted (March 7, 2019-47738962-663.08/339048). XXX University Clinical Research Ethics Committee approved all methods involving subjects in research studies (April 25, 2019-2019/64). Written informed consent was obtained from participants. In this study, the principles of the Declaration of Helsinki were followed.
Supporting Institution
Ordu University Scientific Research Projects Coordination Unit
Thanks
Thanks to Ordu University Scientific Research Projects Coordination Unit for financially supporting this study. In addition, thanks to Catherine Yiğit for checking this article for language.
References
- Arab A, Golpour-Hamedani S, Rafie N. The association between vitamin D and premenstrual syndrome: A systematic review and meta-analysis of current literature. J Am Coll Nutr. 2019;38(7):648-656. DOI: 10.1080/07315724.2019.1566036
- Cooper NC, Nair DB, Egan S, Barrie A, Perera B. Current evidence for the identification and management of premenstrual syndrome in women with intellectual disabilities: A systematic review. AMHID. 2019. DOI: 10.1108/AMHID-05-2019-001
- Verkaik S, Kamperman AM, van Westrhenen R, Schulte PF. The treatment of premenstrual syndrome with preparations of Vitex agnus castus: A systematic review and meta-analysis. Am J Obstet Gynecol. 2017;217(2):150-66. DOI: 10.1016/j.eurpsy.2017.01.1863
- Victor FF, Souza AI, Barreiros CDT, Barros JLNd, Silva FACd, Ferreira ALCG. Quality of life among university students with premenstrual syndrome. Rev Bras Ginecol Obstet. 2019;41:312-317. DOI: 10.1055/s-0039-1688709
- Esmaeilpour M, Ghasemian S, Alizadeh M. Diets enriched with whole grains reduce premenstrual syndrome scores in nurses: an open-label parallel randomised controlled trial. Br J Nutr. 2019;121(9):992-1001. DOI: 10.1017/S0007114519000333
- Acikgoz A, Dayi A, Binbay T. Prevalence of premenstrual syndrome and its relationship to depressive symptoms in first-year university students. Saudi Med J. 2017;38(11):1125. DOI: 10.15537/smj.2017.11.20526
- Hashim MS, Obaideen AA, Jahrami HA, Radwan H, Hamad HJ, Owais AA, Alardah LG, Qiblawi S, Al-Yateem N, Al-Islam M, Faris E. Premenstrual syndrome is associated with dietary and lifestyle behaviors among university students: A cross-sectional study from Sharjah, UAE. Nutrients. 2019;11(8):1939. DOI: 10.3390/nu1108193
- Garcia NM, Walker RS, Zoellner LA. Estrogen, progesterone, and the menstrual cycle: A systematic review of fear learning, intrusive memories, and PTSD. Clin Psychol Rev. 2018;66:80-96. DOI: 10.1016/j.cpr.2018.06.005
- Houghton SC, Manson JE, Whitcomb BW, Hankinson SE, Troy LM, Bigelow C, Bertone-Johnson ER. Carbohydrate and fiber intake and the risk of premenstrual syndrome. Eur J Clin Nutr. 2018;72(6):861-870. DOI: 10.1038/s41430-017-0076-8
- Houghton SC, Manson JE, Whitcomb BW, Hankinson SE, Troy LM, Bigelow C, Bertone-Johnson ER. Protein intake and the risk of premenstrual syndrome. Public Health Nutr. 2019;22(10):1762-1769. DOI: 10.1017/S1368980018004019
- Işgın K, Ede G, Büyüktuncer Z. Farklı yaş grubundaki kadınlarda premenstrual sendrom varlığı ve beslenme durumu ile ilişkisi. Beslenme ve Diyet Dergisi. 2016;44(2):114-121 (Turkish).
- Reid RL. Premenstrual dysphoric disorder (formerly premenstrual syndrome). Endotext [Internet]. 2017. Available at: https://www.ncbi.nlm.nih.gov/books/NBK279045/. Accessed January 16, 2024.
- Arruda LM, Martins LS, Moreira TR. Assessment of the Symptoms of Premenstrual Syndrome in Physically Active and Sedentary Adult Women. J Nutr Ther. 2017;5(4):93-102. DOI: 10.6000/1929-5634.2016.05.04.2
- Rad M, Sabzevary MT, Dehnavi ZM. Factors associated with premenstrual syndrome in female high school students. J Educ Health Promot. 2018;3(7):64. DOI: 10.4103/jehp.jehp_126_17
- Costanian C, Akiki Z, Rabah Z, Daou S, Assaad S. Factors associated with premenstrual syndrome and its different symptom domains among university students in Lebanon. Int J Womens Health Wellnes. 2018;4:068. DOI: 10.23937/2474-1353/1510068
- Gençdoğan B. Premenstruel sendrom için yeni bir ölçek. Türkiye'de Psikiyatri Derg. 2006;8(2):81-87 (Turkish).
- Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, Merdol T, Pekcan G, Yılmaz E. Beslenme durumunun saptanmasi. Diyet El Kitabi. 8. Baskı. Ankara: Hatipoğlu Yayınevi; 2020. p. [67-141] (Turkish).
- World Health Organization. Global Database on Body Mass Index: BMI Classification 2020; Available at: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accesed January 16, 2024.
- Satriyandari Y, Astuti DA. Handling of Premenstrual Syndrome Among Adolescent Girls: A Systematic Literature Review. In 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019); 2020; Atlantis Press. p. [195-201]. DOI: 10.2991/ahsr.k.200311.038
- Purnawati J, Sinrang AW, Jusuf EC, Limoa E, Ahmad M, Usman AN. Nutrition, Mental Status and Level of 8-Hydroxy-2-Deoxyguanosine (OHDG) Urine as Predictors of Premenstrual Syndrome (PMS) in Adolescent Girls. Int J Curr Res Rev. 2020;12:7-13. DOI: 10.31782/IJCRR.2020.122315
- Isaza A. Nutritional and NonPharmacological Interventions for Premenstrual Syndrome. A Commentary of the Available Research. Nutritional Perspectives: Journal of the Council on Nutrition. 2021;44(1).
- Yoshimi K, Shiina M, Takeda T. Lifestyle factors associated with premenstrual syndrome: a cross-sectional study of Japanese high school students. J Pediatr Adolesc Gynecol. 2019;32(6):590-5. DOI: 10.1016/j.jpag.2019.09.001
- Dayanand A. Prevention of Premenstrual Syndrome in Adolescence. IJNSPR. 2019;5(1):59-63. DOI: 10.37628/ijnspr.v5i1.1056
- Kroll-Desrosiers AR, Ronnenberg AG, Zagarins SE, Houghton SC, Takashima-Uebelhoer BB, Bertone-Johnson ER. Recreational physical activity and premenstrual syndrome in young adult women: A cross-sectional study. PLoS One. 2017;12(1):e0169728. DOI: 10.1371/journal.pone.0169728
- Aguilar-Aguilar E. Menstrual disorders: what we know about dietary-nutritional therapy. Nutr Hosp. 2021;37:52-56. DOI: 10.20960/nh.03358
- Türkiye Beslenme Rehberi (TÜBER)-2022. T.C. Sağlık Bakanlığı Yayın No: 1031, Ankara, 2022 (Turkish). Erişim: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat db/Dokumanlar/Rehberler/Turkiye_Beslenme_Rehber_TUBER_2022_min.pdf Erişim tarihi: 16 Ocak 2024.
- Bhuvaneswari K, Rabindran P, Bharadwaj B. Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry. Natl Med J India. 2019;32(1):17. DOI: 10.4103/0970-258X.27210
- Khademian F, Koohdani F, Qorbani M, Siassi F, Farasati N, Abashzadeh K, et al. Comparison of carbohydrate quality index amongst nurses with and without premenstrual syndrome: A case-control study. J Nutr Sci & Diet. 2021;5(3-4):298.
- Topel M, Pehlivan M. Evaluation of Premenstrual Syndrome Frequencies and Nutritional Habits of Female Students in The Faculty of Health Sciences. KTO Karatay University Journal of Health Sciences. 2021;2(3):84-96.
- Siminiuc R, Turcanu D. Impact of nutritional diet therapy on premenstrual syndrome. Front. Nutr. 2023;10:1079417. DOI: 10.3389/fnut.2023.1079417
- Jarzabek-Bielecka G, Mizgier M, Kedzia W. Metrorrhagia iuvenilis and Premenstrual Syndrome as frequent problems of adolescent gynecology with aspects of diet therapy. Ginekol Pol. 2019;90(7):423-9. DOI: 10.5603/GP.2019.0072
- McCabe D, Lisy K, Lockwood C, Colbeck M. The impact of essential fatty acid, B vitamins, vitamin C, magnesium and zinc supplementation on stress levels in women: A systematic review. JBI Database System Rev Implement Rep. 2017;15(2):402-53. DOI: 10.11124/JBISRIR-2016-002965
- Frankel RA, Michels KA, Kim K, Kuhr DL, Omosigho UR, Wactawski-Wende J, et al. Serum antioxidant vitamin concentrations and oxidative stress markers associated with symptoms and severity of premenstrual syndrome: a prospective cohort study. BMC Womens Health. 2021;21(1):1-11. DOI: 10.1186/s12905-021-01187-7
- Isgin‐Atici K, Kanbur N, Akgül S, Buyuktuncer Z. Diet quality in adolescents with premenstrual syndrome:A cross‐sectional study. Nutr Diet. 2020;77(3):351-358. DOI: 10.1111/1747-0080.12515
- Fujiana F, Gres K, Muttalib YS, Salam A, Wirawanti IW, Fadly D, editors. Fresh noodles enriched with Coleus amboinicus Lour leaves to lower the premenstrual syndrome level. IOP Conf. Ser.: Earth Environ. Sci. 2021;807: 022064. DOI: 10.1088/1755-1315/807/2/02206
- Fatemi M, Allahdadian M, Bahadorani M. Comparison of serum level of some trace elements and vitamin D between patients with premenstrual syndrome and normal controls: A cross-sectional study. Int J Reprod Biomed. 2019;17(9):647. DOI: 10.18502/ijrm.v17i9.510
- Moslehi M, Arab A, Shadnoush M, Hajianfar H. The association between serum magnesium and premenstrual syndrome: A systematic review and meta-analysis of observational studies. Biol Trace Elem Res. 2019;192(2):145-152. DOI: 10.1007/s12011-019-01672-z
Year 2024,
, 510 - 516, 28.06.2024
Nülüfer Erbil
,
Duygu Mataracı Değirmenci
References
- Arab A, Golpour-Hamedani S, Rafie N. The association between vitamin D and premenstrual syndrome: A systematic review and meta-analysis of current literature. J Am Coll Nutr. 2019;38(7):648-656. DOI: 10.1080/07315724.2019.1566036
- Cooper NC, Nair DB, Egan S, Barrie A, Perera B. Current evidence for the identification and management of premenstrual syndrome in women with intellectual disabilities: A systematic review. AMHID. 2019. DOI: 10.1108/AMHID-05-2019-001
- Verkaik S, Kamperman AM, van Westrhenen R, Schulte PF. The treatment of premenstrual syndrome with preparations of Vitex agnus castus: A systematic review and meta-analysis. Am J Obstet Gynecol. 2017;217(2):150-66. DOI: 10.1016/j.eurpsy.2017.01.1863
- Victor FF, Souza AI, Barreiros CDT, Barros JLNd, Silva FACd, Ferreira ALCG. Quality of life among university students with premenstrual syndrome. Rev Bras Ginecol Obstet. 2019;41:312-317. DOI: 10.1055/s-0039-1688709
- Esmaeilpour M, Ghasemian S, Alizadeh M. Diets enriched with whole grains reduce premenstrual syndrome scores in nurses: an open-label parallel randomised controlled trial. Br J Nutr. 2019;121(9):992-1001. DOI: 10.1017/S0007114519000333
- Acikgoz A, Dayi A, Binbay T. Prevalence of premenstrual syndrome and its relationship to depressive symptoms in first-year university students. Saudi Med J. 2017;38(11):1125. DOI: 10.15537/smj.2017.11.20526
- Hashim MS, Obaideen AA, Jahrami HA, Radwan H, Hamad HJ, Owais AA, Alardah LG, Qiblawi S, Al-Yateem N, Al-Islam M, Faris E. Premenstrual syndrome is associated with dietary and lifestyle behaviors among university students: A cross-sectional study from Sharjah, UAE. Nutrients. 2019;11(8):1939. DOI: 10.3390/nu1108193
- Garcia NM, Walker RS, Zoellner LA. Estrogen, progesterone, and the menstrual cycle: A systematic review of fear learning, intrusive memories, and PTSD. Clin Psychol Rev. 2018;66:80-96. DOI: 10.1016/j.cpr.2018.06.005
- Houghton SC, Manson JE, Whitcomb BW, Hankinson SE, Troy LM, Bigelow C, Bertone-Johnson ER. Carbohydrate and fiber intake and the risk of premenstrual syndrome. Eur J Clin Nutr. 2018;72(6):861-870. DOI: 10.1038/s41430-017-0076-8
- Houghton SC, Manson JE, Whitcomb BW, Hankinson SE, Troy LM, Bigelow C, Bertone-Johnson ER. Protein intake and the risk of premenstrual syndrome. Public Health Nutr. 2019;22(10):1762-1769. DOI: 10.1017/S1368980018004019
- Işgın K, Ede G, Büyüktuncer Z. Farklı yaş grubundaki kadınlarda premenstrual sendrom varlığı ve beslenme durumu ile ilişkisi. Beslenme ve Diyet Dergisi. 2016;44(2):114-121 (Turkish).
- Reid RL. Premenstrual dysphoric disorder (formerly premenstrual syndrome). Endotext [Internet]. 2017. Available at: https://www.ncbi.nlm.nih.gov/books/NBK279045/. Accessed January 16, 2024.
- Arruda LM, Martins LS, Moreira TR. Assessment of the Symptoms of Premenstrual Syndrome in Physically Active and Sedentary Adult Women. J Nutr Ther. 2017;5(4):93-102. DOI: 10.6000/1929-5634.2016.05.04.2
- Rad M, Sabzevary MT, Dehnavi ZM. Factors associated with premenstrual syndrome in female high school students. J Educ Health Promot. 2018;3(7):64. DOI: 10.4103/jehp.jehp_126_17
- Costanian C, Akiki Z, Rabah Z, Daou S, Assaad S. Factors associated with premenstrual syndrome and its different symptom domains among university students in Lebanon. Int J Womens Health Wellnes. 2018;4:068. DOI: 10.23937/2474-1353/1510068
- Gençdoğan B. Premenstruel sendrom için yeni bir ölçek. Türkiye'de Psikiyatri Derg. 2006;8(2):81-87 (Turkish).
- Baysal A, Aksoy M, Besler T, Bozkurt N, Keçecioğlu S, Mercanlıgil SM, Merdol T, Pekcan G, Yılmaz E. Beslenme durumunun saptanmasi. Diyet El Kitabi. 8. Baskı. Ankara: Hatipoğlu Yayınevi; 2020. p. [67-141] (Turkish).
- World Health Organization. Global Database on Body Mass Index: BMI Classification 2020; Available at: http://www.euro.who.int/en/health-topics/disease-prevention/nutrition/a-healthy-lifestyle/body-mass-index-bmi. Accesed January 16, 2024.
- Satriyandari Y, Astuti DA. Handling of Premenstrual Syndrome Among Adolescent Girls: A Systematic Literature Review. In 5th Universitas Ahmad Dahlan Public Health Conference (UPHEC 2019); 2020; Atlantis Press. p. [195-201]. DOI: 10.2991/ahsr.k.200311.038
- Purnawati J, Sinrang AW, Jusuf EC, Limoa E, Ahmad M, Usman AN. Nutrition, Mental Status and Level of 8-Hydroxy-2-Deoxyguanosine (OHDG) Urine as Predictors of Premenstrual Syndrome (PMS) in Adolescent Girls. Int J Curr Res Rev. 2020;12:7-13. DOI: 10.31782/IJCRR.2020.122315
- Isaza A. Nutritional and NonPharmacological Interventions for Premenstrual Syndrome. A Commentary of the Available Research. Nutritional Perspectives: Journal of the Council on Nutrition. 2021;44(1).
- Yoshimi K, Shiina M, Takeda T. Lifestyle factors associated with premenstrual syndrome: a cross-sectional study of Japanese high school students. J Pediatr Adolesc Gynecol. 2019;32(6):590-5. DOI: 10.1016/j.jpag.2019.09.001
- Dayanand A. Prevention of Premenstrual Syndrome in Adolescence. IJNSPR. 2019;5(1):59-63. DOI: 10.37628/ijnspr.v5i1.1056
- Kroll-Desrosiers AR, Ronnenberg AG, Zagarins SE, Houghton SC, Takashima-Uebelhoer BB, Bertone-Johnson ER. Recreational physical activity and premenstrual syndrome in young adult women: A cross-sectional study. PLoS One. 2017;12(1):e0169728. DOI: 10.1371/journal.pone.0169728
- Aguilar-Aguilar E. Menstrual disorders: what we know about dietary-nutritional therapy. Nutr Hosp. 2021;37:52-56. DOI: 10.20960/nh.03358
- Türkiye Beslenme Rehberi (TÜBER)-2022. T.C. Sağlık Bakanlığı Yayın No: 1031, Ankara, 2022 (Turkish). Erişim: https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-ve-hareketli-hayat db/Dokumanlar/Rehberler/Turkiye_Beslenme_Rehber_TUBER_2022_min.pdf Erişim tarihi: 16 Ocak 2024.
- Bhuvaneswari K, Rabindran P, Bharadwaj B. Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry. Natl Med J India. 2019;32(1):17. DOI: 10.4103/0970-258X.27210
- Khademian F, Koohdani F, Qorbani M, Siassi F, Farasati N, Abashzadeh K, et al. Comparison of carbohydrate quality index amongst nurses with and without premenstrual syndrome: A case-control study. J Nutr Sci & Diet. 2021;5(3-4):298.
- Topel M, Pehlivan M. Evaluation of Premenstrual Syndrome Frequencies and Nutritional Habits of Female Students in The Faculty of Health Sciences. KTO Karatay University Journal of Health Sciences. 2021;2(3):84-96.
- Siminiuc R, Turcanu D. Impact of nutritional diet therapy on premenstrual syndrome. Front. Nutr. 2023;10:1079417. DOI: 10.3389/fnut.2023.1079417
- Jarzabek-Bielecka G, Mizgier M, Kedzia W. Metrorrhagia iuvenilis and Premenstrual Syndrome as frequent problems of adolescent gynecology with aspects of diet therapy. Ginekol Pol. 2019;90(7):423-9. DOI: 10.5603/GP.2019.0072
- McCabe D, Lisy K, Lockwood C, Colbeck M. The impact of essential fatty acid, B vitamins, vitamin C, magnesium and zinc supplementation on stress levels in women: A systematic review. JBI Database System Rev Implement Rep. 2017;15(2):402-53. DOI: 10.11124/JBISRIR-2016-002965
- Frankel RA, Michels KA, Kim K, Kuhr DL, Omosigho UR, Wactawski-Wende J, et al. Serum antioxidant vitamin concentrations and oxidative stress markers associated with symptoms and severity of premenstrual syndrome: a prospective cohort study. BMC Womens Health. 2021;21(1):1-11. DOI: 10.1186/s12905-021-01187-7
- Isgin‐Atici K, Kanbur N, Akgül S, Buyuktuncer Z. Diet quality in adolescents with premenstrual syndrome:A cross‐sectional study. Nutr Diet. 2020;77(3):351-358. DOI: 10.1111/1747-0080.12515
- Fujiana F, Gres K, Muttalib YS, Salam A, Wirawanti IW, Fadly D, editors. Fresh noodles enriched with Coleus amboinicus Lour leaves to lower the premenstrual syndrome level. IOP Conf. Ser.: Earth Environ. Sci. 2021;807: 022064. DOI: 10.1088/1755-1315/807/2/02206
- Fatemi M, Allahdadian M, Bahadorani M. Comparison of serum level of some trace elements and vitamin D between patients with premenstrual syndrome and normal controls: A cross-sectional study. Int J Reprod Biomed. 2019;17(9):647. DOI: 10.18502/ijrm.v17i9.510
- Moslehi M, Arab A, Shadnoush M, Hajianfar H. The association between serum magnesium and premenstrual syndrome: A systematic review and meta-analysis of observational studies. Biol Trace Elem Res. 2019;192(2):145-152. DOI: 10.1007/s12011-019-01672-z