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Survey study, 2022

What diet, stress, and lifestyle factors are linked to PMS symptoms?

High coffee intake, sugar, stress, smoking, and low physical activity were all linked to worse PMS symptoms, with stress showing the strongest association. These are associations only, not proven causes.

Moderate study design 1,831 women aged 18-50 in Riyadh, Saudi Arabia

What they did

A large survey of 1,831 women aged 18-50 in Riyadh, Saudi Arabia conducted between December 2015 and June 2016. Researchers interviewed women about diet, physical activity, smoking, stress, and PMS symptoms, then used statistical analysis to find associations.

What they found

Drinking more than 5 cups of Arabic coffee linked to higher odds of mood changes (2.44 times), pain, appetite gain, and headaches. High sugar intake linked to mood problems and abdominal pain. High psychological distress associated with all symptom domains, especially any 3+ symptoms (3.52 times). Low physical activity linked to breast pain. Smokers 3.41 times more likely to report 3+ symptoms.

What it means for you

Multiple lifestyle factors correlated with PMS symptoms, and stress had the strongest link. This study shows associations, not proof that these factors cause PMS. Conducted in Saudi Arabia, so results may not apply in other countries. The large sample is a strength.

2.44

Increased odds of mood changes with >5 cups coffee

3.52

Increased odds of 3+ symptoms with high stress

3.41

Increased odds of 3+ symptoms for smokers

About the study

Original title
Dietary, Psychological and Lifestyle Factors Associated with Premenstrual Symptoms
Authors
AlQuaiz A, Albugami M, Kazi A et al.
Journal
International journal of women's health
Year
2022
Study design
Survey study
What was tested
None
Open access
Yes

Topics