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Study, 1983

Does nutrition affect premenstrual symptoms?

Yes. Different types of premenstrual symptoms may respond to different nutritional approaches: vitamin B6 (200-800 mg per day) for anxiety and water retention, magnesium for appetite and cravings, and limiting salt (to 3 grams per day), caffeine, and nicotine.

Early or limited evidence Not a specific study population; this is an overview of four PMS subtypes

What they did

This overview describes four types of premenstrual symptoms (PMT-A, PMT-H, PMT-C, PMT-D), each with different symptom patterns and associated nutritional factors. It reviews the biological changes in each type and nutritional approaches that may help.

What they found

Four subtypes of premenstrual symptoms are identified. PMT-A (anxiety and irritability) involves high blood estrogen and low progesterone, may improve with vitamin B6 (200-800 mg per day). PMT-H (water retention and bloating) may improve with vitamin B6, vitamin E, limiting salt to 3 grams per day, and avoiding caffeine and nicotine. PMT-C (sweet cravings) involves low magnesium and may improve with magnesium. PMT-D (depression, withdrawal, confusion) is the most serious. In 10 PMT-D women, hormone tests showed lower estrogen and higher progesterone. Two PMT-D women had high lead levels in hair tissue.

What it means for you

This framework suggests that different symptom patterns might respond to tailored nutritional changes. Women could use this to identify which type matches them and try appropriate nutritional approaches. However, evidence supporting these approaches comes from older research and small studies, so women should check with their doctor before taking high-dose vitamins or making major diet changes.

4

subtypes of premenstrual symptoms

200-800

mg per day of vitamin B6

3

grams per day sodium limit

About the study

Original title
Nutritional factors in the etiology of the premenstrual tension syndromes
Authors
Abraham GE
Journal
The Journal of reproductive medicine
Year
1983
Study design
Study
What was tested
Vitamin B6 (200-800 mg per day), vitamin E, magnesium, limiting salt to 3 grams per day, avoiding caffeine and nicotine

Topics