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Survey study, 2025

Does following a Mediterranean diet reduce PMS?

Following a Mediterranean diet overall does not appear to reduce PMS risk, but women with PMS tended to drink more wine.

Early or limited evidence 469 Turkish women aged 18-49.

What they did

Online survey of 469 Turkish women aged 18-49 from November 2023 to April 2024. Researchers measured how strictly women followed a Mediterranean diet and whether they had PMS symptoms.

What they found

PMS was reported by 58.6% of women. Following a Mediterranean diet overall was not different between women with and without PMS (p>0.05). However, women with PMS drank significantly more wine (7 or more glasses per week) compared to women without PMS (p<0.05). Weight gain was linked to appetite changes (p<0.001), and sleep changes were linked to PMS (p<0.05).

What it means for you

If you have PMS, strictly following a Mediterranean diet may not reduce symptoms. However, higher wine consumption was associated with PMS, so reducing wine might help. Weight and sleep problems seem related to PMS. Limitation: this was an online survey in Turkey, so results may not apply everywhere.

58.6%

with PMS

p>0.05

Mediterranean diet adherence not linked to PMS

p<0.05

wine consumption linked to PMS

About the study

Original title
Relationship between premenstrual syndrome and compliance with the Mediterranean diet among women of reproductive age
Authors
Özge Yeşildemir, Neslihan Arslan, Eda Dubus et al.
Journal
Medicine Science | International Medical Journal
Year
2025
Study design
Survey study
What was tested
None. Observational study measuring diet and PMS.
Open access
Yes
Original abstract

Although the Mediterranean Diet (MD) may help prevent and manage Premenstrual Syndrome (PMS), there was little evidence that better MD compliance reduced PMS risk. This study aimed to examine the relationship between PMS and compliance with the MD in reproductive-age women. An online survey of 469 reproductive-age (18-49 years) Turkish women was undertaken between November 2023 and April 2024 for this cross-sectional descriptive study. The survey included demographic information, a Premenstrual Syndrome Scale (PMSS), and a Mediterranean Diet Adherence Screener (MEDAS). The prevalence of PMS was 58.6% of Turkish females. The MEDAS scores of PMS women were not notably different from non-PMS women (p>0.05). The adherence to wine consumption (≥7 glasses/week) was notably higher in women with PMS than in those without it (p<0.05). A positive association was established between body weight, appetite changes (p<0.001), and sleep changes (p<0.05). Also, BMI was positively related to appetite changes (p<0.001). While MD adherence overall was not associated with PMS, specific dietary components such as wine consumption may be worth further investigation.

Reproduced under CC-BY.

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