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Case-control study, 2015

Are vitamin D, calcium, and magnesium linked to PMS?

Lower calcium and magnesium levels were linked to having PMS. Vitamin D was also low in both groups, and more than one-third of women with PMS were deficient in magnesium.

Early or limited evidence 62 university students aged 20-25 in Abadan, Iran (31 with PMS, 31 without)

What they did

Case-control study with 62 university students aged 20-25 in Abadan, Iran (31 with PMS, 31 without). They measured blood levels of calcium, magnesium, and vitamin D, and recorded dietary intake.

What they found

Vitamin D serum levels were below normal in both the PMS group and the control group. Vitamin D deficiency was found among the study participants. Odds ratio for PMS with low serum calcium: 0.81 (95% CI 0.67-0.89). Odds ratio for PMS with low serum magnesium: 0.86 (95% CI 0.72-0.93). More than one-third of the PMS group had magnesium deficiency. Calcium and magnesium dietary intake were below recommendations in all participants.

What it means for you

Lower calcium and magnesium levels are linked to PMS. Both groups had low vitamin D. This small study of university students in one Iranian city may not apply to other groups. Being observational, it cannot prove low minerals cause PMS.

0.81 (0.67-0.89)

Odds ratio for PMS with low calcium (95% CI)

0.86 (0.72-0.93)

Odds ratio for PMS with low magnesium (95% CI)

>1/3

Proportion of PMS cases with magnesium deficiency

About the study

Original title
The Association between the Risk of Premenstrual Syndrome and Vitamin D, Calcium, and Magnesium Status among University Students: A Case Control Study
Authors
Saeedian Kia A, Amani R, Cheraghian B
Journal
Health promotion perspectives
Year
2015
Study design
Case-control study
Participants
855
What was tested
None—observational study comparing mineral levels between groups
Open access
Yes
Original abstract

Background: Premenstrual syndrome (PMS) is one of major health problems in childbearing age women. Herein, we compared the nutritional status of vitamin D, calcium (Ca) and magnesium (Mg) in young students affected by PMS with those of normal participants. Methods: This study was conducted on 62 students aged 20‒25 yr in the city of Abadan (31 PMS cases and 31 controls). All participants completed four or more criteria according to the Utah PMS Calendar 3. Age, height, body mass index (BMI), serum Ca, Mg and vitamin D levels and a 24-hour food recall questionnaire were recorded. Results: Vitamin D serum levels were lower than the normal range in the two groups. The odds ratios (CI 95%) of having PMS based on serum Ca and Mg concentrations were 0.81(0.67 - 0.89) and 0.86 (0.72 - 0.93), respectively. Based on serum levels, 855 of all participants showed vitamin D deficiency and more than one-third of the PMS cases were Mg deficient (P<0.05). In addition, there were signifi-cant differences in dietary intake of Ca and Mg, and potassium but not vitamin D in the two groups. Dietary intakes of Ca and Mg were quite below the recommendation in all participants. Conclusion: Vitamin D, Ca and Mg nutritional status are compromised in PMS subjects. Because PMS is a prevalent health problem among young women, it merits more attention regarding improvement of their health and nutritional status.

Reproduced under CC-BY.

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