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Appetite and food cravings: what the research says

178 studies on appetite and food cravings in PMS and PMDD, each explained in plain English. 7 of them use the strongest designs: randomised trials and systematic reviews.

Survey study 81Study 22Randomised trial 19Cohort study 17Case-control study 16Interview study 8
Systematic review, 2026

Does vitamin D supplementation help PMS symptoms?

Vitamin D reduced overall PMS severity and particularly helped with physical symptoms and depression, but the certainty of this evidence is very low. We cannot be confident in these findings yet and more high-quality research is needed.

Cohort study, 2021

Are low antioxidant vitamins or high oxidative stress linked to premenstrual syndrome?

This study found that oxidative stress markers were linked to more depression and food cravings symptoms and more severe PMS, but antioxidant vitamin levels were mostly not associated with PMS symptoms.

Survey study, 2016

Is PMS or PMDD linked to eating disorders like bulimia and binge eating?

Yes. Women with PMDD had 7 times higher odds of bulimia nervosa and women with PMS had 2.5 times higher odds of bulimia, but neither was strongly linked to binge-eating disorder.

Randomised trial, 2011

Does a birth control pill reduce negative emotions, food cravings, and water retention in women with PMDD?

Yes, the pill significantly reduced all three symptom clusters compared to placebo in all three treatment cycles. The greatest improvements happened in the first cycle.

Review, 2001

What causes PMS and PMDD, and how are they treated?

PMS is caused by abnormal responses to normal hormone changes during the menstrual cycle. Treatment includes lifestyle changes like diet and exercise, and medications. SSRIs are the first-line treatment for PMDD, and calcium supplements may help.

Review, 1997

Does appetite and food cravings change during the menstrual cycle, especially in women with PMS?

Yes. Energy intake is higher in the second half of the cycle (luteal phase) compared to around ovulation. Many women with PMS report carbohydrate cravings before menstruation, possibly linked to changes in serotonin levels.

Survey study, 1994

How many different ways do researchers measure PMS in clinical trials?

Researchers use many different measurement tools across studies. 65 different questionnaires were found in 350 trials of PMS drugs, making it hard to compare whether treatments actually work.

Survey study, 2026

What factors predict emotional eating in women with and without PMS?

Emotional overeating is the strongest predictor of emotional appetite. Body weight, PMS appetite changes, and eating behaviors together explain 51.3% of emotional eating, suggesting it involves biological, psychological, and behavioral factors.

Cohort study, 2026

Is genetic predisposition to immune cell changes linked to premenstrual disorders and their severity?

Possibly. A genetic tendency toward higher white blood cell counts showed a weak association with worse physical PMS symptoms, especially in women whose symptoms started at their first period (p=0.008). However, the connection was not consistent across all markers and needs to be repeated.

Study, 2026

What are premenstrual syndrome and premenstrual dysphoric disorder?

Between 5% and 8% of women have moderate-to-severe symptoms that cause significant problems with work, relationships, and daily life. These are called PMS or PMDD. PMDD is the most severe form.

Randomised trial, 2026

Does training based on health promotion model reduce PMS symptoms, emotional eating, and stress?

Training reduced fatigue and depressive thoughts related to PMS, but did not significantly improve overall emotional eating or perceived stress.

Study, 2026

Does the menstrual cycle change how insulin affects the brain and food cravings?

Yes. Insulin affects brain networks that control food decisions differently in the first half of the cycle compared to the second half. The brain responds more strongly to food in the second half of the cycle.

Survey study, 2026

How do pain, sleep quality, and appetite change across the menstrual cycle?

Appetite increases significantly before and during the period. Pain can disrupt sleep, especially during menstruation. Single women report much worse sleep and pain during their period than married women do.

Study, 2025

Can group therapy help adolescent girls with PMS manage emotions and reduce binge eating?

Yes. Adolescent girls who received group supportive psychotherapy showed significant improvement in anger control, mood, anxiety, and positive emotions, and a significant reduction in binge eating compared to girls who did not receive treatment.

Survey study, 2025

Is emotional eating linked to PMS in university women?

Yes. Female students with PMS, especially those with mood and behavior symptoms, were more likely to eat in response to emotions rather than hunger. Students without PMS were less likely to do this.

Case-control study, 2025

Are emotional eating and dietary habits linked to PMS?

Yes. Women with PMS have higher scores for emotional eating and differences in dietary habits compared to women without PMS.

Survey study, 2025

Are food cravings and hedonic hunger linked to PMS?

Yes. Students with PMS had higher scores on hedonic hunger (eating for pleasure, not fuel) and food cravings. These were linked to emotional eating and to the severity of PMS symptoms.

Survey study, 2024

Can period-related symptoms predict whether female cyclists manipulate their periods?

Reduced ability to tolerate workouts predicts menstrual manipulation among Australian cyclists, but specific symptoms do not. This is moderate-strength evidence.

Case-control study, 2024

Are hormone and growth factor levels different in women with PMDD during the luteal phase?

Yes. Women with PMDD have higher progesterone and cortisol during the late luteal phase, and these are linked to worse symptoms. Growth factors that may protect are lower in women with PMDD.

Survey study, 2024

Are menstrual cycle symptoms related to sleep problems and mental health in female athletes?

Yes. Women with more menstrual symptoms reported more depression, anxiety, stress problems, and sleep issues.

Survey study, 2023

Do inflammation markers in the blood link to food cravings during the menstrual cycle?

Yes, higher inflammation markers were linked to increased risk of moderate to severe food cravings during the menstrual cycle. After statistical correction, hsCRP remained significant for chocolate, sweet, and salty cravings.

Study, 2023

Does progesterone affect food cravings before your period?

Yes. Higher progesterone levels were linked to fewer food cravings before the period. The link was the same for women with PMDD and those without.

Study, 2023

How are eating disorders and premenstrual symptoms connected?

Eating disorder and premenstrual symptoms are linked in ways beyond their individual effects on eating. Specific symptoms like body dissatisfaction, calorie counting, and negative emotions connect the two.

Study, 2022

What mood and thinking changes are linked to premenstrual sleep and eating problems?

Low interest and apathy are linked to worse insomnia and eating changes in the week before a period. These sleep problems are also linked to problems at work, in hobbies, and in relationships.

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.

Randomised trial, 2022

Does PMS50 supplementation reduce psychological symptoms of premenstrual syndrome?

Yes, it helped several psychological symptoms like mood, anxiety, and irritability compared to placebo. The study was small, so we need larger trials to be sure.

Case-control study, 2022

Do hunger hormones and eating patterns differ between women with and without PMS?

Yes. Women with PMS eat more calories and carbohydrates in the luteal phase (days before their period), while women without PMS do not. Hunger hormones work differently in the two groups.

Survey study, 2022

How common are premenstrual symptoms, and do they change with age?

Very common. Food cravings affect 85%, mood swings 64%, and fatigue 57%. Several symptoms got worse with age, but mood symptoms stayed the same across all age groups.

Study, 2022

Does having COVID-19 affect premenstrual syndrome symptoms?

Yes. Women who recovered from COVID-19 within the previous 6 months reported more PMS symptoms than women who had never had COVID-19.

Study, 2021

How do food choices and supplements affect PMS symptoms?

Certain vitamins and minerals appear to reduce PMS symptoms based on reviewed research. Vitamin B6, calcium, magnesium, and omega-3 were identified as potentially helpful.

Randomised trial, 2021

Does hypnotherapy reduce pain and emotional distress in women with PMDD?

Yes. Hypnotherapy focusing on cognitive flexibility and ego strength reduced pain and emotional distress much more than no treatment.

Survey study, 2021

Do women eat differently before their period, especially those with PMS?

Women without PMS typically ate more before their period, particularly more sugar and alcohol, but women with PMS showed no clear pattern in overall eating, though they did consume more sugar and alcohol premenstrually.

Survey study, 2021

How did the COVID-19 pandemic affect women's menstrual cycles and symptoms?

Nearly half of women reported worsening of their PMS symptoms during the pandemic. Many also reported changes in their menstrual bleeding, increased period pain, and missed periods.

Survey study, 2021

Does vitamin D affect premenstrual symptoms, and does your genetics matter?

The link depends on your genes. Women with one genetic type and low vitamin D had higher odds of fatigue and nausea. Another type had lower odds. A third type had more appetite changes with low vitamin D.

Randomised trial, 2020

Does the menstrual cycle phase affect how the brain responds to food pictures?

The luteal phase showed slightly stronger brain responses to high-calorie food pictures, and this response was linked to higher progesterone levels and more severe premenstrual symptoms.

Case-control study, 2020

Do appetite hormones and eating behaviors change differently across the luteal phase in women with PMDD?

Women with PMDD have higher leptin levels throughout the luteal phase and show increased sweet cravings and uncontrolled eating, but changes in leptin are not linked to eating changes while depression and impulsivity are more important.

Study, 2020

Does drinking and craving change across the menstrual cycle in women treated for alcohol use disorder?

Yes. Women drank most during the mid-late luteal phase and menses. Women with less depression who felt less emotional stress during these times reported stronger alcohol cravings.

Survey study, 2019

Does the big hormonal surge at ovulation affect emotional eating later in the cycle?

No clear link was found between the sudden hormone changes at ovulation and later emotional eating. Overall hormone levels mattered more than the sudden changes.

Survey study, 2018

Does what or how adolescents eat matter for PMS?

How adolescents eat matters more than what they eat. Those with PMS are more likely to have disordered eating behaviors like emotional eating, but their actual diet is the same as those without PMS.

Cohort study, 2018

Do women with PMDD have different symptom patterns, and do some patterns cause more problems?

Yes. Six distinct symptom patterns were identified: depressed mood, body symptoms, irritability, breast sensitivity, pain, and eating behavior changes. Body/somatic symptoms were most strongly linked to problems at work and in relationships.

Randomised trial, 2018

Does swimming reduce premenstrual syndrome symptoms?

Yes. Swimming significantly reduced anxiety, depression, cramps, headaches, and most other PMS symptoms, but it did not help irritability or food cravings.

Case-control study, 2018

Do women with PMDD crave different foods than healthy women?

Yes. Women with PMDD had stronger cravings for highly sweet foods before their period, while healthy women did not show this pattern. The difference was clear.

Randomised trial, 2017

Does the menstrual cycle affect cortisol levels or cigarette craving during smoking abstinence?

The menstrual cycle did not affect cortisol levels during early smoking abstinence. However, cigarette craving behaved differently in different phases. It increased early in the follicular phase but decreased during the luteal phase.

Randomised trial, 2017

Does vitamin B1 reduce appetite changes and food cravings related to premenstrual syndrome?

Yes. Vitamin B1 significantly reduced emotional symptoms of PMS by 35.08%, including a reduction in cravings for sweets of 2.42%.

Survey study, 2016

Do hormonal contraceptives reduce PMS symptoms?

Hormonal contraceptives are linked to lower risk of some PMS symptoms, including cramps, fatigue, and depression, but not others like mood swings and bloating.

Cohort study, 2016

Do women eat differently at different times in their menstrual cycle?

Women eat more protein and report stronger food cravings during the second half of the cycle (luteal phase), especially for chocolate, sweets, and salt.

Cohort study, 2016

Is inflammation linked to premenstrual symptoms?

Yes, high inflammation (measured as hs-CRP above 3 mg/L) was associated with mood problems, cramping, bloating, and breast pain in this study. Cross-sectional design means we cannot prove inflammation causes these symptoms.

Cohort study, 2015

Does drinking alcohol affect reproductive hormones or menstrual cycle regularity?

Recent alcohol drinks raise reproductive hormone levels, but moderate drinking does not appear to disrupt menstrual cycle regularity in the short term.

Cohort study, 2015

Do genetic influences on emotional eating change across the menstrual cycle?

Yes. Genetic influences on emotional eating were two times higher after ovulation compared to before ovulation. Before ovulation, environmental factors played a larger role.

Study, 2015

Does weight preoccupation change during the menstrual cycle, and what causes these changes?

Yes, weight preoccupation is highest in the premenstrual and menstrual phases. However, hormones are not the main cause. Emotional eating is the strongest predictor of when women worry more about weight during the cycle.

Cohort study, 2015

Do leptin levels explain why women with PMDD eat more before their period?

In normal-weight women with PMDD, lower leptin levels before the period are linked with eating more and wanting sweets. In overweight women with PMDD, leptin doesn't drop, but they still eat more sweets, possibly increasing their risk of leptin resistance.

Case-control study, 2015

Does a Western diet increase PMS risk?

Possibly, but evidence is mixed. Women eating more Western diet appear more likely to have PMS, but the pattern is not entirely consistent across all groups.

Survey study, 2013

Do personality traits affect whether hormone changes cause emotional eating?

Hormone changes predict emotional eating, but personality traits like negative urgency and negative emotionality don't explain why some women are more affected.

Study, 2013

Do hormone changes during the menstrual cycle cause increases in emotional eating?

Yes. Changes in estrogen and progesterone together predict changes in emotional eating, with the highest emotional eating occurring during the midluteal phase when progesterone peaks.

Cohort study, 2011

Which six symptoms best identify who has PMS?

Six key symptoms identify PMS just as well as tracking 17 symptoms: anxiety or tension, mood swings, aches, appetite changes, cramps, and decreased interest in activities. They correctly classified 84 to 86 percent of cases.

Case-control study, 2010

Do women with PMDD crave high-sugar and high-fat foods more than other women?

Yes. Women with PMDD had higher cravings for sweet, fatty foods, especially during the luteal phase. This was linked to their greater sensitivity to food rewards and emotional response to food.

Randomised trial, 2009

Does calcium help PMS symptoms like tiredness and depression?

Yes. Women taking 500 mg calcium carbonate twice daily for 3 months had significant improvements in tiredness, appetite changes, and depression compared to placebo.

Non-randomised trial, 2008

Do mood, memory, and food cravings worsen during the luteal phase in women with PMDD?

Yes. During the luteal phase, women with PMDD showed significantly worse mood, impaired memory and concentration, and increased cravings for fatty foods compared to their follicular phase and compared to women without PMDD.

Survey study, 2008

How do eating, sleep, and sexual activity change across the menstrual cycle?

Women ate more and slept worse during their luteal and premenstrual phases. Women who were sexually active had lower stress hormones than those who abstained.

Cohort study, 2006

Do women with PMS eat differently during different parts of their menstrual cycle than women without PMS?

No major difference in overall eating patterns was found. However, women with PMS ate more sugars and alcohol during the premenstrual phase, and this correlated with symptom severity.