Association of Premenstrual Syndrome with Adiposity and Nutrient Intake Among Young Indian Women

Premenstrual syndrome (PMS) refers to a heterogenous group of symptoms occurring in luteal phase of the menstrual cycle. Women of childbearing age are affected by PMS, and it may impact their quality of life. Various factors related to the biology of menstruation, hormones, and lifestyle are associated with PMS.

To explore the incidence and severity of PMS among students in India and its correlation with nutrient intake, adiposity, and lifestyle factors.

A semi-structured questionnaire was used to collect data on menstrual pattern, nutrient intake, dietary habits, and physical activity. Moose's Menstrual Distress Questionnaire and Premenstrual Symptoms Screening Tool were employed for the identification and classification of PMS. Anthropometric indices included height, weight, body mass index, waist circumference, hip circumference, waist-to-hip ratio, and four-site skinfold thickness-tricep, bicep, subscapular, and suprailiac.

Of the 330 participants, 71.3% reported to have experienced at least one symptom of PMS. Furthermore, 46.9% had mild PMS, 31.5% had moderate PMS, 8.3% had strong PMS, and 13.3% had no symptoms. Anxiety and irritability were the most observed symptoms. The mean body mass index (BMI) of the participants was within the normal range (21.76 ± 4.81 kg/m²); however, body fat percentage was above the normal range (33.95% ± 4.89%). PMS severity was significantly correlated with body fat percentage and BMI. Nutrient intake was significantly lower than the recommended dietary allowance (RDA), but dietary fat consumption was higher than the RDA. Protein intake was higher in participants with mild PMS than those with moderate and severe PMS (p<0.05). An inverse association between oilseed consumption and PMS was observed.

PMS was associated with anthropometric parameters, nutrient intake, and dietary preference. PMS showed correlation with the intake of calorie-rich foods, sweets, and fried salted snacks, whereas consumption of oilseeds alleviated its incidence.