Comparison between the lifestyles of university students with and without premenstrual syndromes
Keywords:
Lifestyle, Perceived stress, Premenstrual syndromes, Unhealthy behaviors, NutritionAbstract
Introduction: Premenstrual syndrome is a common disorder in reproductive age and it is associated with decreased quality of life in women. In view of various factors contributing to outbreak of PMS (premenstrual syndrome) among women, the present study intended to compare lifestyles of university students with and without premenstrual syndromes living in dormitories of Qazvin University of Medical Sciences in 2015.
Methods: The descriptive cross-sectional study recruited 200 university students with and without PMS from students living in dormitories. Data were collected using questionnaires of premenstrual symptoms, questionnaires for diet, perceived stress, and unhealthy behavior. Data were analyzed using descriptive statistics, independent samples t-test, Mann-Whitney, Chi-square, and logistic regression in SPSS version 23.
Results: The results showed that nutrition style (p=0.001), perceived stress (p=0.001), and exposure to passive tobacco smoke (p=0.001) were different between the two groups. Logistic regression analysis showed that nutrition style (p=0.001, OR=0.861), exposure to passive tobacco smoke (p=0.008, OR=2.059), and stress (p=0.001, OR=1.088) were different in both groups.
Conclusion: The research results proved that lifestyle, especially healthy eating habits, and decreasing stress and unhealthy behavior can influence PMS. Therefore, interventions are recommended to improve PMS symptoms.
References
Bakhshani N, Hasanzadeh Z, Raghibi M. Prevalence of premenstrual symptoms and premenstrual
dysphoric disorder among adolescents students of Zahedan. ZJRMS. 2012, 13(8): 29-34.
Pourmohsen M, Taavoni S, Zoneamat Kermani A, Hosseini F. Evaluation the effect of vitamin E on
premenstrual syndrome. Journal of Guilan University of Medical Sciences. 2010; 19(73): 73-9.
Gehlert S, Song IH, Chang CH, Hartlage SA. The prevalence of premenstrual dysphoric disorder in a
randomly selected group of urban and rural women. Psychological medicine. 2009; 39(01): 129-36. doi:
1017/S003329170800322X. PMID: 18366818, PMCID: PMC2752820.
Ghalwa NA, Qedra RA, Wahedy K. Impact of Calcium and Magnesium Dietary Changes on Women Pain
and Discomfort from Premenstrual Syndrome at the Faculty of Pharmacy-Gaza Strip. World Journal of
Pharmacy and Pharmaceutical Sciences. 2014; 3(2): 981-1005.
Novak E, Berek J, Hillard P, Adashi E. Novak’s gynecology. 13th ed. London: Lippincott Williams and
wilkins. 2012; 397-401.
Phillips CH, Anthony F, Benyon C, Monga AK. Urogynaecology: Collagen metabolism in the uterosacral
ligaments and vaginal skin of women with uterine prolapse. BJOG. 2006; 113(1): 39-46. doi:
1111/j.1471-0528.2005.00773.x, PMID: 16398770.
Domoney C, Vashisht A, Studd J. Premenstrual syndrome and the use of alternative therapies. Ann N Y
Acad Sci. 2003; 997(1): 330-40. doi: 10.1196/annals.1290.036. PMID: 14644840.
Shahpoorian F, Mahmoodi Z, Hosseini F, Bastani F, Parsay S. Premenstrual syndrome (PMS) and the
related symptoms among students of Iran University of Medical Sciences (IUMS). IJN. 2006; 18(44): 57- 66.
Speroff L, Fritz MA. Clinical Gynecology Endocrinology and Infertility. 1th ed. Philadelphia: Lippincott
Williams & Wilkins. 2011; 573-82.
Tacani PM, Ribeiro Dde O, Barros Guimarães BE, Machado AF, Tacani RE. Characterization of symptoms
and edema distribution in premenstrual syndrome. Int J Womens Health. 2015; 7: 297-303. doi;
2147/IJWH.S74251. PMID: 25792857, PMCID: PMC4362892.
Ramezani Tehrani F, Hashemi S, Robab Allameh M. Prevalence of premenstrual syndrome and some of its
relative factors in reproductive age. Ofogh-e-Danesh. 2012; 18(3): 121-7.
Dickerson LM, Mazyck PJ, Hunter MH. Premenstrual syndrome. Am Fam Physician. 2003; 67(8): 1743- 52. PMID: 12725453.
Braverman PK. Premenstrual syndrome and premenstrual dysphoric disorder. J Pediatr Adolesc Gynecol.
; 20(1): 3-12. doi: 10.1016/j.jpag.2006.10.007, PMID: 17289510.
Ozgoli G, Shahveh M, Esmaielli S, Nassiri N. Essential oil of Citrus sinensis for the treatment of
premenstrual syndrome; a randomized double-blind placebo-controlled trial. Journal of Reproduction &
Infertility. 2011; 12(2): 123-9.
Obeidat BA, Alchalabi HA, Abdul-Razzak KK, Al-Farras MI. Premenstrual symptoms in dysmenorrheic
college students: prevalence and relation to vitamin D and parathyroid hormone levels. Int J Environ Res
Public Health. 2012; 9(11): 4210-22. doi: 10.3390/ijerph9114210. PMID: 23202842, PMCID:
PMC3524623.
Currie C, Molcho M, Boyce W, Holstein B, Torsheim T, Richter M. Researching health inequalities in
adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence
scale. Soc Sci Med. 2008; 66(6): 1429-36. doi: 10.1016/j.socscimed.2007.11.024. PMID: 18179852.
Mcdonald S, Thompson C. Women's health. Australia: Elsevier. 2005; 90-121.
Mahmoodi Z, Shahpoorian F, Bastani F, Parsay S, Hoseini F. Comparison of the effect of carbohydrate rich
supplement and diet on premenstrual syndrome. J Kermanshah Univ Med Sci. 2010; 14(1): 10-9.
Chocano-Bedoya PO, Manson JE, Hankinson SE, Willett WC, Johnson SR, Chason-Taber L, et al. Dietary
B vitamin intake and incident premenstrual syndrome. Am J Clin Nutr. 2011; 93(5): 1080-6. doi:
3945/ajcn.110.009530. PMID: 21346091, PMCID: PMC3076657.
Dolatian M, Montazeri S, Valaei N, Ahmadi M. The comparison of vitamin B6 and vitamin E effects on
premenstrual syndrome symptoms. J Zanjan Univ Med Sci Health Services. 2002; 9(37): 5-10.
Sharma P, Kulshreshtha S, Singh G, Bhagoliwal A. Role of bromocriptine and pyridoxine in premenstrual
tension syndrome. Indian J Physiol Pharmacol. 2007; 51(4): 368-74. PMID: 18476391.
Jafarnejad F, Shakeri Z, Najafi MN, Salehi Fadradi J. Evaluation the relationship between stress and the
risk of premenstrual syndrome. Iran J Obstet Gynecol Infertil. 2013; 16(76): 11-8.
Dolatian M, Mirabzadeh A, Forouzan AS, Sajjadi H, Majd HA, Moafi F, et al. Correlation between self- esteem and perceived stress in pregnancy and ways to coping with stress. Pajoohandeh Journal. 2013;
(3): 148-55.
Bertone-Johnson ER, Hankinson SE, Johnson SR, Manson JE. Cigarette smoking and the development of
premenstrual syndrome. Am J Epidemiol. 2008; 168(8): 938-45. doi: 10.1093/aje/kwn194. PMID:
, PMCID: PMC2727205.
Freeman EW, DeRubeis RJ, Rickels K. Reliability and validity of a daily diary for premenstrual syndrome.
Psychiatry Res. 1996; 65(2): 97-106. doi: 10.1016/S0165-1781(96)02929-0. PMID: 9122290.
Sedighi S, Amir Ali Akbari S, Afrakhteh M, Esteki T, Alavi Majd H, Mahmoodi Z. Comparison of lifestyle
in women with polycystic ovary syndrome and healthy women. Glob J Health Sci. 2014; 7(1): 228-34. doi:
5539/gjhs.v7n1p228, PMID: 25560358, PMCID: PMC4796416.
Leung DY, Lam TH, Chan SS. Three versions of Perceived Stress Scale: validation in a sample of Chinese
cardiac patients who smoke. BMC public health. 2010; 10: 513. doi: 10.1186/1471-2458-10-513. PMID:
, PMCID: PMC2939644.
Shamsi M, Bayati A, Jahani F. Farhangnia L. The effect of Holy Quran recitation on perceived stress
among personnel of Arak University of Medical Sciences. Daneshvar Medicine. 2011; 19(95): 35-44.
Hazavehei MM, Hosseini Z, Moeini B, Moghimbeigi A, Hamidi Y. Assessing stress level and stress
management among Hamadan hospital nurses based on precede model. Horizon Med Sci. 2012; 18(2): 78- 85.
Vahedian Azimi A, Asghari Jafarabadi M, Payami Bousari M, Kashshafi M. The Effect of Progressive
Muscle Relaxation on Perceived Stress of Patients with Myocardial Infarction. ZUMS. 2012; 20(81): 18- 27.
Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;
(4): 385-96. doi: 10.2307/2136404. PMID: 6668417.
Velezmoro R, Lacefield K, Roberti JW. Perceived stress, sensation seeking, and college students’ abuse of
the Internet. Computers in Human Behavior. 2010; 26(6): 1526-30. doi: 10.1016/j.chb.2010.05.020.
Bastani F, Rahmatnejad L, Jahdi F, Haghani H. Breastfeeding self efficacy and perceived stress in
primiparous mothers. Iran Journal of Nursing. 2008; 21(54): 9-24.
Rahman S, Parvez AK, Sabur A, Ali S. Study of the Effect of Food Habit, Lifestyle and Daily Trip on
Physical and Mental Status of Subjects at Islamic University in Kushtia, Bangladesh. Open Journal of
Statistics. 2012; 2(2): 219. doi: 10.4236/ojs.2012.22027.
Ransom SB. Contemporary therapy in obstetrics and gynecology. WB Saunders Company; 2002.
Dehghan Manshadi F, Emami M, Ghamkhar L, Shahrokhi B, Ghanbari Z. The effect of a three–month
regular aerobic exercise on premenstrual syndrome. Journal of Rafsanjan University of Medical Sciences.
; 7(2): 89-98.
Drife JO, Magowan B. Clinical obstetrics and gynaecology. Elsevier Health Sciences; 2004.
Neal D, Barnard MD. Nutritional Factors in Menstrual Pain and Premenstrual Syndrome. Physicians
Committee for Responsible Medicine (PCRM). 2009.
Cross GB, Marley J, Miles H, Willson K. Changes in nutrient intake during the menstrual cycle of
overweight women with premenstrual syndrome. Br J Nutr. 2001; 85(04): 475-82. doi:
1079/BJN2000283. PMID: 11348562.
Gold EB, Bair Y, Block G, Greendale GA, Harlow SD, Johnson S, et al. Diet and lifestyle factors
associated with premenstrual symptoms in a racially diverse community sample: Study of Women's Health
Across the Nation (SWAN). J Womens Health (Larchmt). 2007; 16(5): 641-56. doi:
1089/jwh.2006.0202, PMID: 17627400.
Seedhom AE, Mohammed ES, Mahfouz EM. Life style factors associated with premenstrual syndrome
among El-Minia University Students, Egypt. ISRN Public Health. 2013; 2013. doi: 10.1155/2013/617123.
Tabarroki S, Kargarnovin Z, Amiri Z, Tabarroki E, Ozgoli G. Influence of premenstrual syndrome on
energy and nutrient intake. Journal of Shahid Beheshti School of Nursing & Midwifery. 2012; 21(75): 37- 44.
Trout KK, Basel-Brown L, Rickels MR, Schutta MH, Petrova M, Freeman EW, et al. Insulin sensitivity,
food intake, and cravings with premenstrual syndrome: a pilot study. J Womens Health (Larchmt). 2008;
(4): 657-65. doi: 10.1089/jwh.2007.0594. PMID: 18447765, PMCID: PMC3319142.
Bryant M, Truesdale K, Dye L. Modest changes in dietary intake across the menstrual cycle: implications
for food intake research. Br J Nutr. 2006; 96(05): 888-94. doi: 10.1017/BJN20061931. PMID: 17092378.
Khodayarifard M, Parand A. Stress and coping styles. Tehran: University of Tehran Publications; 2006.
Al-Saleh SA, Al-Madi EM, Al-Angari NS, Al-Shehri HA, Shukri MM. Survey of perceived stressinducing problems among dental students, Saudi Arabia. Saudi Dent J. 2010; 22(2): 83-8. doi:
1016/j.sdentj.2010.02.007, PMID: 23960480, PMCID: PMC3723267.
Benedict C, Kern W, Schmid SM, Schultes B, Born J, Hallschmid M. Early morning rise in hypothalamic–
pituitary–adrenal activity: A role for maintaining the brain's energy balance. Psychoneuroendocrinology,
; 34(3): 455-62. doi: 10.1016/j.psyneuen.2008.10.010, PMID: 19038501.
Zarei Z, Bazzazian S. The relationship between premenstrual syndrome disorder, stress and quality of life
in female students. Iranian Journal of Psychiatric Nursing. 2015; 2(4): 49-58.
Lustyk MKB, Beam CR, Miller AC, Olson KC. Relationships among perceived stress, premenstrual
symptomatology and spiritual well-being in women. Journal of Psychology and Theology. 2006; 34(4):
Cheng SH, Shih CC, Yang YK, Chen KT, Chang YH, Yang YC. Factors associated with premenstrual
syndrome - a survey of new female university students. Kaohsiung J Med Sci. 2013; 29(2): 100-5. doi:
1016/j.kjms.2012.08.017. PMID: 23347812.
Gibbs SG, Karlan BY, Haney AF, Nygaard IE. Danforth’s obstetrics and gynecology. 10th ed.
Philadelphia, Williams & Wilkins. 2008; 672-80.
Armand A, Talaee A. Investigating the Efficacy of Cognitive-Behavioral Stress-Management Training on
Decreasing the Psychological Problems and Symptoms of Premenstrual Syndrome of Afflicted Women.
Iranian Journal of Obstetrics, Gynecology & Infertility. 2012; 15(21): 24-31.
Takeda T, Tadakawa M, Koga S, Nagase S, Yaegashi N. Premenstrual symptoms and posttraumatic stress
disorder in Japanese high school students 9 months after the great East-Japan earthquake. Tohoku J Exp
Med. 2013; 230(3): 151-4. doi: 10.1620/tjem.230.151. PMID: 23842447.
Sakai H, Ohashi K. Association of menstrual phase with smoking behavior, mood and menstrual phase- associated symptoms among young Japanese women smokers. BMC women's health. 2013; 13(1): 10. doi:
1186/1472-6874-13-10, PMID: 23452831, PMCID: PMC3607846.
Allen SS, Allen AM, Pomerleau CS. Influence of phase-related variability in premenstrual
symptomatology, mood, smoking withdrawal, and smoking behavior during ad libitum smoking, on
smoking cessation outcome. Addict Behav. 2009; 34(1): 107-11. doi: 10.1016/j.addbeh.2008.08.009.
PMID: 18818024, PMCID: PMC2615226.
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