To investigate the relationships between premenstrual syndrome (PMS) and lifestyle, sleep, and dietary habits among Japanese high school students.
Two public high schools in Sendai, the largest city in northeastern Japan.
A school-based survey was conducted among 1818 female Japanese high school students in 2015, and 1022 students with regular menstrual cycles (25-38 days) completed the questionnaire.
Interventions and Main Outcome Measures
Relationships between PMS and lifestyle, sleep, and dietary habits.
The rates of moderate to severe PMS and premenstrual dysphoric disorder were 9.7% (99/1022) and 2.2% (22/1022), respectively. A total of 121 students (11.9%) were classified as having PMS—the PMS(+) group. Significant differences were observed between the PMS(+) group and those without PMS—the PMS(−) group—in age at menarche (P = .022), menstrual pain (P < .001), hypnagogic disorder (P < .001), long Internet use time (P < .001), eating breakfast (P = .018), chewing well (P = .037), and belonging to a sports club (P = .046). Multivariate analysis revealed that the risk factors for PMS were menstrual pain (odds ratio [OR], 4.74; 95% confidence interval [CI]: 2.83-7.95), hypnagogic disorder (OR, 2.22; 95% CI, 1.47-3.35), stress fracture (OR, 2.19; 95% CI, 1.21-3.98), and Internet use time (OR, 1.003; 95% CI, 1.001-1.005). Belonging to a sports club decreased the risk of PMS (OR, 0.57; 95% CI, 0.35-0.91).
Sleep, dietary habits, belonging to a sports club, and screen time affect PMS among high school students.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of Pediatric and Adolescent Gynecology
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- The epidemiology of perimenstrual psychological symptoms.Acta Psychiatr Scand. 2001; 104: 110
- Premenstrual syndrome.Lancet. 2008; 371: 1200
- Diagnostic and Statistical Manual of Mental Disorders.5th ed. American Psychiatric Association, Arlington, VA2013
- Premenstrual dysphoric disorder. What’s that?.JAMA. 2003; 278: 1024
- The association between premenstrual dysphoric disorder and internet use disorder.Women Health. 2014; 54: 245
- Screen time and sleep among school-aged children and adolescents: a systematic literature review.Sleep Med Rev. 2015; 21: 50
- Breakfast consumption augments appetite, eating behavior, and exploratory markers of sleep quality compared with skipping breakfast in healthy young adults.Curr Dev Nutr. 2018; 2: 1
- The role of serotonin in premenstrual syndrome.Clin Obstet Gynecol. 1992; 35: 629
- Premenstrual syndrome and premenstrual dysphoric disorder: guidelines for management.J Psychiatry Neurosci. 2000; 25: 459
- Prolonged rhythmic gum chewing suppresses nociceptive response via serotonergic descending inhibitory pathway in humans.Pain. 2005; 118: 35
- Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in Japanese women.Arch Womens Ment Health. 2006; 9: 209
- Diagnostic and Statistical Manual of Mental Disorders.4th ed. American Psychiatric Press, Washington, DC1994: 715-718
- The premenstrual symptoms screening tool (PSST) for clinicians.Arch Womens Ment Health. 2003; 6: 203
- The prevalence and risk factors of school absenteeism due to premenstrual disorders in Japanese high school students-a school-based cross-sectional study.Biopsychosoc Med. 2016; 10: 13
- Psychometric assessment of subjective sleep quality using the Japanese version of the Pittsburgh Sleep Quality Index (PSQI-J) in psychiatric disordered and control subjects.Psychiatry Res. 2000; 97: 165
- Both comprehensive and brief self-administered diet history questionnaires satisfactorily rank nutrient intakes in Japanese adults.J Epidemiol. 2012; 22: 151
- Prevalence of premenstrual syndrome and premenstrual dysphoric disorder in Japanese high school students.Arch Womens Ment Health. 2010; 13: 535
- Relationship between premenstrual symptoms and dysmenorrhea in Japanese high school students.Arch Womens Ment Health. 2012; 15: 131
- Sleep and premenstrual syndrome.Curr Drug Targets. 2015; 16: 700
- Problematic internet use among US youth: a systematic review.Arch Pediatr Adolesc Med. 2011; 165: 797
- Perceived problems with computer gaming and internet use among adolescents: measurement tool for non-clinical survey studies.BMC Public Health. 2014; 14: 361
- Association between hardness (difficulty of chewing) of the habitual diet and premenstrual symptoms in young Japanese women.Environ Health Insights. 2009; 3: 53
- Stress fracture and premenstrual syndrome in Japanese adolescent athletes: a cross-sectional study.BMJ Open. 2016; 6: 1
- Recreational physical activity and premenstrual syndrome in young adult women: a cross-sectional study.PLoS One. 2017; 12: 1
- World contraceptive use 2018.(Available:)https://www.un.org/en/development/desa/population/publications/dataset/contraception/wcu2018.aspDate accessed: September 25, 2019
Published online: September 10, 2019
The authors indicate no conflicts of interest.
© 2019 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc.