Abstract

Premenstrual syndrome (PMS) is a cyclical late luteal phase disorder of the menstrual cycle whereby the daily functioning of women is affected by emotional and physical symptoms substantially interfering with their quality of life. Little is known about PMS in the United Arab Emirates (UAE). This study aimed to determine the prevalence and severity of PMS among university students in Sharjah, UAE, and clarify its associations with dietary habits, lifestyle behaviors, and anthropometric factors. A cross-sectional study was conducted on female college students at the University of Sharjah, UAE. Data were collected using self-administered questionnaires and anthropometric assessments. Descriptive statistics and multiple logistic regression analyses were performed. Participants were 300 adult university students aged 18–24 years (mean age 20.07 ± 1.53 years). In total, 95% of participants reported at least one PMS symptom during their menstrual period. The prevalence of PMS was 35.3%, with mild symptoms being the most commonly reported. Multiple regression analysis showed that smoking was associated with increased risk of reporting psychological (OR 2.5, 95% CI 1.1–5.8; p < 0.05) and behavioral symptoms (OR 2.2, 95% CI 1.0–4.9; p < 0.05), while high calorie/fat/sugar/salt foods intake was associated with increased risk of reporting physical symptoms (OR 3.2, 95% CI 1.4–7.3; p < 0.05). However, fruit consumption (OR 0.34, 95% CI 0.125–0.92; p < 0.05) was associated with a decreased risk of reporting behavioral symptoms. A high prevalence of PMS was reported among university students, with smoking and high calorie/fat/sugar/salt food consumption identified as strong risk factors for PMS.

Highlights

  • Premenstrual syndrome (PMS) is a cyclical late luteal phase disorder of the menstrual cycle whereby the daily functioning of women is affected by emotional and physical symptoms substantially interfering with her quality of life [1,2]

  • The multiple logistic regression analysis showed that smoking status was associated with increased risk of reporting psychological symptoms and behavioral symptoms, while high calorie/fat/sugar/salt foods intake was associated with increased risk of reporting physical symptoms

  • The results showed a significant association between the severity of PMS and dietary habits and lifestyle factors, while fruit consumption was found to be protective against PMS

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Summary

Introduction

Premenstrual syndrome (PMS) is a cyclical late luteal phase disorder of the menstrual cycle whereby the daily functioning of women is affected by emotional and physical symptoms substantially interfering with her quality of life [1,2]. This syndrome is presented in a combination of symptoms that. PMS may lead to decreased occupational productivity, lower health-related quality of life, increased dependence on specialized healthcare, and interference with interpersonal relationships and daily living activities [4,5,6]. PMS may increase the risk for hypertension [7,8], reduce the work-related quality of life [9], negatively impact the athletic performance and daily activities in collegiate athletes [10], and is significantly associated with academic performance impairment [11]

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