Premenstrual syndrome (PMS) is a prevalent condition that impairs quality of life and daily functioning in young women, particularly university students.
Objectives
This study aimed to evaluate the effect of targeted nutrition education on PMS severity, nutrient intake, and anthropometric measures.
Methods
Eighty-three nursing students diagnosed with PMS (PMSS ≥111) were randomized into intervention (n = 43) and control (n = 40) groups. The intervention group received a 1-h nutrition education session, supported by follow-up emails at 30 and 60 days. PMS severity, dietary intake, and anthropometric data were collected at baseline and 4 months post-intervention.
Results
Nutrition education led to significant improvements in the intervention group. PMSS total scores decreased by 27.5 points (p < 0.05), with notable reductions across subscales such as depressive feelings, anxiety, irritability, depressive thoughts, appetite changes, and sleep disturbances. Concurrently, body weight (−1.2 kg; p < 0.05), BMI (−0.5 kg/m2; p < 0.05), waist circumference (−2.1 cm; p < 0.05), and hip circumference (−1.5 cm; p < 0.05) significantly declined. Nutrient intake improved significantly, with increases in protein (+11.4 g/day), vitamin B2 (+0.3 mg/day), calcium (+184.3 mg/day), iron (+1.1 mg/day), and zinc (+0.6 mg/day) (p < 0.05). No significant changes were observed in the control group.
Conclusions
Even a short-duration nutrition education intervention can substantially reduce PMS severity, improve dietary habits, and promote healthier body composition. These findings support incorporating nutrition counseling into PMS management as an effective, low-cost, non-pharmacological intervention.
AktürkNBKKolcuMYılmazA (2025) Effects of menstrual symptoms on dietary intake frequency. Nutrition138: 112834.
2.
Al KiyumiMHAl BelushiZAl AmriA, et al. (2023) Effects of a healthy diet on reducing symptoms of premenstrual syndrome and improving quality of life among Omani adolescents: A randomized controlled open-label trial. International Journal of Environmental Research and Public Health20(24): 7169.
3.
AlQuaizAAlbugamiMKaziA, et al. (2022) Dietary, psychological and lifestyle factors associated with premenstrual symptoms. International Journal of Women’s Health 14: 1709–1722.
4.
ArslanMYılmazHÖTansu SarıyerE, et al. (2025) Effect of dietary carbohydrate quality index on the severity of premenstrual symptoms. Health Care for Women International 46(8): 951–965.
5.
BatraNDahiyaP (2024) To evaluate the effect of structured training program about premenstrual syndrome on the knowledge and perception of nursing students at a government nursing teaching institute in Northern India. Journal of Applied Science and Clinical Practice5(3): 145–150.
6.
BaysalAAksoyMBeslerT (2013) Diyet El Kitabı. Ankara: Hatiboğlu Yayınları.
7.
BhuvaneswariKRabindranPBharadwajB (2019) Prevalence of premenstrual syndrome and its impact on quality of life among selected college students in Puducherry. National Medical Journal of India32: 17.
8.
DaneshvarSAhmadiFNaghizadehMM, et al. (2023) Effectiveness of a school-based health education program to improve the symptoms of premenstrual syndrome in high school girls in Ilam. Journal of Education and Health Promotion12(1): 26.
9.
Dos SantosHBeesonWLSegovia-SiapcoG, et al. (2020) Effects of nutrition education on cardio-metabolic outcomes: A randomised clinical trial. Health Education Journal79: 458–470.
10.
Dózsa-JuhászOMakaiAPrémuszV, et al. (2023) Investigation of premenstrual syndrome in connection with physical activity, perceived stress level, and mental status—A cross-sectional study. Frontiers in Public Health11: 1223787.
11.
FarpourSMoradinazarMSamadiM (2024) Relationship of body composition and PMS symptoms: A systematic review. Current Women’s Health Reviews20(6): 47–52.
12.
FarpourSSoleimaniDMoradinazarM, et al. (2023) The relationship of dietary inflammatory index and dietary patterns with premenstrual syndrome among women in Kermanshah: An analytical cross-sectional study. Food Science & Nutrition11(7): 4146–4154.
13.
GençdoğanB (2006) Premenstruel sendrom için yeni bir ölçek. Türkiye'de Psikiyatri Dergisi8: 81–87.
14.
GhazzawiHAAlhajOBragazziN, et al. (2023) Menstrual cycle symptoms are associated with nutrient intake: Results from network analysis from an online survey. Women’s Health19: 17455057231185624.
15.
GudipallyPRSharmaGK (2023) Premenstrual Syndrome. Treasure Island (FL): StatPearls Publishing.
16.
HashimMSObaideenAAJahramiHA, et al. (2019) Premenstrual syndrome is associated with dietary and lifestyle behaviors among university students: A cross-sectional study from Sharjah, UAE. Nutrients11: 1939–1956.
17.
KimBRSeoSYOhNG, et al. (2017) Effect of nutrition counseling program on weight control in obese university students. Clinical Nutrition Research6: 7–17.
18.
LamkhadeSVGokhaleDThakurHK (2025) A cross-sectional study on risk factors of premenstrual syndrome among college-going students in Pune. International Journal of Adolescent Medicine and Health37(2): 75–83.
19.
LiguoriFSaraielloECalellaP (2023) Premenstrual syndrome and premenstrual dysphoric disorder’s impact on quality of life, and the role of physical activity. Medicina59(11): 2044.
20.
MitsuhashiRSawaiAKiyoharaK, et al. (2022) Factors associated with the prevalence and severity of menstrual-related symptoms: A systematic review and meta-analysis. International Journal of Environmental Research & Public Health20(1): 69.
21.
ModzelewskiSOraczAŻukowX, et al. (2024) Premenstrual syndrome: New insights into etiology and review of treatment methods. Frontiers in Psychiatry15: 1363875.
22.
MukhamedzhanovETsitsurinVZhakiyanovaZ, et al. (2023) The effect of nutrition education on nutritional behavior, academic and sports achievement and attitudes. International Journal of Education in Mathematics, Science and Technology11(2): 358–374.
23.
ObozaPOgarekNWójtowiczM, et al. (2024) Relationships between Premenstrual Syndrome (PMS) and diet composition, dietary patterns and eating behaviors. Nutrients16(12): 1911.
24.
PolakKNoraPPerryB, et al. (2022) Licit substance use and premenstrual syndrome symptom severity in female college students. Women’s Health Reports3(1): 443–449.
25.
QuagliaCNettoreICPalatucciG, et al. (2023) Association between dietary habits and severity of symptoms in premenstrual syndrome. International Journal of Environmental Research and Public Health20(3): 1717.
26.
RamyaSRupavaniKBupathyA (2014) Effect of educational program on premenstrual syndrome in adolescent school girls. International Journal of Reproduction, Contraception, Obstetrics and Gynecology3: 168–172.
27.
RautSKcDSinghDR, et al. (2024) Effect of nutrition education intervention on nutrition knowledge, attitude, and diet quality among school-going adolescents: A quasi-experimental study. BMC Nutrition10(1): 35.
28.
RobinsonJFerreiraAIacovouM, et al. (2025) Effect of nutritional interventions on the psychological symptoms of premenstrual syndrome in women of reproductive age: A systematic review of randomized controlled trials. Nutrition Reviews83(2): 280–306.
29.
RylewiczKDrejzaMAŁopińskiG, et al. (2024) Correlates of premenstrual syndrome in Polish adolescents—Results from POLKA 18 youth-led cross-sectional study. Journal of Clinical Medicine13(23): 7342.
30.
Şahin-BodurGTunçerEDumanE, et al. (2025) Online education on sustainable nutrition affects women’s sustainable eating behavior and anthropometric measures. Public Health Nursing42(3): 1354–1364.
31.
SaraeiMShahrbabakZMKhalafiF, et al. (2024) Prevalence of premenstrual syndrome and related factors among nurses. Journal of the Turkish German Gynecological Association25(2): 74.
32.
SchulzKFAltmanDGMoherD and the CONSORT Group. (2010) CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. British Medical Journal340: c332.
33.
SharifanPJafarzadeh EsfehaniAZamiriA, et al. (2023) Factors associated with the severity of premenstrual symptoms in women with central obesity: A cross-sectional study. Journal of Health, Population and Nutrition42(1): 9.
34.
SharmaPPatroAIbrahimS, et al. (2018) Premenstrual symptoms and lifestyle factors associated with it among medical students. Indian Journal of Public Health9: 39–45.
35.
SiminiucRȚ̛urcanuD (2023) Impact of nutritional diet therapy on premenstrual syndrome. Frontiers in Nutrition10: 1079417.
36.
SunilISharmaD (2023) Prevalence of premenstrual syndrome among medical students and etiological factors associated with it. International Journal of Life Sciences, Biotechnology and Pharma Research12(2): 2402–2406.
37.
TaheriRZareMehrjardiFHeidarzadeh-EsfahaniN, et al. (2023) Dietary intake of micronutrients are predictor of premenstrual syndrome, a machine learning method. Clinical Nutrition ESPEN55: 136–143.
38.
TakedaTShiinaM (2018) Effect of an educational program on adolescent premenstrual syndrome: Lessons from the Great East Japan Earthquake. Adolescent Health, Medicine and Therapeutics9: 95–101.
39.
Thuita-WambuguAKiageBOnyangoA, et al. (2020) Effect of a nutrition education programme on metabolic risk factor and metabolic syndrome in adults with type 2 diabetes mellitus at a level 5 hospital in Kenya: A randomized controlled trial. BMC Nutrition6: 30.
40.
Türkiye Beslenme Rehberi (TÜBER). (2022) Yayın No: 1031. Ankara: T.C. Sağlık Bakanlığı.
41.
YiSJKimMParkI (2023) Investigating influencing factors on premenstrual syndrome (PMS) among female college students. BMC Women’s Health23(1): 92.
