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Non-randomised trial, 2026

Do dietary changes or sun exposure reduce PMS symptoms in adolescent girls?

Yes. Both dietary intervention and sun exposure significantly reduced PMS symptoms compared to health education alone. Sun exposure was slightly more effective, with 52.3% of girls showing clinical improvement compared to 46.5% in the diet group.

Moderate study design 130 girls aged 16-18 years with PMS in Palangka Raya, Indonesia

What they did

Quasi-experimental study of 130 girls aged 16-18 years with PMS in Indonesia. Three groups: dietary intervention with supervised lunch boxes (600-700 kcal per day), sun exposure (30 minutes, 3 times a week), or health education only. All interventions lasted 8 weeks, conducted October 2024 to April 2025.

What they found

Clinical success rates were 52.3% for sun exposure, 46.5% for diet, and 11.6% for education only (p<0.001). Median PMS scores decreased by 23.0 points (sun), 20.0 points (diet), and 11.0 points (education). Serum vitamin D increased by 1.8 ng/mL in both active groups but declined by 2.1 ng/mL in controls (p<0.001). Strong negative correlation between vitamin D change and PMS reduction (rs=-0.746, p<0.001).

What it means for you

Both interventions worked much better than education alone, apparently by raising vitamin D levels. Sun exposure was slightly more effective and is cheap and practical for school programs. Study was quasi-experimental (not randomized) and conducted in Indonesia with adolescents, so results may differ in other populations.

130

girls with PMS studied

52.3%

clinical success rate with sun exposure

1.8 ng/mL

vitamin D increase in active groups

About the study

Original title
Dietary intervention, sun exposure, and health education on premenstrual syndrome severity and serum 25(OH)D among adolescent girls in Palangka Raya, Indonesia
Authors
Cia Aprilianti, Antono Suryoputro, Martha Irene Kartasurya et al.
Journal
Rawal Medical Journal
Year
2026
Study design
Non-randomised trial
Participants
130
What was tested
Dietary intervention (600-700 kcal supervised lunches) and sun exposure (30 minutes, 3 times per week), both for 8 weeks

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