---
title: What dietary, lifestyle, and psychological factors are associated with PMS in young women?
description: Stress and sleep problems were independently associated with PMS. Diet and weight were not independently associated with PMS after accounting for other factor
url: https://niyora.com/research/papers/dietary-lifestyle-and-psychological-factors-associated-with-premenstrual-2026/
---

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- What dietary, lifestyle, and psychological factors are associated with PMS in young women?

Survey study, 2026

# What dietary, lifestyle, and psychological factors are associated with PMS in young women?

Stress and sleep problems were independently associated with PMS. Diet and weight were not independently associated with PMS after accounting for other factors. This is a cross-sectional study, so these are associations, not proof of cause and effect.

 Moderate study design

502 female university students aged 18-29 in Saudi Arabia

## What they did

Cross-sectional study of 502 female university students aged 18-29 at King Faisal University in Saudi Arabia. They used questionnaires to measure PMS symptoms, diet, and psychological distress including stress, anxiety, and depression.

## What they found

Women with PMS had significantly higher stress, anxiety, depression, and sleep problems (all p<0.001). In multivariable analysis, stress (adjusted odds ratio 1.05, 95% CI: 1.02-1.10; p=0.005) and sleep problems (adjusted odds ratio 1.03, 95% CI: 1.02-1.05; p<0.001) remained significantly associated with PMS. Anxiety, depression, body mass index, and healthy diet were not independently associated with PMS after adjustment.

## What it means for you

Stress and poor sleep are the clearest factors linked to PMS in this sample, while diet and weight do not seem to independently matter. This suggests mental health and sleep should be targeted when managing PMS. However, this is cross-sectional, so we cannot know if stress causes PMS or PMS causes stress. Prospective studies are needed to clarify the direction of relationships.

502

female students studied

1.05

stress adjusted odds ratio

1.03

sleep adjusted odds ratio

## About the study

Original title Dietary, Lifestyle, and Psychological Factors Associated with Premenstrual Syndrome Among Female University Students in Saudi Arabia: A Cross-Sectional Study Authors Huwaikem M Journal International journal of women's health Year 2026 Study design Survey study Participants 502 What was tested None. This was an observational study. Open access Yes Read the paper [doi.org/10.2147/ijwh.s639146](https://doi.org/10.2147/ijwh.s639146)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Anxiety and tension](https://niyora.com/research/topics/symptom-anxiety/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Diet and nutrition](https://niyora.com/research/topics/treatment-diet/)[Relationships and partners](https://niyora.com/research/topics/life-area-relationships/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

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