---
title: What factors are linked to more severe premenstrual syndrome in adolescents?
description: Stress, earlier age of first period, and higher physical activity are each independently linked to worse PMS symptoms. This is moderate confidence from one hi
url: https://niyora.com/research/papers/factors-associated-with-premenstrual-syndrome-in-high-school-students-2009/
---

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- What factors are linked to more severe premenstrual syndrome in adolescents?

Survey study, 2009

# What factors are linked to more severe premenstrual syndrome in adolescents?

Stress, earlier age of first period, and higher physical activity are each independently linked to worse PMS symptoms. This is moderate confidence from one high school study.

 Moderate study design

381 adolescent girls from one high school in Busan, South Korea

## What they did

Cross-sectional survey of 381 adolescent girls from one high school in Busan, South Korea. Girls reported menstrual patterns, PMS symptom severity, stress levels, physical activity and other environmental and life factors. Researchers used multiple regression analysis.

## What they found

Earlier menarche, higher stress scores, higher physical activity and drinking alcohol were related to worse PMS symptoms. On multiple regression analysis, stress (p<0.001), age of menarche (p=0.003) and physical activity (p=0.004) were independently linked to PMS symptom severity.

## What it means for you

Girls who started their period earlier, experience more stress and are more physically active may be at higher risk for worse PMS. Stress appeared to be the strongest factor. The study is from one school so may not apply to all adolescents.

381

girls surveyed

p<0.001

stress association significance

3

independent risk factors

## About the study

Original title Factors Associated with Premenstrual Syndrome in High School Students Authors Jung‐Won Park, Jun-Su Kim, Ka-Young Lee et al. Journal Korean Journal of Family Medicine Year 2009 Study design Survey study Participants 381 What was tested None Open access Yes Read the paper [doi.org/10.4082/kjfm.2009.30.9.710](https://doi.org/10.4082/kjfm.2009.30.9.710)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Stress](https://niyora.com/research/topics/symptom-stress/)[Exercise and yoga](https://niyora.com/research/topics/treatment-exercise/)[Students and academic performance](https://niyora.com/research/topics/life-area-education/)[Adolescents and young people](https://niyora.com/research/topics/life-area-adolescents/)

Research tells you what helps on average. Niyora helps on the day it hits.

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