--- title: What lifestyle and sleep habits are linked to PMS in teenage girls? description: In Japanese high school students, poor sleep quality, long internet use, skipping breakfast, and not playing sports were linked to higher PMS risk, with menst url: https://niyora.com/research/papers/lifestyle-factors-associated-with-premenstrual-syndrome-a-cross-sectional-study-2019/ --- - [Niyora](https://niyora.com/) - [Research](https://niyora.com/research/) - [Library](https://niyora.com/research/library/) - What lifestyle and sleep habits are linked to PMS in teenage girls? Survey study, 2019 # What lifestyle and sleep habits are linked to PMS in teenage girls? In Japanese high school students, poor sleep quality, long internet use, skipping breakfast, and not playing sports were linked to higher PMS risk, with menstrual pain being the strongest risk factor. This is observational so we cannot be sure these habits cause PMS. Moderate study design 1022 female Japanese high school students with regular menstrual cycles ## What they did Cross-sectional survey study. One thousand twenty-two female Japanese high school students with regular menstrual cycles completed a questionnaire about lifestyle, sleep, diet, and menstrual symptoms in 2015. ## What they found Eleven point nine percent had PMS and 2.2 percent had PMDD. Risk factors for PMS were menstrual pain (odds ratio 4.74), sleep-onset problems (OR 2.22), stress fracture (OR 2.19), and internet use time (OR 1.003 per unit). Belonging to a sports club decreased PMS risk (OR 0.57). Significant differences were also found in age at menarche, eating breakfast, and chewing well. ## What it means for you Among teenagers, several modifiable factors including sleep quality, internet time, eating breakfast, and sports participation are associated with PMS. Because this is a snapshot survey, we cannot tell whether these factors actually cause PMS or just occur alongside it. Results are from Japan and may not apply to other countries or age groups. 1022 students studied 11.9% had PMS 4.74 odds ratio for menstrual pain as risk factor ## About the study Original title Lifestyle Factors Associated with Premenstrual Syndrome: A Cross-sectional Study of Japanese High School Students Authors Yoshimi K, Shiina M, Takeda T Journal Journal of pediatric and adolescent gynecology Year 2019 Study design Survey study Participants 121 What was tested None (observational study) Read the paper [doi.org/10.1016/j.jpag.2019.09.001](https://doi.org/10.1016/j.jpag.2019.09.001) ## Topics [Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Premenstrual dysphoric disorder (PMDD)](https://niyora.com/research/topics/condition-pmdd/)[Dysmenorrhea and period pain](https://niyora.com/research/topics/condition-dysmenorrhea/)[Low mood and depression](https://niyora.com/research/topics/symptom-depression-mood/)[Sleep and insomnia](https://niyora.com/research/topics/symptom-sleep/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[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/)[Athletes and sport](https://niyora.com/research/topics/life-area-athletes/) Research tells you what helps on average. Niyora helps on the day it hits. Calm down, see it another way, and decide what to say, with a PMS and PMDD app built by a doctor. ## Related studies Survey study, 2026 How common is PMDD in Russian medical students, and what are its symptoms? Survey study, 2024 What factors are linked to PMDD in female university students? Survey study, 2016 Does PMS increase the risk of stress fractures in teenage athletes? Survey study, 2026 What dietary, lifestyle, and psychological factors are associated with PMS in young women? Survey study, 2023 What factors make PMS worse in college students? Case-control study, 2020 Is diet quality lower in teenagers with PMS? Ask AI about this page Copy prompt ChatGPT ↗ Claude ↗ Perplexity ↗ Google AI Mode ↗ Grok ↗