Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample: Study of Women's Health Across the Nation (SWAN)

Ellen B Gold, Yali Bair, Gladys Block, Gail A. Greendale, Siobán D. Harlow, Susan Johnson, Howard M. Kravitz, Marianne O Neill Rasor, Amna Siddiqui, Barbara Sternfeld, Jessica Utts, Guili Zhang

Research output: Contribution to journalArticle

43 Citations (Scopus)

Abstract

Aims: We sought to determine if the frequency of reported physical or emotional premenstrual symptoms (PMSx) was associated with (1) dietary intake of phytoestrogens, fiber, fat, or calcium, (2) consumption of alcohol or caffeine, (3) active or passive smoke exposure or lack of physical exercise, and (4) race/ethnicity or socioeconomic status. Methods: A cross-sectional analysis was conducted of PMSx and demographic and lifestyle factors reported at baseline in the multiethnic sample of 3302 midlife women in the Study of Women's Health Across the Nation (SWAN). Stepwise multiple logistic regression analyses were performed for the overall sample and for each racial/ethnic group for each of five PMSx groupings. Results: Most dietary factors were not related to PMSx. Fat intake was negatively associated with craving and bloating (adjusted odds ratio [AOR] = 0.56, p = 0.024), and fiber intake was positively associated with breast pain (AOR = 1.39, p = 0.037). Alcohol intake was negatively associated with anxiety and mood changes (AOR = 0.63, p = 0.045) and headaches (AOR = 0.50, p = 0.009). Current smoking (AOR = 1.60, p = 0.028) and passive smoke exposure (AOR = 1.56, p = 0.050) were positively associated with cramps and back pain. Symptom reporting differed significantly by race/ethnicity. PMSx were also associated with comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity. Conclusions: We found little evidence to support a role for diet in PMSx reporting. However, alcohol intake was positively associated with premenstrual anxiety and mood changes, and active and passive smoke exposure was associated with a number of PMSx. Ethnic differences in symptom reporting and associations of comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity with reported PMSx were also observed.

Original languageEnglish (US)
Pages (from-to)641-656
Number of pages16
JournalJournal of Women's Health
Volume16
Issue number5
DOIs
StatePublished - Jun 2007

Fingerprint

Women's Health
Life Style
Odds Ratio
Diet
Smoke
Comorbidity
Anxiety
Fats
Alcohols
Mastodynia
Depression
Muscle Cramp
Phytoestrogens
Back Pain
Caffeine
Ethnic Groups
Social Class
Alcohol Drinking
Headache
Cross-Sectional Studies

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample : Study of Women's Health Across the Nation (SWAN). / Gold, Ellen B; Bair, Yali; Block, Gladys; Greendale, Gail A.; Harlow, Siobán D.; Johnson, Susan; Kravitz, Howard M.; Rasor, Marianne O Neill; Siddiqui, Amna; Sternfeld, Barbara; Utts, Jessica; Zhang, Guili.

In: Journal of Women's Health, Vol. 16, No. 5, 06.2007, p. 641-656.

Research output: Contribution to journalArticle

Gold, EB, Bair, Y, Block, G, Greendale, GA, Harlow, SD, Johnson, S, Kravitz, HM, Rasor, MON, Siddiqui, A, Sternfeld, B, Utts, J & Zhang, G 2007, 'Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample: Study of Women's Health Across the Nation (SWAN)', Journal of Women's Health, vol. 16, no. 5, pp. 641-656. https://doi.org/10.1089/jwh.2006.0202
Gold, Ellen B ; Bair, Yali ; Block, Gladys ; Greendale, Gail A. ; Harlow, Siobán D. ; Johnson, Susan ; Kravitz, Howard M. ; Rasor, Marianne O Neill ; Siddiqui, Amna ; Sternfeld, Barbara ; Utts, Jessica ; Zhang, Guili. / Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample : Study of Women's Health Across the Nation (SWAN). In: Journal of Women's Health. 2007 ; Vol. 16, No. 5. pp. 641-656.
@article{117f494ac31d40b3bad228509d58cf6a,
title = "Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample: Study of Women's Health Across the Nation (SWAN)",
abstract = "Aims: We sought to determine if the frequency of reported physical or emotional premenstrual symptoms (PMSx) was associated with (1) dietary intake of phytoestrogens, fiber, fat, or calcium, (2) consumption of alcohol or caffeine, (3) active or passive smoke exposure or lack of physical exercise, and (4) race/ethnicity or socioeconomic status. Methods: A cross-sectional analysis was conducted of PMSx and demographic and lifestyle factors reported at baseline in the multiethnic sample of 3302 midlife women in the Study of Women's Health Across the Nation (SWAN). Stepwise multiple logistic regression analyses were performed for the overall sample and for each racial/ethnic group for each of five PMSx groupings. Results: Most dietary factors were not related to PMSx. Fat intake was negatively associated with craving and bloating (adjusted odds ratio [AOR] = 0.56, p = 0.024), and fiber intake was positively associated with breast pain (AOR = 1.39, p = 0.037). Alcohol intake was negatively associated with anxiety and mood changes (AOR = 0.63, p = 0.045) and headaches (AOR = 0.50, p = 0.009). Current smoking (AOR = 1.60, p = 0.028) and passive smoke exposure (AOR = 1.56, p = 0.050) were positively associated with cramps and back pain. Symptom reporting differed significantly by race/ethnicity. PMSx were also associated with comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity. Conclusions: We found little evidence to support a role for diet in PMSx reporting. However, alcohol intake was positively associated with premenstrual anxiety and mood changes, and active and passive smoke exposure was associated with a number of PMSx. Ethnic differences in symptom reporting and associations of comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity with reported PMSx were also observed.",
author = "Gold, {Ellen B} and Yali Bair and Gladys Block and Greendale, {Gail A.} and Harlow, {Siob{\'a}n D.} and Susan Johnson and Kravitz, {Howard M.} and Rasor, {Marianne O Neill} and Amna Siddiqui and Barbara Sternfeld and Jessica Utts and Guili Zhang",
year = "2007",
month = "6",
doi = "10.1089/jwh.2006.0202",
language = "English (US)",
volume = "16",
pages = "641--656",
journal = "Journal of Women's Health",
issn = "1540-9996",
publisher = "Mary Ann Liebert Inc.",
number = "5",

}

TY - JOUR

T1 - Diet and lifestyle factors associated with premenstrual symptoms in a racially diverse community sample

T2 - Study of Women's Health Across the Nation (SWAN)

AU - Gold, Ellen B

AU - Bair, Yali

AU - Block, Gladys

AU - Greendale, Gail A.

AU - Harlow, Siobán D.

AU - Johnson, Susan

AU - Kravitz, Howard M.

AU - Rasor, Marianne O Neill

AU - Siddiqui, Amna

AU - Sternfeld, Barbara

AU - Utts, Jessica

AU - Zhang, Guili

PY - 2007/6

Y1 - 2007/6

N2 - Aims: We sought to determine if the frequency of reported physical or emotional premenstrual symptoms (PMSx) was associated with (1) dietary intake of phytoestrogens, fiber, fat, or calcium, (2) consumption of alcohol or caffeine, (3) active or passive smoke exposure or lack of physical exercise, and (4) race/ethnicity or socioeconomic status. Methods: A cross-sectional analysis was conducted of PMSx and demographic and lifestyle factors reported at baseline in the multiethnic sample of 3302 midlife women in the Study of Women's Health Across the Nation (SWAN). Stepwise multiple logistic regression analyses were performed for the overall sample and for each racial/ethnic group for each of five PMSx groupings. Results: Most dietary factors were not related to PMSx. Fat intake was negatively associated with craving and bloating (adjusted odds ratio [AOR] = 0.56, p = 0.024), and fiber intake was positively associated with breast pain (AOR = 1.39, p = 0.037). Alcohol intake was negatively associated with anxiety and mood changes (AOR = 0.63, p = 0.045) and headaches (AOR = 0.50, p = 0.009). Current smoking (AOR = 1.60, p = 0.028) and passive smoke exposure (AOR = 1.56, p = 0.050) were positively associated with cramps and back pain. Symptom reporting differed significantly by race/ethnicity. PMSx were also associated with comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity. Conclusions: We found little evidence to support a role for diet in PMSx reporting. However, alcohol intake was positively associated with premenstrual anxiety and mood changes, and active and passive smoke exposure was associated with a number of PMSx. Ethnic differences in symptom reporting and associations of comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity with reported PMSx were also observed.

AB - Aims: We sought to determine if the frequency of reported physical or emotional premenstrual symptoms (PMSx) was associated with (1) dietary intake of phytoestrogens, fiber, fat, or calcium, (2) consumption of alcohol or caffeine, (3) active or passive smoke exposure or lack of physical exercise, and (4) race/ethnicity or socioeconomic status. Methods: A cross-sectional analysis was conducted of PMSx and demographic and lifestyle factors reported at baseline in the multiethnic sample of 3302 midlife women in the Study of Women's Health Across the Nation (SWAN). Stepwise multiple logistic regression analyses were performed for the overall sample and for each racial/ethnic group for each of five PMSx groupings. Results: Most dietary factors were not related to PMSx. Fat intake was negatively associated with craving and bloating (adjusted odds ratio [AOR] = 0.56, p = 0.024), and fiber intake was positively associated with breast pain (AOR = 1.39, p = 0.037). Alcohol intake was negatively associated with anxiety and mood changes (AOR = 0.63, p = 0.045) and headaches (AOR = 0.50, p = 0.009). Current smoking (AOR = 1.60, p = 0.028) and passive smoke exposure (AOR = 1.56, p = 0.050) were positively associated with cramps and back pain. Symptom reporting differed significantly by race/ethnicity. PMSx were also associated with comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity. Conclusions: We found little evidence to support a role for diet in PMSx reporting. However, alcohol intake was positively associated with premenstrual anxiety and mood changes, and active and passive smoke exposure was associated with a number of PMSx. Ethnic differences in symptom reporting and associations of comorbidities, early perimenopausal status, depressive symptoms, and symptom sensitivity with reported PMSx were also observed.

UR - http://www.scopus.com/inward/record.url?scp=34447631496&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447631496&partnerID=8YFLogxK

U2 - 10.1089/jwh.2006.0202

DO - 10.1089/jwh.2006.0202

M3 - Article

C2 - 17627400

AN - SCOPUS:34447631496

VL - 16

SP - 641

EP - 656

JO - Journal of Women's Health

JF - Journal of Women's Health

SN - 1540-9996

IS - 5

ER -