Background/objectives Women with premenstrual syndrome (PMS) are encouraged to reduce sugar and increase ﬁber intake to reduce symptoms. However, research supporting these recommendations is limited, and their role in PMS development is unclear. This study examines the relation between carbohydrate and ﬁber intake and the risk of PMS nested within the prospective Nurses’ Health Study II cohort. Subjects/methods Carbohydrate and ﬁber intake were assessed at baseline and three additional times during follow up by food frequency questionnaire. Incident cases of PMS were identiﬁed by self-reported PMS diagnosis during 14 years of follow up and validated by supplemental questionnaire (n = 1234). Women were classiﬁed as controls if they did not report PMS diagnosis during follow up and conﬁrmed minimal or no premenstrual symptoms (n = 2426). We estimated relative risks (RR) and 95% conﬁdence intervals (CI) using multivariable logistic regression. Results Total carbohydrate intake 2–4 years before reference year was not associated with PMS development (RR quintile 5 versus 1 = 0.99; 95% CI = 0.74–1.33). Intakes of speciﬁc carbohydrates or ﬁbers were not associated with PMS devel- opment, except maltose. Adjusting for body mass index, smoking, and other factors, women with the highest maltose intake (median = 3.0
European Journal of Clinical Nutrition – Springer Journals
Published: Jan 29, 2018
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