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Associations of menstrual pain with intakes of soy, fat and dietary fiber in Japanese women

Abstract

Objective: Intakes of soy, fat, and dietary fiber may be associated with the symptoms of dysmenorrhea through their biological effects on estrogens or prostaglandin production. The present study was to examine the relationships between intakes of soy, fat, and dietary fiber and the severity of menstrual pain.

Design: Cross-sectional study.

Setting: Three colleges and two nursing schools.

Subjects: A total of 276 Japanese women aged 19–24 y.

Methods: Intakes of nutrients and foods including soy products, isoflavones, fats and dietary fiber were estimated by a validated semiquantitative food frequency questionnaire. Severity of menstrual pain was assessed by the multidimensional scoring system reported by Andersch and Milson.

Results: Intake of dietary fiber was significantly inversely correlated with the menstrual pain scale (r=−0.12, P=0.04) after controlling for age, smoking status, age at menarche and total energy intake. Neither soy nor fat intake was significantly correlated with menstrual pain after controlling for the covariates.

Conclusions: The cross-sectional difference in dietary fiber intake across the level of menstrual pain was small in magnitude but warrants further studies.

Sponsorship: None.

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References

  • Andersch B & Milson I (1982): An epidemiologic study of young women with dysmenorrhea. Am. J. Obstet. Gynecol. 144, 655–660.

    Article  CAS  Google Scholar 

  • Barnard ND, Scialli ARS, Hrlock D & Bertron P (2000): Diet and sex-hormone binding globulin, dysmenorrhea, and premenstrual symptoms. Obstet. Gynecol. 95, 245–250.

    CAS  PubMed  Google Scholar 

  • Balbi C, Musone R, Menditto, Di Prisco L, Cassese E, D'Ajello nM, Ambrosio D & Cardone AA (2000): Influence of menstrual factors and dietary habits on menstrual pain in adolescence age. Eur. J. Obstet. Gynecol. 91, 143–148.

    Article  CAS  Google Scholar 

  • Deligeoroglou E (2000): Dysmenorrhea. Ann. NY Acad. Sci. 900, 237–244.

    Article  CAS  Google Scholar 

  • Deutch B (1995): Menstrual pain in Danish women correlated with low n-3 polyunsaturated fatty acid intake. Eur. J. Clin. Nutr. 49, 508–516.

    CAS  PubMed  Google Scholar 

  • Di Cintio E, Parazzini F, Tozzi L, Luchini L, Mezzopane R, Marchini M & Fedele L (1997): Dietary habits, reproductive and menstrual factors and risk of dysmenorrhoea. Eur. J. Epidemiol . 13, 925–930.

    Article  CAS  Google Scholar 

  • Friederich MA (1983): Dysmenorrhea. Women Health 8, 91–106.

    Article  CAS  Google Scholar 

  • Harel Z, Biro FM, Kottenhahn RK & Rosenthal SL (1996): Supplementation with omega-3 polyunsaturated fatty acids in the management of dysmenorrhea in adolescents. Am. J. Obstet. Gynecol. 174, 1335–1338.

    Article  CAS  Google Scholar 

  • Harlow SD & Ephross SA (1995): Epidemiology of menstruation and its relevance to women's health. Epidemiol. Rev . 17, 265–286.

    Article  CAS  Google Scholar 

  • Harlow S & Park M (1996): A longitudinal study of risk factors for the occurrence, duration and severity of menstrual cramps in a cohort of college women. Br. J. Obstet. Gynaecol. 103, 1134–1142.

    Article  CAS  Google Scholar 

  • Hornsby PP, Wilcox AJ & Weinberg CR (1998): Cigarette smoking and disturbance of menstrual function. Epidemiology 9, 193–198.

    Article  CAS  Google Scholar 

  • Kaneda N, Nagata C, Kabuto M & Shimizu H (1997): Fat and fiber intakes in relation to serum estrogen concentration in premenopausal Japanese women. Nutr. Cancer 27, 279–283.

    Article  CAS  Google Scholar 

  • Klein JR & Litt IF (1981): Epidemiology of adolescent dysmenorrhea. Pediatrics 68, 661–664.

    CAS  PubMed  Google Scholar 

  • Kurzer MS (2002): Hormonal effects of soy in premenopausal women and men. J. Nutr. 132, 570S–573S.

    Article  Google Scholar 

  • Liang Y-C, Huang Y-T, Tsai S-H, Lin-Shiau S-Y, Chen C-F & Lin J-K (1999): Suppression of inducible cyclooxygenase and inducible nitric oxide synthase by apigenin and related flavonoids in mouse macrophages. Carcinogenesis 20, 1945–1952.

    Article  CAS  Google Scholar 

  • Miyagi M, Morishita M & Iwamoto Y (1993): Effects of sex hormones on production of prostaglandin E2 by human peripheral monocytes. J. Periodontol. 64, 1075–1078.

    Article  CAS  Google Scholar 

  • Nagata C, Takatsuka N, Kawakami N & Shimizu H (2001): Soy product intake and hot flashes in Japanese women: results from a community-based prospective study. Am. J. Epidemiol. 153, 790–793.

    Article  CAS  Google Scholar 

  • Pavan B, Biondi C, Ferretti ME, Lunghi L & Paganetto G (2001): 17 ß-estradiol medulates prostaglandin E2 release from human amnion-derived WISH cells. Biol. Reprod. 64, 1677–1681.

    Article  CAS  Google Scholar 

  • Parazzini F, Tozzi L, Mezzopane R, Luchini L, Marchini M & Fedele L (1994): Cigarette smoking, alcohol consumption, and risk of primary dysmenorrhea. Epidemiology 5, 469–472.

    Article  CAS  Google Scholar 

  • Picherit C, Dalle M, Néliat G, Lebecque P, Davicco MJ, Barlet JP & Coxam V (2000): Genistein and daidzein modelate in vitro rat uterine contractile activity. J. Steroid Biochem. Mol. Biol. 75, 201–208.

    Article  CAS  Google Scholar 

  • Pickles VR, Hall WJ, Best FA & Smith GN (1965): Prostaglandins in endometrium and menstrual fluid from normal and dysmenorrhoeic subjects. J. Obstet. Gynaecol. Br. Comm. 72, 185–192.

    Article  CAS  Google Scholar 

  • Rose DP, Lubin M & Connolly JM (1997): Effects of diet supplementation with wheat bran on serum estrogen levels in the follicular and luteal phases of the menstrual cycle. Nutrition 13, 535–539.

    Article  CAS  Google Scholar 

  • Sasaki S, Kobayashi M & Tsugane S (1999): Development of substituted fatty acid composition table for the use in nutritional epidemiologic studies for Japanese populations: its methodological backgrounds and the evaluation. J. Epidemiol. 9, 190–207.

    Article  CAS  Google Scholar 

  • Shimizu H (1996): The Basic Report on Takayama Study. Gifu, Japan: Department of Public Health, Gifu University School of Medicine.

    Google Scholar 

  • Shimizu H, Ohwaki A, Kurisu Y, Takatsuka N, Kawakami N, Ido M, Nagata C & Inaba S (1999): Validity and reproducibility of a quantitative food frequency questionnaire for a cohort study in Japan. Jpn. J. Clin. Oncol. 29, 38–44.

    Article  CAS  Google Scholar 

  • Steusloff A, Paul E, Semenchuk LA, Di Salvo J & Pfitzer G (1995): Modulation of Ca2+ sensitivity in smooth muscle by genistein and protein tyrosine phosphorylation. Arch. Biochem. Biophys. 320, 236–242.

    Article  CAS  Google Scholar 

  • Strom BL, Schinnar R, Ziegler EE, Barnhart KT, Sammel MD, Macones GA, Stallings VA, Drulis JM, Nelson SE & Hanson SA (2001): Exposure to soy-based fomula in infancy and endocrinological and reproductive outcomes in young adulthood. JAMA 286, 807–814.

    Article  CAS  Google Scholar 

  • Sundell G, Milson I & Andersch B (1990): Factors influencing the prevalence and severity of dysmenorrhea in young women. Br. J. Obstet. Gynecol. 97, 588–594.

    Article  CAS  Google Scholar 

  • Suzuki I, Kawakami N & Shimizu H (1998): Reliability and validity of a questionnaire for assessment of energy expenditure and physical activity in epidemiological studies. J. Epidemiol. 8, 152–159.

    Article  CAS  Google Scholar 

  • Willett W (1990): Implication of total energy intake for epidemiological analyses. In Nutritional Epidemiology ed. W Willett, pp 245–271. Oxford: Oxford University Press.

    Google Scholar 

  • Wu AH, Pike MC & Stram DO (1999): Meta-analysis: dietary fat intake, serum estrogen levels, and the risk of breast cancer. J. Natl. Cancer Inst. 91, 529–534.

    Article  CAS  Google Scholar 

  • Wentz AC (1988): Dysmenorrhea, premenstrual syndrome, and related disorders. In Novak's Textbook of Gynecology eds. Jones HW, Wentz AC, Burnett LB, pp 240–251. London: Williams & Willkins.

    Google Scholar 

  • Wakai K, Egami I, Kato K, Kawamura T, Tamakoshi A, Lin Y, Nakayama T, Wada M & Ohno Y (1999): Dietary intake and sources of isoflavones among Japanese. Nutr. Cancer 33, 139–145.

    Article  CAS  Google Scholar 

  • Yamaki K, Kim D-H, Ryu N, Kim YP, Shin KH & Ohuchi K (2001): Effects of naturally occurring isoflavones on prostaglandin E2 production. Planta Med. 68, 97–100.

    Article  Google Scholar 

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Correspondence to C Nagata.

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Guarantor: C Nagata.

Contributors: CN designed and coordinated the study and had overall responsibility for data analysis and writing the paper. KH and NS coordinated for sample collection. HS helped to design the study and undertook data interpretation.

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Nagata, C., Hirokawa, K., Shimizu, N. et al. Associations of menstrual pain with intakes of soy, fat and dietary fiber in Japanese women. Eur J Clin Nutr 59, 88–92 (2005). https://doi.org/10.1038/sj.ejcn.1602042

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  • DOI: https://doi.org/10.1038/sj.ejcn.1602042

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