Skip to main content

Advertisement

Log in

Eating attitudes and behavior throughout the menstrual cycle in obese women: A case-control study

  • Original Research Paper
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Premenstrual variations of eating behavior are reported in several studies, but their relationship with mood is unclear. Eating behavior and physical and psychological complaints during the menstrual cycle were studied in 107 obese patients and 93 matched controls using retrospective (Weekly Bulimic Test Edinburgh, W-BITE and Premenstrual Assessment Form, PAF) and prospective (Daily Rating Form, DR) questionnaires. Eating disorder symptoms increased in the premenstrual phase, as shown by the W-BITE scores both in patients (6.2±5.3 premenstrual week vs 4.9±4.4 postmenstrual week, p< 0.05) and in control subjects (4.9±4.1 premenstrual week vs 4.2±3.0 postmenstrual week, p<0.05) and were correlated to premenstrual complaints in control subjects (r=0.5; p<0.05) but not in obese women (r=0.2; p=NS). A close relationship between physical and psychological premenstrual disturbances was observed in obese patients only. Premenstrual variation of eating behavior could be the target of specific treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dalvit S.P.: The effect of the menstrual cycle on patterns of food intake. Am. J. Clin. Nutr., 34, 1811–1815, 1981.

    CAS  PubMed  Google Scholar 

  2. Pliner P., Fleming A.S.: Food intake, body weight, and sweetness preferences over the menstrual cycle in humans. Physiol. Behav., 30, 663–666, 1983.

    Article  CAS  PubMed  Google Scholar 

  3. Lissner L., Stevens J., Levitsky D.A., Rasmussen K.M., Strupp B.J.: Variations in energy intake during the menstrual cycle: implication for food intake research. Am. J. Clin. Nutr., 48, 956–962, 1988.

    CAS  PubMed  Google Scholar 

  4. Bowen D.J., Grunberg N.E.: Variations in food preference and consumption across the menstrual cycle. Physiol. Behav., 47, 287–291, 1990.

    Article  CAS  PubMed  Google Scholar 

  5. Cohen I.T., Sherwin B.B., Fleming A.S.: Food cravings, mood, and the menstrual cycle. Horm. Behav., 21, 457–470, 1987.

    Article  CAS  PubMed  Google Scholar 

  6. Weingarten H.P., Elston D.: Food craving in a college population. Appetite, 17, 167–175, 1991.

    Article  CAS  PubMed  Google Scholar 

  7. Dye L., Warner P., Bancroft J.: Food craving during the menstrual cycle and its relationship to stress, happyness of relationship and depression: a preliminary enquiry. J. Affect. Disord., 34, 157–164, 1995.

    Article  CAS  PubMed  Google Scholar 

  8. Leon G.R., Phelan P.W., Kelly J.T.: The symptoms of bulimia and menstrual cycle. Psychosom. Med., 48, 415–422, 1986.

    Article  CAS  PubMed  Google Scholar 

  9. Gladis M.M., Walsh B.T.: Premenstrual exacerbation of binge eating in bulimia. Am. J. Psychiatry, 144, 1592–1595, 1987.

    CAS  PubMed  Google Scholar 

  10. Price W.A., Giannini A.J.: Binge eating during menstruation. J. Clin. Psychiatry, 44, 431, 1983.

    CAS  PubMed  Google Scholar 

  11. Reid R.: Premenstrual syndrome: a time for introspection. Am. J. Obstet. Gynecol., 155, 921–927, 1986.

    Article  CAS  PubMed  Google Scholar 

  12. APA-American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders — IV Edition. Washington D.C., APA, 1994.

    Google Scholar 

  13. Dalton K.: The premenstrual syndrome. Springfield Ill., Charles C. Thomas, 1964.

    Google Scholar 

  14. Giannini A.J., Price W.A., Loiselle R.H., Giannini M.C.: Hyperphagia in premenstrual tension syndrome. J. Clin. Psychiatry, 46, 436–438, 1985.

    CAS  PubMed  Google Scholar 

  15. Wurtman J.J., Brezinski A., Wurtman R.J., Laferrere B.: Effect of nutrient intake on premenstrual depression. Am. J. Obstet. Gynecol., 161, 1228–1234, 1989.

    Article  CAS  PubMed  Google Scholar 

  16. Morton J.H., Addition H., Addison R.G.: A clinical study of premenstrual tension. Am. J. Obstet. Gynecol., 65, 1182–1191, 1953.

    CAS  PubMed  Google Scholar 

  17. Both-Orthman B., Rubinow D.R., Hoban M.C., Malley J., Gay N., Groven G.N.: Menstrual cycle phase-related changes in appetite in patients with premenstrual syndrome and in control subjects. Am. J. Psychiatry, 145, 628–631, 1988.

    CAS  PubMed  Google Scholar 

  18. Bancroft J., Williamson L., Warner P., Rennie D., Smith S.K.: Perimenstrual complaints in women complaining of PMS, menorrhagia and dysmenhorrea: toward a dismantling of premenstrual syndrome. Psychosom. Med., 55, 133–145, 1993.

    Article  CAS  PubMed  Google Scholar 

  19. Backstrom T.: Neuroendocrinology of Premenstrual Syndrome. Clin. Obstet. Gynecol., 35, 612–628, 1992.

    Article  CAS  PubMed  Google Scholar 

  20. Mortola J.F.: Issues in the diagnosis and research of premenstrual syndrome. Clin. Obstet. Gynecol., 35, 587–598, 1992.

    Article  CAS  PubMed  Google Scholar 

  21. Munday M.R., Brush M.G., Taylor R.W.: Correlation between progesterone, oestradiol and aldosterone levels in the premenstrual syndrome. Clin. Endocrinol., 14, 1–9, 1981.

    Article  CAS  Google Scholar 

  22. MacDonald P.C., Dombroski R.A., Casey M.L.: Recurrent secretion of progesterone in large amounts: an endocrine/metabolic disorder unique to young women? Endocr. Rev., 12, 372–400, 1991.

    Article  CAS  PubMed  Google Scholar 

  23. Facchinetti F., Martignoni E., Sola D., Petraglia F., Nappi O., Genorrani A.R.: Transient failure of central opioid tonus and premenstrual syndrome. J. Reprod. Med., 33, 633–638, 1988.

    CAS  PubMed  Google Scholar 

  24. Giannini A.J., Melemis S.M., Martin D.M., Folts D.J.: Symptoms of premenstrual syndrome as a function of beta-endorphin: two subtypes. Prog. Neuropsychopharmacol. Biol. Psychiatry, 18, 321–327, 1994.

    CAS  Google Scholar 

  25. Halbreich U., Rojanski N., Carson S., Piletz J., Halaris A.: Gonadal hormones, serotonin, noradrenalin and mood. Clin. Neuropharmacol., 13, 524, 1990.

    Google Scholar 

  26. Rapkin A.J.: The role of serotonin in premenstrual syndrome. Clin. Obstet. Gynecol., 35, 629–636, 1992.

    Article  CAS  PubMed  Google Scholar 

  27. APA-American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders — 3rd Edition Revised. Washington D.C., APA, 1987.

    Google Scholar 

  28. Spitzer R.L., Williams J.B.W., Gibbon M., First M.B.: Structured Clinical Interview for DSM-III-R (SCID). New York, Biometrics Research Department — New York State Psychiatric Institute, 1988.

    Google Scholar 

  29. World Health Organization Diabetes Mellitus: Report of a WHO study group. Geneva, WHO Technical Report Series 727, 1985.

    Google Scholar 

  30. Halbreich U., Endicott J., Schacht S., Nee J.: The diversity of premenstrual changes as reflected in the premenstrual assessment form. Acta Psychiatr. Scand., 65, 46–65, 1982.

    Article  CAS  PubMed  Google Scholar 

  31. Endicott J., Nee J., Cohen J., Halbreich U.: Premenstrual changes: patterns and correlates of daily ratings. J. Affect. Disord., 10, 127–135, 1986.

    Article  CAS  PubMed  Google Scholar 

  32. Henderson M., Freeman C.P.L.: A self-rating scale for bulimia — the BITE. Br. J. Psychiatry, 150, 18–24, 1987.

    Article  CAS  PubMed  Google Scholar 

  33. Bancroft J., Cook A., Williamson L.: Food craving, mood, and the menstrual cycle. Psychol. Med., 18, 855–860, 1988.

    Article  CAS  PubMed  Google Scholar 

  34. Bancroft J.: The premenstrual syndrome — a reappraisal of the concept and the evidence. Psychol. Med., 24, 1–47, 1993.

    PubMed  Google Scholar 

  35. Wurtman J.J.: Depression and weight gain: the serotonin connection. J. Affect. Disord., 29, 183–192, 1993.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zucchi, T., Mannucci, E., Ricca, V. et al. Eating attitudes and behavior throughout the menstrual cycle in obese women: A case-control study. Eat Weight Disord 5, 31–37 (2000). https://doi.org/10.1007/BF03353435

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03353435

Key words

Navigation