Decoding the Menstrual Health Exposome: An Integrated Multidimensional Assessment of Lifestyle, Dietary Patterns, Psychological Stress, Anthropometric Indices, and Reproductive Determinants of Menstrual Disorders in Young Women

Abstract

Background: Menstrual disturbances may reflect nutritional, anthropometric, and psychological determinants. This study evaluated menstrual characteristics and associations of menstrual patterns with dietary quality, body consumption, weight variation, and perceived stress.

Purpose: To evaluate menstrual health and its association with dietary, anthropometric, lifestyle, and psychological factors among young women Methods: A multicenter analytical cross-sectional study was conducted among 314 menstruating women aged 15-30 years recruited from academic, healthcare, and community settings across Punjab, India. BMI characterized anthropometric status, and dietary quality was assessed using the Healthy Eating Assessment Tool (HEAT), and perceived stress using the Perceived Stress Scale (PSS). Associations were assessed using categorical tests.

Results: Participants had a mean age of 22.07 ± 2.91 years and mean age at menarche of 12.50 ± 1.28 years. Dysmenorrhea was reported by 40.8% of participants. BMI distribution comprised 18% underweight, 59% normal weight, 18% overweight, and 5% obese participants. Dietary quality was poor/fair in 40.5% and good/excellent in 59.6%. Dietary category was significantly associated with menstrual pattern (p = 0.010). Moderate or high stress affected 72%, and menstrual irregularity increased across low, moderate, and high stress categories (31.8%, 46.7%, and 56.8%, respectively; p = 0.0124). BMI and weight variation were also significantly associated with menstrual regularity.

Conclusions: Menstrual health reflects interactions between reproductive, metabolic, nutritional, and psychological factors. Poorer dietary quality, altered weight status or variation, and greater perceived stress were associated with less favourable menstrual patterns. Prospective multicenter studies across diverse Indian populations are warranted to establish temporality and evaluate the effectiveness of lifestyle interventions.

  • Page Number : 18-37
  • Published Date : 2026-10-30
  • Keywords
    Menstrual health, Dietary quality, Psychological stress, Menstrual disorders
  • DOI Number
    10.15415/jptrm.2026.141002
  • Authors
    Soumarshi Das and Sarita Jangra

References

  • Alnaqbi, S. E., Sohail, R., Radwan, H. M., Mohamad, M. N., Zeb, F., Hasan, H., … Cheikh Ismail, L. (2025). Physical activity, screen time, dietary habits, and health outcomes among children and adolescents in the Middle East and North Africa region: A narrative review. Frontiers in Public Health, 13, 1628904. https://doi.org/10.3389/FPUBH.2025.1628904
  • Armour, M., Parry, K., Manohar, N., Holmes, K., Ferfolja, T., Curry, C., … Smith, C. A. (2019). The prevalence and academic impact of dysmenorrhea in 21,573 young women: A systematic review and meta-analysis. Journal of Women’s Health, 28(8), 1161–1171. https://doi.org/10.1089/JWH.2018.7615
  • Athar, F., Karmani, M., & Templeman, N. M. (2024). Metabolic hormones are integral regulators of female reproductive health and function. Bioscience Reports, 44(1), BSR20231916. https://doi.org/10.1042/BSR20231916
  • Awasthi, S. S. (2025). Correlation between perceived stress scores and menstrual characteristics in young Indian women. Cureus, 17(4), e82921. https://doi.org/10.7759/CUREUS.82921
  • Bencker, C., Tran, U. S., Roth, L. H., Nayman, S., & Nater, U. M. (2025). Associations between premenstrual symptoms and (traumatic) stress: a systematic review and three multilevel meta-analyses. The British Journal of Psychiatry, 1-11. https://doi.org/10.1192/BJP.2025.10311
  • Chattopadhyay, D., Chandran, S., & Bandyopadhyay, S. N. (2025). Menstrual Disorders and Occupational Performance in Women: A Systematic Review. Journal of Scientific Research and Reports, 31(11), 1022-1034. https://doi.org/10.9734/JSRR/2025/V31I113732
  • Ciebiera, M., Esfandyari, S., Siblini, H., Prince, L., Elkafas, H., Wojtyła, C., … Ali, M. (2021). Nutrition in gynecological diseases: Current perspectives. Nutrients, 13(4), 1178. https://doi.org/10.3390/NU13041178
  • Das, P., & Jungari, S. (2024). Prevalence, risk factors and health-seeking behavior of menstrual disorders among women in India: a review of two-decade evidence. Global Health Action, 17(1), 2433331. https://doi.org/10.1080/16549716.2024.2433331
  • García-Montero, C., de Castro-Martínez, P., Liviu Boaru, D., Ortega, M. A., & Fraile-Martínez, Ó. (2026). An overview of the impact of the menstrual cycle on nutrient metabolism: An integrative perspective. Nutrients, 18(7), 1063. https://www.mdpi.com/2072-6643/18/7/1063
  • Ginsburg, G. (2016). Endocrine Changes in Obesity. Perioperative Anesthetic Care of the Obese Patient, 51-59.
  • Güzeldere, H. K. B., Efendioğlu, E. H., Mutlu, S., Esen, H. N., Karaca, G. N., & Çağırdar, B. (2024). The relationship between dietary habits and menstruation problems in women: A cross-sectional study. BMC Women’s Health, 24(1), 397. https://doi.org/10.1186/S12905-024-03235-4
  • Hennegan, J., Winkler, I. T., Bobel, C., Keiser, D., Hampton, J., Larsson, G., ... & Mahon, T. (2021). Menstrual health: A definition for policy, practice, and research. Sexual and Reproductive Health Matters, 29(1), 31–38. https://doi.org/10.1080/26410397.2021.1911618
  • Ju, K., Liu, N., Wu, R., & Shi, X. (2025). The relationship between sedentary behavior, sleep duration, and sleep disorders: Analysis of the 2007–2014 National Health and Nutrition Examination Survey. Frontiers in Neurology, 16, 1488443. https://doi.org/10.3389/FNEUR.2025.1488443
  • Kullik, L., Stork, M., Kiel, A., Kellmann, M., & Jakowski, S. (2024). The prevalence of menstrual cycle symptoms and their association with mental health and sleep in German exercising women and athletes. Journal of Science and Medicine in Sport, 27(6), 362–367. https://doi.org/10.1016/J.JSAMS.2024.02.008
  • Liang, J., Ali, F., Ramaiyer, M., & Borahay, M. A. (2023). Determinants and assessment of menstrual blood flow. Current Epidemiology Reports, 10(4), 210–220. https://doi.org/10.1007/S40471-023-00332-0
  • Liu, Q., Lin, Y., & Zhang, W. (2024). Psychological stress dysfunction in women with premenstrual syndrome. Heliyon, 10(22), e40233. https://doi.org/10.1016/J.HELIYON.2024.E40233
  • Marques, P., Lages, A. D. S., Skorupskaite, K., Rozario, K. S., Anderson, R. A., & George, J. T. (2024). Physiology of GnRH and gonadotrophin secretion. In Endotext. https://www.ncbi.nlm.nih.gov/books/NBK279070/
  • Marsh, M. L., Oliveira, M. N., & Vieira-Potter, V. J. (2023). Adipocyte metabolism and health after the menopause: The role of exercise. Nutrients, 15(2), 444. https://doi.org/10.3390/NU15020444
  • Mazza, E., Troiano, E., Ferro, Y., Lisso, F., Tosi, M., Turco, E., … Montalcini, T. (2024). Obesity, dietary patterns, and hormonal balance modulation: Gender-specific impacts. Nutrients, 16(11), 1629. https://doi.org/10.3390/NU16111629
  • Odongo, E., Byamugisha, J., Ajeani, J., & Mukisa, J. (2023). Prevalence and effects of menstrual disorders on quality of life of female undergraduate students in Makerere University College of Health Sciences, a cross sectional survey. BMC Women’s Health, 23(1), 152. https://doi.org/10.1186/S12905-023-02290-7
  • Poitras, M., Shearzad, F., Qureshi, A. F., Blackburn, C., & Plamondon, H. (2024). Bloody stressed! A systematic review of the associations between adulthood psychological stress and menstrual cycle irregularity. Neuroscience & Biobehavioral Reviews, 163, 105784. https://doi.org/10.1016/j.neubiorev.2024.105784
  • Sergio, E., Compher, C., & Mumford, S. L. (2026). Investigating the association between diet and primary dysmenorrhea: A systematic review. F&S Reviews, 7(2), 100112. https://doi.org/10.1016/J.XFNR.2026.100112
  • Shah, A. M., Bharad, S., Shingnapurkar, M., Shelare, R., & Meena, K. (2025). Exploring the impact of menstrual disorders on quality of life: A patient-centered approach. African Journal of Biomedical Research, 28(1S), 1942–1949. https://doi.org/10.53555/AJBR.V28I1S.6571
  • Shukla, A., Rasquin, L. I., & Anastasopoulou, C. (2025, July 7). Polyendocrine metabolic ovarian syndrome. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK459251/