Volume 21, Issue 4 (April 2023)                   IJRM 2023, 21(4): 333-342 | Back to browse issues page


XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Roshanzadeh G, Jahanian Sadatmahalleh S, Moini A, Mottagh A, Rostami F. The relationship between dietary micronutrients and endometriosis: A case-control study. IJRM 2023; 21 (4) :333-342
URL: http://ijrm.ir/article-1-2442-en.html
1- Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2- Department of Midwifery and Reproductive Health, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. , shahideh.jahanian@modares.ac.ir
3- Department of Obstetrics and Gynecology, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran. Breast Disease Research Center (BDRC), Tehran University of Medical Sciences, Tehran, Iran. Department of Endocrinology and Female Infertility, Reproductive Biomedicine Research Center, Royan Institute for Reproductive Biomedicine, ACECR, Tehran, Iran.
4- Research Center for Prevention of Cardiovascular Disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (641 Views)
Background: Fewer studies were on micronutrient intake in women with endometriosis, and the etiology of endometriosis remains unclear between dietary micronutrients and the risk of endometriosis.
Objective: This study aimed to investigate the relationship between dietary micronutrients and the risk of endometriosis.
Materials and Methods: This case-control study was conducted on 156 women (18-45 yr) with and without endometriosis in the gynecology clinic of Arash hospital between May 2017 and May 2018 in Tehran, Iran. According to the laparoscopic findings, the participants were divided into 2 groups (n = 78/each), women with pelvic endometriosis as the case group and women without endometriosis pelvic as the control group. Dietary data were collected using a validated 168-item semiquantitative food frequency questionnaire with the standard serving. A logistic regression model was used to determine the association between micronutrients and the risk of endometriosis.
Results: Data analysis showed a significant relationship between micronutrients such as: potassium (OR: 0.74; CI: 0.56-0.99; p = 0.01), calcium (OR: 0.70; CI: 0.52-0.94; p = 0.003), and also among the vitamin C (OR: 0.70; CI: 0.52-0.94; p = 0.02), B2 (OR: 0.73; CI: 0.55-0.98; p = 0.01), and B12 (OR: 0.71; CI: 0.53-0.95; p = 0.02) with endometriosis, so those who used fewer micronutrients were at higher risk of endometriosis.
Conclusion: The findings showed that the dietary intakes of calcium, potassium, vitamins B12, B2, B6, and C are inversely related to the risk of endometriosis.
Full-Text [PDF 289 kb]   (524 Downloads) |   |   Full-Text (HTML)  (169 Views)  
Type of Study: Original Article | Subject: Reproductive Endocrinology

References
1. Eisenberg VH, Weil C, Chodick G, Shalev V. Epidemiology of endometriosis: A large population-based database study from a healthcare provider with 2 million members. BJOG 2018; 125: 55-62. [DOI:10.1111/1471-0528.14711] [PMID]
2. Parazzini F, Esposito G, Tozzi L, Noli S, Bianchi S. Epidemiology of endometriosis and its comorbidities. Eur J Obstet Gynecol Reprod Biol 2017; 209: 3-7. [DOI:10.1016/j.ejogrb.2016.04.021] [PMID]
3. Xiong W, Zhang L, Yu L, Xie W, Man Y, Xiong Y, et al. Estradiol promotes cells invasion by activating β-catenin signaling pathway in endometriosis. Reproduction 2015; 150: 507-516. [DOI:10.1530/REP-15-0371] [PMID] [PMCID]
4. Kuznetsov L, Dworzynski K, Davies M, Overton C, Guideline Committee. Diagnosis and management of endometriosis: Summary of NICE guidance. BMJ 2017; 358: j3935. [DOI:10.1136/bmj.j3935] [PMID]
5. Jain A, Tiwari A, Verma A, Jain SK. Vitamins for cancer prevention and treatment: An insight. Curr Mol Med 2017; 17: 321-340. [DOI:10.2174/1566524018666171205113329] [PMID]
6. Sinha A, Gupta S. The role of antioxidant supplementation in endometriosis therapy. J Gynecol Women's Health 2017; 3: 555601. [DOI:10.19080/JGWH.2017.03.555601]
7. Sehsah FIA, Abd El-Fattah AT, Saeed AM. The role of antioxidant supplementation in reducing the endometriosis related chronic pelvic pain in women. Al-Azhar Med J 2022; 51: 121-134. [DOI:10.21608/amj.2022.212587]
8. Vlachos A, Vassiliadis S. The immunological impact of orthomolecular medicine using bioactive compounds as key factors in endometriosis. Bioact Compound Health Dis 2019; 25: 1-10. [DOI:10.31989/bchd.v2i1.555]
9. Donnez J, Binda MM, Donnez O, Dolmans M-M. Oxidative stress in the pelvic cavity and its role in the pathogenesis of endometriosis. Fertil Steril 2016; 106: 1011-1017. [DOI:10.1016/j.fertnstert.2016.07.1075] [PMID]
10. Jin L, Lorkiewicz P, Malovichko MV, Bhatnagar A, Srivastava S, Conklin DJ. Acetaldehyde induces an endothelium-dependent relaxation of superior mesenteric artery: Potential role in postprandial hyperemia. Front Physiol 2019; 10: 1315. https://doi.org/10.3389/fphys.2019.00277 [DOI:10.3389/fphys.2019.01315]
11. Lee HJ, Noh HK, Kim SC, Joo JK, Suh DS, Kim KH. Dietary pattern and risk endometrioma in Korean women: A case-control study. Obstet Gynecol Sci 2021; 64: 99-106. [DOI:10.5468/ogs.20230] [PMID] [PMCID]
12. Huijs E, Nap A. The effects of nutrients on symptoms in women with endometriosis: A systematic review. Reprod BioMed Online 2020; 41: 317-328. [DOI:10.1016/j.rbmo.2020.04.014] [PMID]
13. Lee SY, Koo YJ, Lee DH. Classification of endometriosis. Yeungnam Univ J Med 2021; 38: 10-18. [DOI:10.12701/yujm.2020.00444] [PMID] [PMCID]
14. Savaris AL, do Amaral VF. Nutrient intake, anthropometric data and correlations with the systemic antioxidant capacity of women with pelvic endometriosis. Eur J Obstet Gynocol Reprod Biol 2011; 158: 314-318. [DOI:10.1016/j.ejogrb.2011.05.014] [PMID]
15. Youseflu S, Jahanian Sadatmahalleh Sh, Mottaghi A, Kazemnejad A. The association of food consumption and nutrient intake with endometriosis risk in Iranian women: A case-control study. Int J Reprod BioMed 2019; 17: 661-670. [DOI:10.18502/ijrm.v17i9.5102] [PMID] [PMCID]
16. Nikniaz L, Tabrizi J, Sadeghi-Bazargani H, Farahbakhsh M, Tahmasebi S, Noroozi S. Reliability and relative validity of short-food frequency questionnaire. Br Food J 2017; 119: 1337-1348. [DOI:10.1108/BFJ-09-2016-0415]
17. Nodler JL, Harris HR, Chavarro JE, Frazier AL, Missmer SA. Dairy consumption during adolescence and endometriosis risk. Am J Obstet Gynocol 2020; 222: 257. [DOI:10.1016/j.ajog.2019.09.010] [PMID] [PMCID]
18. Youseflu S, Jahanian Sadatmahalleh Sh, Mottaghi A, Kazemnejad A. Dietary phytoestrogen intake and the risk of endometriosis in Iranian women: A case-control study. Int J Fertil Steril 2020; 13: 296-300.
19. Vitale SG, Capriglione S, Peterlunger I, La Rosa VL, Vitagliano A, Noventa M, et al. The role of oxidative stress and membrane transport systems during endometriosis: A fresh look at a busy corner. Oxidative medicine and cellular longevity. Oxid Med Cell Longe 2018; 2018: 7924021. [DOI:10.1155/2018/7924021] [PMID] [PMCID]
20. Jurkiewicz-Przondziono J, Lemm M, Kwiatkowska-Pamuła A, Ziółko E, Wójtowicz MK. Influence of diet on the risk of developing endometriosis. Ginekol Pol 2017; 88: 96-102. [DOI:10.5603/GP.a2017.0017] [PMID]
21. Ashrafi M, Jahangiri N, Jahanian Sadatmahalleh Sh, Aliani F, Akhoond MR. Diet and the risk of endometriosis in iranian women: A case-control study. Int J Fertil Steril 2020; 14: 193-200.
22. Schink M, Konturek PC, Herbert SL, Renner SP, Burghaus S, Blum S, et al. Different nutrient intake and prevalence of gastrointestinal comorbidities in women with endometriosis. J Physiol Pharmacol 2019; 70: 255-268.
23. Raindi D. Nutrition and periodontal disease. Dent Update 2016; 43: 66-72. [DOI:10.12968/denu.2016.43.1.66] [PMID]
24. Aversa R, Petrescu RV, Apicella A, Petrescu FI. We are addicted to vitamins C and E-A review. Am J Eng Appl Sci 2016; 9: 1003-1018. [DOI:10.3844/ajeassp.2016.1003.1018]
25. Shi XJ, Shi LB, Zhang SY. Mechanistic study of vitamin C attenuation of endometriotic fibrosis. Clin Exp Obstet Gynecol 2020; 47: 383-390. [DOI:10.31083/j.ceog.2020.03.5297]
26. Simmen RCM, Kelley AS. Seeing red: Diet and endometriosis risk. Ann Transl Med 2018; 6 (Suppl.): S119. [DOI:10.21037/atm.2018.12.14] [PMID] [PMCID]
27. Halpern G, Schor E, Kopelman A. Nutritional aspects related to endometriosis. Rev Assoc Med Bras 2015; 61: 519-523. [DOI:10.1590/1806-9282.61.06.519] [PMID]
28. Ghasemian Langharodi S, Farzanegi P, Moradi L. [The effect of swimming training and vitamin B6 intake on GATA2 gene expression in endometriosis rat]. J Ardabil Univ Med Sci 2019; 19: 354-365. (In Persian) [DOI:10.29252/jarums.19.3.354]
29. Ghasemian Langrodi S, Farzanegi P, Moradi L. [The effect of swimming training and vitamin B6 intake on ALDH1A2 gene expression in endometriosis rat]. Razi J Med Sci 2021; 28: 152-162. (In Persian)
30. Prego-Dominguez J, Hadrya F, Takkouche B. Polyunsaturated fatty acids and chronic pain: A systematic review and meta-analysis. Pain Physician 2016; 19: 521-535. [DOI:10.36076/ppj/2016.19.521] [PMID]
31. Paliga M, Horák S. Relationship between endometriosis and vitamin D status-a review. Clin Exp Obstet Gynecol 2019; 46: 674-678. [DOI:10.12891/ceog4936.2019]
32. Guo M, Bafligil C, Tapmeier T, Hubbard C, Manek S, Shang C, et al. Mass cytometry analysis reveals a distinct immune environment in peritoneal fluid in endometriosis: A characterisation study. BMC Med 2020; 18: 3. [DOI:10.1186/s12916-019-1470-y] [PMID] [PMCID]

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Designed & Developed by : Yektaweb