Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study

Abstract Background Endometriosis, characterized as an inflammatory ailment, affects females during their reproductive years, leading to decreased quality of life. Despite the pivotal role of diet as a modifiable risk factor for various chronic conditions, its potential influence on endometriosis ha...

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Main Authors: Seyed Mojtaba Ghoreishy, Fatemeh Sadat Hashemi Javaheri, Sakine Ghasemisedaghat, Morvarid Noormohammadi, Ghazaleh Eslamian, Seyyedeh Neda Kazemi, Bahram Rashidkhani, Robabeh Taheripanah
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Women's Health
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Online Access:https://doi.org/10.1186/s12905-025-03805-0
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author Seyed Mojtaba Ghoreishy
Fatemeh Sadat Hashemi Javaheri
Sakine Ghasemisedaghat
Morvarid Noormohammadi
Ghazaleh Eslamian
Seyyedeh Neda Kazemi
Bahram Rashidkhani
Robabeh Taheripanah
author_facet Seyed Mojtaba Ghoreishy
Fatemeh Sadat Hashemi Javaheri
Sakine Ghasemisedaghat
Morvarid Noormohammadi
Ghazaleh Eslamian
Seyyedeh Neda Kazemi
Bahram Rashidkhani
Robabeh Taheripanah
author_sort Seyed Mojtaba Ghoreishy
collection DOAJ
description Abstract Background Endometriosis, characterized as an inflammatory ailment, affects females during their reproductive years, leading to decreased quality of life. Despite the pivotal role of diet as a modifiable risk factor for various chronic conditions, its potential influence on endometriosis has remained inadequately explored. This research endeavor sought to scrutinize the association between dietary alternative healthy eating index, AHEI, and the likelihood of experiencing endometriosis among women in Iran. Methods Conducted as a hospital-centered case-control investigation, the study enlisted individuals diagnosed with endometriosis alongside healthy counterparts, confirmed by a gynecologist, between February and September 2021 in Tehran, Iran. The pattern of diet was assessed utilizing a validated Food Frequency Questionnaire (FFQ) encompassing 168 food items. Logistic regression models were employed to explore the potential connection between AHEI and the probability of endometriosis. Results The analysis encompassed 105 subjects with endometriosis and 208 individuals in good health. After adjustment for total calories intake (Kcal), occupation, smoking (yes/no), age at menarche (years), menstruation duration (days), regular menstruation (yes/no), physical activity (minutes per week) and familial history of endometriosis (yes/no), it was observed that those with the high adherence to the AHEI, had about 92% lower odds of endometriosis (Odds Ratio: 0.08, 95%Confidence Intervals: 0.03, 0.24; P for trend < 0.001). Conclusion The investigation illustrated a protective effect of healthy eating index and its components on developing endometriosis.
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issn 1472-6874
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publishDate 2025-05-01
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spelling doaj-art-7484792f170245d690f38b3f96d8a8b72025-08-20T03:08:44ZengBMCBMC Women's Health1472-68742025-05-0125111110.1186/s12905-025-03805-0Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control studySeyed Mojtaba Ghoreishy0Fatemeh Sadat Hashemi Javaheri1Sakine Ghasemisedaghat2Morvarid Noormohammadi3Ghazaleh Eslamian4Seyyedeh Neda Kazemi5Bahram Rashidkhani6Robabeh Taheripanah7Department of Nutrition, School of Public Health, Iran University of Medical SciencesDepartment of Clinical Nutrition, Faculty of Medicine, Mashhad University of Medical SciencesDepartment of Cellular and Molecular Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Nutrition, School of Public Health, Iran University of Medical SciencesDepartment of Cellular and Molecular Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Obstetrics and Gynecology, School of Medicine, Preventative Gynecology Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical SciencesDepartment of Community Nutrition, Faculty of Nutrition and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical SciencesDepartment of Obstetrics and Gynecology, School of Medicine, Men’s Health and Reproductive Health Research Center, Imam Hossein Hospital, Shahid Beheshti University of Medical SciencesAbstract Background Endometriosis, characterized as an inflammatory ailment, affects females during their reproductive years, leading to decreased quality of life. Despite the pivotal role of diet as a modifiable risk factor for various chronic conditions, its potential influence on endometriosis has remained inadequately explored. This research endeavor sought to scrutinize the association between dietary alternative healthy eating index, AHEI, and the likelihood of experiencing endometriosis among women in Iran. Methods Conducted as a hospital-centered case-control investigation, the study enlisted individuals diagnosed with endometriosis alongside healthy counterparts, confirmed by a gynecologist, between February and September 2021 in Tehran, Iran. The pattern of diet was assessed utilizing a validated Food Frequency Questionnaire (FFQ) encompassing 168 food items. Logistic regression models were employed to explore the potential connection between AHEI and the probability of endometriosis. Results The analysis encompassed 105 subjects with endometriosis and 208 individuals in good health. After adjustment for total calories intake (Kcal), occupation, smoking (yes/no), age at menarche (years), menstruation duration (days), regular menstruation (yes/no), physical activity (minutes per week) and familial history of endometriosis (yes/no), it was observed that those with the high adherence to the AHEI, had about 92% lower odds of endometriosis (Odds Ratio: 0.08, 95%Confidence Intervals: 0.03, 0.24; P for trend < 0.001). Conclusion The investigation illustrated a protective effect of healthy eating index and its components on developing endometriosis.https://doi.org/10.1186/s12905-025-03805-0Alternative healthy eating indexEndometriosisCase-control
spellingShingle Seyed Mojtaba Ghoreishy
Fatemeh Sadat Hashemi Javaheri
Sakine Ghasemisedaghat
Morvarid Noormohammadi
Ghazaleh Eslamian
Seyyedeh Neda Kazemi
Bahram Rashidkhani
Robabeh Taheripanah
Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
BMC Women's Health
Alternative healthy eating index
Endometriosis
Case-control
title Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
title_full Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
title_fullStr Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
title_full_unstemmed Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
title_short Alternative healthy eating index may predict a reduced odd of endometriosis: results from a case-control study
title_sort alternative healthy eating index may predict a reduced odd of endometriosis results from a case control study
topic Alternative healthy eating index
Endometriosis
Case-control
url https://doi.org/10.1186/s12905-025-03805-0
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