Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age

Objectives Research investigating the association between reproductive health and diet has predominantly focused on the antenatal and prenatal periods, as well as childbirth in women, and semen quality in men. There is a limited amount of research addressing female fertility assessed as ovarian rese...

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Main Authors: Dorota Szczęsna, Kinga Polańska, Paweł Radwan, Michał Radwan, Hassan Kassassir, Paulina Mroczek, Joanna Jurewicz
Format: Article
Language:English
Published: Nofer Institute of Occupational Medicine 2024-09-01
Series:International Journal of Occupational Medicine and Environmental Health
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Online Access:https://ijomeh.eu/Associations-between-dietary-patterns-and-parameters-of-ovarian-reserve-in-Polish,192056,0,2.html
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author Dorota Szczęsna
Kinga Polańska
Paweł Radwan
Michał Radwan
Hassan Kassassir
Paulina Mroczek
Joanna Jurewicz
author_facet Dorota Szczęsna
Kinga Polańska
Paweł Radwan
Michał Radwan
Hassan Kassassir
Paulina Mroczek
Joanna Jurewicz
author_sort Dorota Szczęsna
collection DOAJ
description Objectives Research investigating the association between reproductive health and diet has predominantly focused on the antenatal and prenatal periods, as well as childbirth in women, and semen quality in men. There is a limited amount of research addressing female fertility assessed as ovarian reserve in relation to diet. The main aim of this study was to evaluate the association between dietary patterns and the parameters of ovarian reserve, such as antral follicle count (AFC), anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2) – predictors of reproductive health in women of childbearing age. Material and Methods Women aged 24–39 years (N = 511) were enrolled from fertility clinic in central Poland. The count of antral follicles was determined using ultrasonography (USG), FSH and E2 levels were measured using a chemilumi- nescence method and for determination of AMH level, an enzyme-linked immunosorbent assay method was employed. Diet was assessed according to food frequency questionnaire and dietary patterns were identified by factor analysis. Women were classified into 3 groups according to scores of each dietary pattern: Western, mixed, prudent. Results Higher adherence to the prudent dietary pattern in obese women was associated with significantly higher AFC (p = 0.03) and AMH (p = 0.05) as compared to participants with the Western dietary pattern. The results were adjusted for age, BMI, smoking and duration of fertility. Increased consumption of mixed dietary pattern was not statistically significant associated with any of examined ovarian reserve parameters. Conclusions The prudent dietary pattern is positively associated with ovarian reserve in a cohort of women seeking fertility care. Continued research in this area will provide nutritional guidance for clinicians and their patients and provide novel insight on potential modifiable lifestyle factors which can be associated with ovarian reserve. Int J Occup Med Environ Health. 2024;37(4):411–20
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spelling doaj-art-8df397120f4a4536a314cc35d3a4879a2025-08-20T01:58:09ZengNofer Institute of Occupational MedicineInternational Journal of Occupational Medicine and Environmental Health1232-10871896-494X2024-09-0137441142010.13075/ijomeh.1896.02464192056Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive ageDorota Szczęsna0https://orcid.org/0000-0003-0959-811XKinga Polańska1https://orcid.org/0000-0002-3212-2307Paweł Radwan2Michał Radwan3Hassan Kassassir4https://orcid.org/0000-0002-2713-9497Paulina Mroczek5Joanna Jurewicz6https://orcid.org/0000-0001-9645-0134Nofer Institute of Occupational Medicine, Łódź, Poland (Department of Chemical Safety)Medical University of Lodz, Łódź, Poland (Copernicus Memorial Hospital, Department of Pediatrics and Allergy)“Gameta” Hospital, Rzgów, Poland (Department of Gynecology and Reproduction)“Gameta” Hospital, Rzgów, Poland (Department of Gynecology and Reproduction)Institute of Medical Biology, Polish Academy of Sciences, Łódź, Poland (Laboratory of Cellular Signaling)Medical University of Lodz, Łódź, PolandNofer Institute of Occupational Medicine, Łódź, Poland (Department of Chemical Safety)Objectives Research investigating the association between reproductive health and diet has predominantly focused on the antenatal and prenatal periods, as well as childbirth in women, and semen quality in men. There is a limited amount of research addressing female fertility assessed as ovarian reserve in relation to diet. The main aim of this study was to evaluate the association between dietary patterns and the parameters of ovarian reserve, such as antral follicle count (AFC), anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), and estradiol (E2) – predictors of reproductive health in women of childbearing age. Material and Methods Women aged 24–39 years (N = 511) were enrolled from fertility clinic in central Poland. The count of antral follicles was determined using ultrasonography (USG), FSH and E2 levels were measured using a chemilumi- nescence method and for determination of AMH level, an enzyme-linked immunosorbent assay method was employed. Diet was assessed according to food frequency questionnaire and dietary patterns were identified by factor analysis. Women were classified into 3 groups according to scores of each dietary pattern: Western, mixed, prudent. Results Higher adherence to the prudent dietary pattern in obese women was associated with significantly higher AFC (p = 0.03) and AMH (p = 0.05) as compared to participants with the Western dietary pattern. The results were adjusted for age, BMI, smoking and duration of fertility. Increased consumption of mixed dietary pattern was not statistically significant associated with any of examined ovarian reserve parameters. Conclusions The prudent dietary pattern is positively associated with ovarian reserve in a cohort of women seeking fertility care. Continued research in this area will provide nutritional guidance for clinicians and their patients and provide novel insight on potential modifiable lifestyle factors which can be associated with ovarian reserve. Int J Occup Med Environ Health. 2024;37(4):411–20https://ijomeh.eu/Associations-between-dietary-patterns-and-parameters-of-ovarian-reserve-in-Polish,192056,0,2.htmlovarian reserveurinedietary patternsmixedprudentwestern
spellingShingle Dorota Szczęsna
Kinga Polańska
Paweł Radwan
Michał Radwan
Hassan Kassassir
Paulina Mroczek
Joanna Jurewicz
Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
International Journal of Occupational Medicine and Environmental Health
ovarian reserve
urine
dietary patterns
mixed
prudent
western
title Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
title_full Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
title_fullStr Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
title_full_unstemmed Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
title_short Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age
title_sort associations between dietary patterns and parameters of ovarian reserve in polish women of reproductive age
topic ovarian reserve
urine
dietary patterns
mixed
prudent
western
url https://ijomeh.eu/Associations-between-dietary-patterns-and-parameters-of-ovarian-reserve-in-Polish,192056,0,2.html
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AT michałradwan associationsbetweendietarypatternsandparametersofovarianreserveinpolishwomenofreproductiveage
AT hassankassassir associationsbetweendietarypatternsandparametersofovarianreserveinpolishwomenofreproductiveage
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