Table. 2.

Table. 2.

Summary of literature on the association between diet and female fertility

Nutritional factors Findings References
Dietary patterns Healthy dietary patterns (MedDiet and PD) have been shown to improve the chance of pregnancy and ART outcomes. Unhealthy diets (WestDiet) had the opposite relationship. Toledo et al. (2011); Karayiannis et al. (2018); Garruti et al. (2019); Gaskins et al. (2019)
Proteins High-fat dairy products may increase risk of infertility whereas non-dairy protein (fish and white meat) have an important influence on female fertility. Braga et al. (2015); Kim et al. (2017); Souter et al. (2017); Wise et al. (2018)
Dietary fats TFAs may increase risk of metabolic disorders that negatively affect ovarian functions; however, ω-3FAs improve fecundability. Fontana and Della Torre (2016); Gaskins et al. (2018); Wise et al. (2018)
Carbohydrates Current evidence, though limited, suggest that diets with low-GL that contain high amounts of whole grains may benefit fecundity. Liese et al. (2003); Blomhoff (2005); Gaskins et al. (2016); Chiu et al. (2018)
Antioxidants Antioxidants might provide benefit for subfertile women. Showell et al. (2020)
Vit D supplement Vit D may be beneficial only for women with disorders like PCOS, insulin resistance, or low anti-Mullerian hormone levels. Jukic et al. (2015); Somigliana et al. (2016); Muscogiuri et al. (2017); Arslan and Akdevelioğlu (2018); Mumford et al. (2018)
Fa and Zn supplement Fa and Zn may decrease the risk of ovulatory infertility, sporadic anovulation, and TTP. Cueto et al. (2016); Chiu et al. (2018)
Zn and Se supplement Zn and Se may reduce TTP and risk of subfertility. Grieger et al. (2019); Maeda et al. (2019)
Cu Cu does not have an important influence on female infertility. Bawa and Tyagi (2017)
Hg Intake of fish with high levels of Hg may be of concern to women planning pregnancy or pregnant women. Maeda et al. (2019); Zhu et al. (2020)
Fe Heme-Fe was much more associated with fecundability than non-heme Fe. Hahn et al. (2019)
LC supplement LC may improve PCOS, amenorrhea disorders, sex hormone levels, oocyte health, as well as TAC and lipid peroxidation. Genazzani et al. (2011); Samimi et al. (2016); life’sDHA (2020)
Beverages High intake of beverages (alcohol, caffeine, and SSBs) increases the risk of infertility. Schliep et al. (2015); Mikkelsen et al. (2016); Lyngsø et al. (2017); Machtinger et al. (2017); Arvizu Boy et al. (2018); Hatch et al. (2018)

MedDiet, Mediterranean diet; PD, Prudent diet; ART, assisted reproductive technology; WestDiet, Western diet; TFA, trans fatty acid; ω-3FA, omega-3 fatty acid; GL, glycemic load; Vit D, vitamin D; PCOS, polycystic ovary syndrome; Fa, folic acid; Zn, zinc; TTP, time to pregnancy; Se, selenium; Cu, copper; Hg, mercury; LC, L-carnitine; TAC, total antioxidant capacity; SSB, sugar-sweetened beverage.

Prev Nutr Food Sci 2021;26:109~120 https://doi.org/10.3746/pnf.2021.26.2.109
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