[Influence of adherence to a mediterranean diet and nutritional status on ovarian reserve]. / Influencia de la adherencia a la dieta mediterránea y del estado nutricional en la reserva ovárica.

OBJECTIVE: Currently, esterility affects between 15% and 20% of couples of fertile age. Female reproductive success is mainly determined by age and ovarian reserve (OR). Recent studies highlight the influence of modifiable factors such as dietary habits and nutritional status on OR. In this regard, the Mediterranean Diet (MD) is postulated as a standard of healthy eating. Therefore, the objective of this paper was to analyze the influence of adherence to DM and nutritional status on the OR of infertile women. METHODS: A descriptive cross-sectional study was carried out, lasting one year, between February 2022 and February 2023, in a sample of forty-five female patients who attended the Gynaecology-Esterility consultation at the Marina Salud Hospital in Denia (Spain) due to genital desire older than one year. An exploratory descriptive analysis based on univariate statistics was performed. RESULTS: The mean age of the sample (n=45) was 31.84 (±3.99) years, with an average BMI of 26.27 (±6.08) kg/m2, with 44.4% (n=20) having excess body weight. The RO was measured based on AMH, with an average value of 2.32 (±1.59) ng/ml and RFA, with an average of 19.80 (±14.13) antral follicles. A statistically significant association was found between low adherence to DM and lower anti-Müllerian hormone (AMH; p=0.025) levels. In addition, an association was found between low consumption of vegetables (p=0.044), excessive consumption of red meat (p=0.027) and carbonated beverages (p=0.015) with insufficient AMH levels, indicative of low OR. Low fruit consumption was also found to be associated with low oestradiol levels (p=0.045). Statistically significant associations were also found reflecting the influence of nutritional status on OR. CONCLUSIONS: One of the main factors conditioning the success of ART (assisted reproductive technology) is the woman's OR. The most widely used parameter to assess OR is AMH. Lifestyle and diet are modifiable factors that can influence OR. High adherence to DM and consumption of vegetables is associated with higher levels of AMH; however, high intake of red meat and carbonated beverages is associated with lower levels. Nutritional status, adherence to DM and dietary habits influence the status of OR, so it would be advisable to promote programmes to improve the population's diet in order to improve reproductive health.

OBJECTIVE: Actualmente, la esterilidad afecta a entre el 15% y 20% de las parejas en edad fértil. El éxito reproductivo femenino está determinado fundamentalmente por la edad y la reserva ovárica (RO). Recientes estudios remarcan la influencia de factores modificables como los hábitos dietéticos y el estado nutricional en la RO. A este respecto, la Dieta Mediterránea (DM) se postula como un estándar de alimentación saludable. Por ende, el objetivo de este estudio fue analizar la influencia de la adherencia a la DM y el estado nutricional en la RO de mujeres estériles. METHODS: Se efectuó un estudio descriptivo transversal, de un año de duración, entre los meses de febrero de 2022 y febrero de 2023, en una muestra de cuarenta y cinco pacientes de sexo femenino que acudieron a la consulta de Ginecología-Esterilidad en el Hospital Marina Salud de Denia (España) por deseo genésico mayor a un año. Se realizó un análisis descriptivo de carácter exploratorio basado en una estadística univariable. RESULTS: El estudio incluyó una muestra total de cuarenta y cinco mujeres (n=45) siendo la media de edad de 31,84 (±3,99) años, siendo el IMC medio de 26,27 (±6,08) kg/m2, teniendo el 44,4% (n=20) un IMC por encima de los valores normales. En cuanto a la RO, se midió en base a la AMH, siendo el valor promedio de 2,32 (±1,59) ng/ml, y al RFA, siendo la media de 19,80 (±14,13) folículos antrales. Se encontró una asociación estadísticamente significativa entre la baja adherencia a la DM y menores niveles de hormona antimülleriana (AMH; p=0,025). Además, se determinó una asociación entre el bajo consumo de verduras y hortalizas (p=0,044), el excesivo consumo de carne roja (p=0,027) y de bebidas carbonatadas (p=0,015) con insuficientes niveles de AMH, indicativos de baja RO. También se observó que el bajo consumo de fruta estaba asociado con bajos niveles de estradiol (p=0,045). Asimismo, se encontraron asociaciones estadísticamente significativas que reflejaban la influencia del estado nutricional en la RO. CONCLUSIONS: Uno de los principales factores que condicionan el éxito de una TRA (técnica de reproducción asistida) es la RO de la mujer, siendo la AMH el parámetro más utilizado para su valoración. La RO puede verse influenciada por factores modificables como son el estilo de vida y la alimentación, se observa cómo una alta adherencia a la DM y el consumo de verduras y hortalizas se relaciona con mayores niveles de AMH; por el contrario, la alta ingesta de carne roja y bebidas carbonatadas se asocia niveles más bajos. El estado nutricional, el grado de adherencia a la DM y los hábitos dietéticos influyen en el estado de la RO, de modo que sería conveniente promover programas de mejora en la alimentación de la población con la finalidad de mejorar la salud reproductiva.

Influencia de la adherencia a la dieta mediterránea y del estado nutricional en la reserva ovárica / Influence of adherence to a mediterranean diet and nutritional status on ovarian reserve

Fundamentos: actualmente, la esterilidad afecta a entre el 15% y 20% de las parejas en edad fértil. El éxito reproductivo feme-nino está determinado fundamentalmente por la edad y la reserva ovárica (ro). Recientes estudios remarcan la influencia de factores modificables como los hábitos dietéticos y el estado nutricional en la ro. A este respecto, la dieta mediterránea (dm) se postula como un estándar de alimentación saludable. Por ende, el objetivo de este estudio fue analizar la influencia de la adherencia a la dm y el estado nutricional en la ro de mujeres estériles. Métodos: se efectuó un estudio descriptivo transversal, de un año de duración, entre los meses de febrero de 2022 y febrero de 2023, en una muestra de cuarenta y cinco pacientes de sexo femenino que acudieron a la consulta de ginecología-esterilidad en el hospital marina salud de denia (españa) por deseo genésico mayor a un año. Se realizó un análisis descriptivo de carácter exploratorio basado en una estadística univariable. Resultados: el estudio incluyó una muestra total de cuarenta y cinco mujeres (n=45) siendo la media de edad de 31,84 (±3,99) años, siendo el imc medio de 26,27 (±6,08) kg/m2, teniendo el 44,4% (n=20) un imc por encima de los valores normales. En cuanto a la ro, se midió en base a la amh, siendo el valor promedio de 2,32 (±1,59) ng/ml, y al rfa, siendo la media de 19,80 (±14,13) folículos antrales. Se encontró una asociación estadísticamente significativa entre la baja adherencia a la dm y menores niveles de hormona antimülleriana (amh; p=0,025). Además, se determinó una asociación entre el bajo consumo de verduras y hortalizas (p=0,044), el excesivo consumo de carne roja (p=0,027) y de bebidas carbonatadas (p=0,015) con insuficientes niveles de amh, indicativos de baja ro...(AU)

Background: currently, esterility affects between 15% and 20% of couples of fertile age. Female reproductive success is mainly determined by age and ovarian reserve (or). Recent studies highlight the influence of modifiable factors such as dietary habits and nutritional status on or. In this regard, the mediterranean diet (md) is postulated as a standard of healthy eating. Therefore, the objective of this paper was to analyze the influence of adherence to dm and nutritional status on the or of infertile women.methods: a descriptive cross-sectional study was carried out, lasting one year, between february 2022 and february 2023, in a sample of forty-five female patients who attended the gynaecology-esterility consultation at the marina salud hospital in denia (spain) due to genital desire older than one year. An exploratory descriptive analysis based on univariate statistics was performed.results: the mean age of the sample (n=45) was 31.84 (±3.99) years, with an average bmi of 26.27 (±6.08) kg/m2, with 44.4% (n=20) having excess body weight. The ro was measured based on amh, with an average value of 2.32 (±1.59) ng/ml and rfa, with an average of 19.80 (±14.13) antral follicles. A statistically significant association was found between low adherence to dm and lower an-ti-müllerian hormone (amh; p=0.025) levels. In addition, an association was found between low consumption of vegetables (p=0.044), excessive consumption of red meat (p=0.027) and carbonated beverages (p=0.015) with insufficient amh levels, indicative of low or. Low fruit consumption was also found to be associated with low oestradiol levels (p=0.045). Statistically significant associations were also found reflecting the influence of nutritional status on or.conclusions: one of the main factors conditioning the success of art (assisted reproductive technology) is the woman’s or. The most widely used parameter to assess or is amh. Lifestyle and diet are modifiable factors that can influence or...(AU)

Influence of the Mediterranean diet on seminal quality-a systematic review.

Currently, there is a growing interest in the study of fertility because fertility-related problems affect up to 15% of the world's population. The aim of this study was to determine the influence of the Mediterranean diet on seminal quality in men of reproductive age. For this purpose, a systematic review of the literature was carried out following the PRISMA method. Electronic searches were carried out in the international databases PubMed, Scopus, the Cochrane Library, and Web of Science. In total, 10 articles with 2032 men were included. As inclusion criteria, articles published between 2012 and 2022 were selected, including those that included men aged between 18 and 55 years. Nutritional status was assessed through weight, height, and BMI. Dietary habits were evaluated through different indexes and food frequency questionnaires, and finally, semen quality was evaluated by measuring sperm concentration and motility (progressive and non-progressive). In six (60%) of the included articles, a positive relationship between adherence to the Mediterranean diet and semen quality was demonstrated; in two (20%) of the articles, no association was found; and finally, in two (20%) of the included articles, the relationship between dietary patterns typical of DM and semen quality was evaluated. Dietary habits influence semen quality. Adherence to the Mediterranean diet can improve male reproductive health, as it is a diet with antioxidant and anti-inflammatory effects. This is the first systematic review about the influence of the Mediterranean diet on semen quality, and the results are positive. These findings may allow us to provide better advice to our patients and to establish interventions with the aim of improving the results of assisted reproduction techniques.

Assessment of Nutritional Status and Its Influence on Ovarian Reserve: A Systematic Review.

BACKGROUND: Nowadays, there is a growing interest in the relationship among lifestyle, reproductive health, and fertility. Recent investigations highlight the influence of environmental and lifestyle factors such as stress, diet, and nutritional status on reproductive health. The aim of this review was to determine the influence of nutritional status on ovarian reserve in order to improve the reproductive health of women of childbearing age. METHODS: A systematic literature review was carried out following the PRISMA method. The quality of the studies was assessed using the Cochrane Collaboration Risk of Bias tool. Data were extracted, and the results were summarized into two blocks: according to the technique used to assess ovarian reserve and nutritional status; according to the results found in the relationship between ovarian reserve and nutritional status. RESULTS: A total of 22 articles involving 5929 women were included. In 12 of the included articles (54.5%), a relationship between nutritional status and ovarian reserve was demonstrated. In seven publications (31.8%), the increased body mass index (BMI) led to a decrease in ovarian reserve, two of them (0.9%) in patients with polycystic ovary syndrome, showing a decrease only if BMI > 25. In two articles (0.9%), there was a negative relationship between ovarian reserve and waist-to-hip ratio, and in one (0.45%), a positive relationship was shown between ovarian reserve and testosterone levels, the latter being related to body mass index. In five articles (22.7%), body mass index was used as a confounder and was negatively related to ovarian reserve, and in another four (18%), no correlation was found. CONCLUSIONS: Ovarian reserve appears to be influenced by nutritional status. A high body mass index has a negative impact on the ovary, decreasing antral follicle count and anti-Müllerian hormone. Oocyte quality is compromised, increasing the rate of reproductive problems and the demand for assisted reproductive techniques. Further studies are needed to understand which dietary factors have the greatest effect on ovarian reserve in order to promote reproductive health.