Mediterranean diet and outcomes of assisted reproduction: an Italian cohort study

Detrimental lifestyle habits have been indicated as potential causes of reduced fertility. Recently studies have suggested an association between healthy diets and increased live birth rates after assisted reproduction techniques. However, the issue remains under debate, and evidence is still accumu...

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Veröffentlicht in:American journal of obstetrics and gynecology 2019-12, Vol.221 (6), p.627.e1-627.e14
Hauptverfasser: Ricci, Elena, Bravi, Francesca, Noli, Stefania, Somigliana, Edgardo, Cipriani, Sonia, Castiglioni, Marta, Chiaffarino, Francesca, Vignali, Michele, Gallotti, Benedetta, Parazzini, Fabio
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container_end_page 627.e14
container_issue 6
container_start_page 627.e1
container_title American journal of obstetrics and gynecology
container_volume 221
creator Ricci, Elena
Bravi, Francesca
Noli, Stefania
Somigliana, Edgardo
Cipriani, Sonia
Castiglioni, Marta
Chiaffarino, Francesca
Vignali, Michele
Gallotti, Benedetta
Parazzini, Fabio
description Detrimental lifestyle habits have been indicated as potential causes of reduced fertility. Recently studies have suggested an association between healthy diets and increased live birth rates after assisted reproduction techniques. However, the issue remains under debate, and evidence is still accumulating. The objective of the study was to study the relationship between a Mediterranean diet and outcomes of assisted reproduction techniques in subfertile couples in an Italian population. This was a prospective cohort study, conducted in an Italian fertility clinic. Couples undergoing in vitro fertilization were interviewed on the day of oocyte retrieval to obtain information on personal and health history, lifestyle habits, and diet. Adherence to a Mediterranean diet was evaluated using a Mediterranean diet score. Relative risks and 95% confidence intervals for embryo transfer, clinical pregnancy, and live birth were calculated. Potential confounders were included in the equation model. Among 474 women (mean age, 36.6 years, range, 27–45), 414 (87.3%) performed embryo transfer, 150 (31.6%) had clinical pregnancies, and 117 (24.7%) had live births. In a model including the potential confounders (age, leisure physical activity, body mass index, smoking, daily calorie intake, and previous failed in vitro fertilization cycles), findings showed that the Mediterranean diet score was not significantly associated with in vitro fertilization outcomes. Adjusted analyses were performed in strata of age, previous assisted reproduction technique cycles, and reasons for infertility, with consistent findings. The only exception was observed in women >35 years old with an intermediate Mediterranean diet score, who showed a lower risk of not achieving clinical pregnancy (adjusted relative risk, 0.84, 95% confidence interval, 0.71–1.00, P = .049). No clear association was observed between adherence to a Mediterranean diet and successful in vitro fertilization.
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Recently studies have suggested an association between healthy diets and increased live birth rates after assisted reproduction techniques. However, the issue remains under debate, and evidence is still accumulating. The objective of the study was to study the relationship between a Mediterranean diet and outcomes of assisted reproduction techniques in subfertile couples in an Italian population. This was a prospective cohort study, conducted in an Italian fertility clinic. Couples undergoing in vitro fertilization were interviewed on the day of oocyte retrieval to obtain information on personal and health history, lifestyle habits, and diet. Adherence to a Mediterranean diet was evaluated using a Mediterranean diet score. Relative risks and 95% confidence intervals for embryo transfer, clinical pregnancy, and live birth were calculated. Potential confounders were included in the equation model. Among 474 women (mean age, 36.6 years, range, 27–45), 414 (87.3%) performed embryo transfer, 150 (31.6%) had clinical pregnancies, and 117 (24.7%) had live births. In a model including the potential confounders (age, leisure physical activity, body mass index, smoking, daily calorie intake, and previous failed in vitro fertilization cycles), findings showed that the Mediterranean diet score was not significantly associated with in vitro fertilization outcomes. Adjusted analyses were performed in strata of age, previous assisted reproduction technique cycles, and reasons for infertility, with consistent findings. The only exception was observed in women &gt;35 years old with an intermediate Mediterranean diet score, who showed a lower risk of not achieving clinical pregnancy (adjusted relative risk, 0.84, 95% confidence interval, 0.71–1.00, P = .049). 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No clear association was observed between adherence to a Mediterranean diet and successful in vitro fertilization.</description><subject>Adult</subject><subject>assisted reproduction techniques</subject><subject>Cohort Studies</subject><subject>cohort study</subject><subject>Diet, Mediterranean - statistics &amp; numerical data</subject><subject>Female</subject><subject>Fertilization in Vitro</subject><subject>Humans</subject><subject>Infertility - therapy</subject><subject>Italy - epidemiology</subject><subject>lifestyle</subject><subject>Live Birth - epidemiology</subject><subject>Mediterranean diet</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Reproductive Techniques, Assisted</subject><subject>Treatment Outcome</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKBDEQRYMoOj5-wIX00k23lUxPHuJGxBcoIug6pJNqzTDT0SQt-PdmmNGlq6Lg3EvVIeSYQkOB8rN5Y-bhrWFAVQOiAUq3yISCEjWXXG6TCQCwWk2F3CP7Kc1XK1Nsl-xNKZMSQE7I8yM6nzFGM6AZKucxV2ZwVRizDUtMVegrk5JPGV0V8SMGN9rsw3BesOo-m4Uv04b3EHOV8ui-D8lObxYJjzbzgLzeXL9c3dUPT7f3V5cPtW0Bcq2s4nyGDFveWdFaKSwaQdvOSGV6boztWgs9n7GOK0odbYXsQVHuKDdMdNMDcrruLTd9jpiyXvpkcbEon4QxacZms1YwJXlB2Rq1MaQUsdcf0S9N_NYU9EqlnuuVSr1SqUHoorKETjb9Y7dE9xf5dVeAizWA5csvj1En63GwRWhEm7UL_r_-H74phYI</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Ricci, Elena</creator><creator>Bravi, Francesca</creator><creator>Noli, Stefania</creator><creator>Somigliana, Edgardo</creator><creator>Cipriani, Sonia</creator><creator>Castiglioni, Marta</creator><creator>Chiaffarino, Francesca</creator><creator>Vignali, Michele</creator><creator>Gallotti, Benedetta</creator><creator>Parazzini, Fabio</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5279-0444</orcidid></search><sort><creationdate>201912</creationdate><title>Mediterranean diet and outcomes of assisted reproduction: an Italian cohort study</title><author>Ricci, Elena ; 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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
assisted reproduction techniques
Cohort Studies
cohort study
Diet, Mediterranean - statistics & numerical data
Female
Fertilization in Vitro
Humans
Infertility - therapy
Italy - epidemiology
lifestyle
Live Birth - epidemiology
Mediterranean diet
Middle Aged
Prospective Studies
Reproductive Techniques, Assisted
Treatment Outcome
title Mediterranean diet and outcomes of assisted reproduction: an Italian cohort study
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