Department of Obstetrics and Gynecology, "Veris delli Ponti" Hospital, Scorrano, 73020 Lecce, Italy.
Division of Experimental Endoscopic Surgery, Imaging, Technology and Minimally Invasive Therapy, Vito Fazzi Hospital, 73100 Lecce, Italy.
Int J Environ Res Public Health. 2021 Jan 25;18(3):1066. doi: 10.3390/ijerph18031066.
Uterine myomas or fibroids are the most common benign female tumors of the reproductive organs, associated with significant morbidity and quality of life impairment. Several epidemiological risk factors for their occurrence have been identified so far, including nutrition and dietary habits. In this investigation, authors reviewed, as a narrative review, the data about diet and uterine myoma development in order to homogenize the current data. A PubMed search was conducted for the years 1990-2020, using a combination of keywords of interest for the selected topic. The authors searched the databases, selecting the randomized clinical studies, the observational studies, and the basic (experimental), clinical, and epidemiological researches. Once they collected the articles, they analyzed them according to the number of citations of each article, starting from the most cited to the least cited articles. Subsequently, authors collected the data of each article and inserted them in the various research paragraphs, summarizing the data collected. In this way, they crossed the available data regarding the association between nutrition habits and dietary components and myoma onset and growth. Many nutrients and dietary habits are associated with myoma development risk. These factors include low intakes of fruit, vegetables, and vitamin D, as well as pollutants in food. Despite the available data on the influence of some foods on the development of fibroids, further research is mandatory to understand all the nutrition risk factors which contribute to myoma growth and how exactly these risk factors influence myoma pathogenesis.
子宫肌瘤是女性生殖器官最常见的良性肿瘤,与较高的发病率和生活质量下降有关。目前已经确定了一些与子宫肌瘤发生相关的流行病学危险因素,包括营养和饮食习惯。在本研究中,作者通过叙述性综述回顾了与饮食和子宫肌瘤发生相关的数据,以便对现有数据进行整合。作者对 1990 年至 2020 年的文献进行了 PubMed 检索,使用了与选定主题相关的关键词组合。作者检索了数据库,选择了随机对照临床试验、观察性研究以及基础(实验)、临床和流行病学研究。在收集了文章后,作者根据每篇文章的引用数量对其进行了分析,从引用最多的文章到引用最少的文章依次进行。随后,作者收集了每篇文章的数据,并将其插入到各个研究段落中,总结所收集的数据。通过这种方式,作者交叉分析了营养习惯和饮食成分与子宫肌瘤发病和生长之间的关联。许多营养素和饮食习惯与子宫肌瘤的发病风险相关。这些因素包括水果、蔬菜和维生素 D 摄入不足以及食物中的污染物。尽管有一些关于某些食物对子宫肌瘤发展影响的数据,但仍需要进一步研究以了解所有与肌瘤生长相关的营养危险因素,以及这些危险因素如何影响肌瘤的发病机制。