B-Woman, 00197 Rome, Italy.
Clinica Valle Giulia, GeneraLife IVF, 00197 Rome, Italy.
Nutrients. 2022 May 3;14(9):1918. doi: 10.3390/nu14091918.
Increasing evidence on the significance of nutrition in reproduction is emerging from both animal and human studies, suggesting a mutual association between nutrition and female fertility. Different "fertile" dietary patterns have been studied; however, in humans, conflicting results or weak correlations are often reported, probably because of the individual variations in genome, proteome, metabolome, and microbiome and the extent of exposure to different environmental conditions. In this scenario, "precision nutrition", namely personalized dietary patterns based on deep phenotyping and on metabolomics, microbiome, and nutrigenetics of each case, might be more efficient for infertile patients than applying a generic nutritional approach. In this review, we report on new insights into the nutritional management of infertile patients, discussing the main nutrigenetic, nutrigenomic, and microbiomic aspects that should be investigated to achieve effective personalized nutritional interventions. Specifically, we will focus on the management of low-grade chronic inflammation, which is associated with several infertility-related diseases.
越来越多的动物和人类研究证据表明,营养在生殖中具有重要意义,提示营养与女性生育力之间存在相互关联。已经研究了不同的“生育”饮食模式;然而,在人类中,经常报告相互矛盾的结果或弱相关性,这可能是由于个体基因组、蛋白质组、代谢组和微生物组的个体差异以及暴露于不同环境条件的程度不同所致。在这种情况下,“精准营养”,即基于每个病例的深度表型以及代谢组学、微生物组和营养遗传学的个性化饮食模式,可能比应用通用营养方法对不孕患者更有效。在这篇综述中,我们报告了关于不孕患者营养管理的新见解,讨论了应进行的主要营养遗传学、营养基因组学和微生物组学方面的研究,以实现有效的个性化营养干预。具体来说,我们将重点关注与几种与不孕相关的疾病相关的低度慢性炎症的管理。