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膳食抗氧化剂对女性不孕风险的影响:来自 NHANES 的证据。

Impact of dietary antioxidants on female infertility risk: evidence from NHANES.

机构信息

Department of Obstetrics and GynecologyJiaxing Women and Children's Hospital, Wenzhou Medical University, Jiaxing, 314000, China.

Department of Obstetrics and Gynecology, Jiaxing University Affiliated Women and Children Hospital, Jiaxing, 314000, China.

出版信息

Sci Rep. 2024 Sep 30;14(1):22623. doi: 10.1038/s41598-024-72434-8.

Abstract

The composite dietary antioxidant index (CDAI) serves as a valuable instrument for evaluating the intake of dietary antioxidants. This research aims to clarify the connection between CDAI and the risk of female infertility by analyzing data from the National Health and Nutrition Examination Survey from 2013 to 2018. Participants underwent two 24-h dietary recall interviews to calculate CDAI. Female infertility was determined through two questionnaires. Logistic regression model, restricted cubic spline and subgroup analysis were employed to examine the association between CDAI and female infertility. The study encompassed 2162 participants. Participants with female infertility had lower CDAI levels compared to those without. Following adjustment for confounding variables, a negative association between CDAI levels and female infertility was observed (Q4 vs. Q1, OR [95% CI] 0.392 [0.193, 0.795], P = 0.016). RCS demonstrated a statistically significant linear negative relationship between CDAI and female infertility. Subgroup analysis showed no significant interaction. This study illustrates a negative link between the CDAI and female infertility, indicating that higher consumption of dietary antioxidants may be associated with a reduced risk of female infertility. Additional rigorously designed prospective studies are necessary to validate these results.

摘要

复合膳食抗氧化指数(CDAI)可作为评估膳食抗氧化剂摄入量的有效工具。本研究旨在通过分析 2013 年至 2018 年全国健康与营养调查的数据,阐明 CDAI 与女性不孕风险之间的关系。参与者接受了两次 24 小时膳食回顾访谈,以计算 CDAI。通过两份问卷确定女性不孕。采用逻辑回归模型、限制三次样条和亚组分析来检验 CDAI 与女性不孕之间的关联。本研究共纳入 2162 名参与者。与无不孕的参与者相比,患有不孕的参与者的 CDAI 水平较低。在调整混杂变量后,发现 CDAI 水平与女性不孕之间呈负相关(Q4 与 Q1 相比,OR[95%CI]0.392[0.193,0.795],P=0.016)。RCS 显示 CDAI 与女性不孕之间存在统计学上显著的线性负相关。亚组分析显示无显著交互作用。本研究表明 CDAI 与女性不孕之间存在负相关,提示较高的膳食抗氧化剂摄入可能与降低女性不孕的风险相关。需要进一步设计严谨的前瞻性研究来验证这些结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fcc/11443145/d66db66d490b/41598_2024_72434_Fig1_HTML.jpg

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