Ahmadi Paniz, Bayat Niloofar, Abbasi Behnood
Department of Nutrition, Electronic Health and Statistics Surveillance Research Center, Science and Research Branch, Islamic Azad University, Tehran, Iran.
J Nutr Sci. 2025 Jan 2;13:e98. doi: 10.1017/jns.2024.81. eCollection 2025.
Lifestyle and diet may affect the reproductive cycle. A dietary index called Diet Diversity Score (DDS) may be related to various reproductive outcomes. The present review aims to look over and conclude the prior studies on the relationship between the diversity of food ingredients and issues related to reproductive health and pregnancy. In the case of this relationship, our findings can increase clinical knowledge and help recommend a well-balanced diet for the target group. A comprehensive search was performed in major databases such as PubMed, Google Scholar, Web of Science, Scopus, and Scientific Information Database until March 2024. This research was combined with a search of Elsevier and SpringerLink databases, which led to the inclusion of relevant articles in this review. Our study was conducted based on 27 articles from 2012 to 2023, all containing a possible link between dietary diversity and reproductive complications. The Newcastle-Ottawa Scale quality assessment was used to evaluate the quality of included studies. Due to our results, a higher score in DDS, which led to an increased intake of major nutrients and a greater variety of foods, was correlated with a lower risk of reproductive health disorders such as polycystic ovary syndrome, maternal anaemia, and maternal bone status, as well as a reduced likelihood of certain birth outcomes, including low-birth weight infants, Apgar score and congenital heart defect. These findings highlight the importance of improving the DDS for maternal and infant health.
生活方式和饮食可能会影响生殖周期。一种名为饮食多样性评分（DDS）的饮食指数可能与各种生殖结果有关。本综述旨在回顾和总结先前关于食物成分多样性与生殖健康和怀孕相关问题之间关系的研究。对于这种关系，我们的研究结果可以增加临床知识，并有助于为目标群体推荐均衡的饮食。在PubMed、谷歌学术、科学网、Scopus和科学信息数据库等主要数据库中进行了全面检索，直至2024年3月。这项研究还结合了对爱思唯尔和施普林格链接数据库的检索，从而纳入了本综述中的相关文章。我们的研究基于2012年至2023年的27篇文章，所有文章都包含饮食多样性与生殖并发症之间的可能联系。使用纽卡斯尔-渥太华量表质量评估来评估纳入研究的质量。根据我们的研究结果，DDS得分较高，这导致主要营养素摄入量增加和食物种类增多，与多囊卵巢综合征、孕产妇贫血和孕产妇骨骼状况等生殖健康障碍风险较低以及某些出生结局的可能性降低相关，包括低体重儿、阿氏评分和先天性心脏缺陷。这些发现凸显了提高DDS对母婴健康的重要性。
