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MIND饮食及其成分与子宫内膜异位症风险之间的关联:一项病例对照研究的次要结果。

Association between MIND diet its components with endometriosis risk: secondary results from a case-control study.

作者信息

Noormohammadi Morvarid, Ghoreishy Seyed Mojtaba, Ghasemisedaghat Sakine, Hasan-Rashedi Minoo, Saeedirad Zahra, Eslamian Ghazaleh, Kazemi Seyyedeh Neda, Nematifard Elahe, Rashidkhani Bahram, Taheripanahe Robabeh, Nouri Mehran

机构信息

Department of Nutrition, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.

Student Research Committee, Faculty of Public Health Branch, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Sci Rep. 2025 Jun 1;15(1):19201. doi: 10.1038/s41598-025-04593-1.

Abstract

Endometriosis is a prevalent chronic inflammatory disease in women, which may advantage from potential lifestyle strategies for prevention, modification, or treatment of the condition. The aim of the current study was to evaluate the association between MIND diet and odds of endometriosis. This hospital-centered case-control research, enrolled individuals with endometriosis, diagnosed by a gynecologist, alongside healthy controls, between February to September 2021 in Tehran, Iran. The pattern of diet was assessed utilizing a validated Food Frequency Questionnaire (FFQ) encompassing 168 food items. Logistic regression models were employed to explore the potential connection between MIND diet and the probability of endometriosis. The analysis encompassed 105 subjects with endometriosis and 208 healthy individuals. After adjustment for potential confounders, it was observed that each one-unit increase in the MIND diet score was associated with a 47% lower odds of endometriosis (OR: 0.530; 95% CI: 0.421-0.666, p-value < 0.001). Also, in categorical association, the high adherence to the MIND diet, 83% lower odds of endometriosis were seen in the group by high adherence to the MIND diet (higher than mean), in comparision to the other group (OR: 0.175; 95% CI: 0.080-0.381, p-value < 0.001). Adhering to the MIND diet, rich in healthy components such as nuts, fish and vegetables and lower consumption of inflammatory foods, may potentially reduce the odds of endometriosis. Despite the promising findings, limitations should be considered, including the cross-sectional design, reliance on self-reported dietary intake, and potential unmeasured confounding factors. Further longitudinal studies are needed to confirm these results.

摘要

子宫内膜异位症是一种在女性中普遍存在的慢性炎症性疾病,可能受益于预防、改善或治疗该疾病的潜在生活方式策略。本研究的目的是评估MIND饮食与子宫内膜异位症发生几率之间的关联。这项以医院为中心的病例对照研究,于2021年2月至9月在伊朗德黑兰招募了由妇科医生诊断为子宫内膜异位症的患者以及健康对照。饮食模式通过一份经过验证的包含168种食物的食物频率问卷(FFQ)进行评估。采用逻辑回归模型来探究MIND饮食与子宫内膜异位症发生概率之间的潜在联系。分析纳入了105名子宫内膜异位症患者和208名健康个体。在对潜在混杂因素进行调整后,发现MIND饮食评分每增加一个单位,子宫内膜异位症的发生几率就降低47%(比值比:0.530;95%置信区间:0.421 - 0.666,p值<0.001)。此外,在分类关联分析中,与另一组相比,高依从MIND饮食组(高于平均值)子宫内膜异位症的发生几率降低了83%(比值比:0.175;95%置信区间:0.080 - 0.381,p值<0.001)。坚持MIND饮食,富含坚果、鱼类和蔬菜等健康成分且减少炎症性食物的摄入,可能会降低子宫内膜异位症的发生几率。尽管有这些有前景的发现,但仍应考虑到局限性,包括横断面设计、依赖自我报告的饮食摄入量以及潜在的未测量混杂因素。需要进一步的纵向研究来证实这些结果。

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