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改善女性生育能力的营养干预措施:微量营养素及其影响的综合综述

Nutritional Interventions for Enhancing Female Fertility: A Comprehensive Review of Micronutrients and Their Impact.

作者信息

Mashhadi Faezeh, Sedghi Zahra, Hemmat Ava, Rivaz Raha, Roudi Fatemeh

机构信息

Department of Nutrition, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Metabolic Syndrome Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Nurs Res Pract. 2025 Aug 5;2025:2137328. doi: 10.1155/nrp/2137328. eCollection 2025.

DOI:10.1155/nrp/2137328
PMID:40800608
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12343174/
Abstract

Infertility significantly impacts individuals and society, necessitating effective strategies for its management. Among the various factors influencing female fertility, micronutrients play a crucial role in reproductive health by supporting oocyte quality, hormonal balance, and implantation processes. This narrative review examines the importance of optimal preconception micronutrient intake in enhancing female fertility. By analyzing research from various scientific databases, including PubMed, Google Scholar, and ScienceDirect, spanning from 2000 to April 2024, we highlight the impact of key micronutrients such as folate, vitamin D, iron, selenium, and antioxidants on fertility outcomes. Deficiencies in these nutrients have been associated with impaired ovarian function, disrupted menstrual cycles, and increased risk of pregnancy complications. Given the prevalence of micronutrient inadequacies among women of reproductive age, this review underscores the need for evidence-based nutritional interventions and standardized supplementation guidelines. The findings aim to bridge the gap between research and clinical practice, providing healthcare professionals with insights to optimize fertility care through targeted nutritional strategies.

摘要

不孕症对个人和社会都有重大影响,因此需要有效的管理策略。在影响女性生育能力的各种因素中,微量营养素通过支持卵母细胞质量、激素平衡和着床过程,在生殖健康中起着至关重要的作用。本叙述性综述探讨了孕前最佳微量营养素摄入对提高女性生育能力的重要性。通过分析2000年至2024年4月期间来自各种科学数据库(包括PubMed、谷歌学术和科学Direct)的研究,我们强调了叶酸、维生素D、铁、硒和抗氧化剂等关键微量营养素对生育结果的影响。这些营养素的缺乏与卵巢功能受损、月经周期紊乱以及妊娠并发症风险增加有关。鉴于育龄妇女中微量营养素不足的普遍情况,本综述强调了基于证据的营养干预措施和标准化补充指南的必要性。研究结果旨在弥合研究与临床实践之间的差距,为医疗保健专业人员提供见解,以便通过有针对性的营养策略优化生育护理。

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Nutritional Interventions for Enhancing Female Fertility: A Comprehensive Review of Micronutrients and Their Impact.改善女性生育能力的营养干预措施:微量营养素及其影响的综合综述
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本文引用的文献

1
Antioxidant Intake and Ovarian Reserve in Women Attending a Fertility Center.生育中心女性的抗氧化剂摄入量与卵巢储备功能
Nutrients. 2025 Jan 31;17(3):554. doi: 10.3390/nu17030554.
2
Association between nutrient intake and female infertility: a study based on NHANES database.营养素摄入与女性不孕的关联:基于 NHANES 数据库的研究。
J Obstet Gynaecol. 2023 Dec;43(2):2285025. doi: 10.1080/01443615.2023.2285025. Epub 2023 Nov 27.
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Female infertility and dietary antioxidant index (DAI); a case-control study.女性不孕与饮食抗氧化指数(DAI):病例对照研究。
BMC Womens Health. 2023 Nov 16;23(1):608. doi: 10.1186/s12905-023-02747-9.
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Are epigenetic mechanisms and nutrition effective in male and female infertility?表观遗传机制和营养在男性和女性不孕中是否有效?
J Nutr Sci. 2023 Sep 26;12:e103. doi: 10.1017/jns.2023.62. eCollection 2023.
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Assessing the influence of preconception diet on female fertility: a systematic scoping review of observational studies.评估孕前饮食对女性生育力的影响:观察性研究的系统范围综述。
Hum Reprod Update. 2023 Nov 2;29(6):811-828. doi: 10.1093/humupd/dmad018.
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SIRT1 and antioxidants in infertile females: Exploration of the role of vitamin D.SIRT1 与不孕女性体内的抗氧化剂:维生素 D 作用的探索。
PLoS One. 2023 Jul 10;18(7):e0287727. doi: 10.1371/journal.pone.0287727. eCollection 2023.
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Association between the serum vitamin D level and prevalence of obesity/abdominal obesity in women with infertility: a cross-sectional study of the National Health and Nutrition Examination Survey data.血清维生素 D 水平与不孕女性肥胖/腹型肥胖患病率的关系:基于全国健康和营养调查数据的横断面研究。
Gynecol Endocrinol. 2023 Dec;39(1):2217251. doi: 10.1080/09513590.2023.2217251.
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The Importance of Natural Antioxidants in Female Reproduction.天然抗氧化剂在女性生殖中的重要性。
Antioxidants (Basel). 2023 Apr 11;12(4):907. doi: 10.3390/antiox12040907.
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Antioxidant Supplementation on Male Fertility-A Systematic Review.抗氧化剂补充剂对男性生育能力的系统评价
Antioxidants (Basel). 2023 Mar 30;12(4):836. doi: 10.3390/antiox12040836.
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Efficacy of N-Acetylcysteine on Endometriosis-Related Pain, Size Reduction of Ovarian Endometriomas, and Fertility Outcomes.N-乙酰半胱氨酸治疗子宫内膜异位症相关疼痛、卵巢子宫内膜异位囊肿缩小和生育结局的疗效。
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