I Am the 1 in 10—What Should I Eat? A Research Review of Nutrition in Endometriosis

Piecuch, Małgorzata; Garbicz, Jagoda; Waliczek, Martyna; Malinowska-Borowska, Jolanta; Rozentryt, Piotr

doi:10.3390/nu14245283

Cited by 8 publications

(4 citation statements)

References 86 publications

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“…A summary of our own and other authors' results [11,32,51,58,[63][64][65] for potential dietary modifications in the case of endometriosis is presented below (Figure 7).…”

Section: Discussionmentioning

confidence: 91%

Low Diet Quality and Nutritional Knowledge in Women with Endometriosis: A Pilot Study

Bogusz,

Górnicka

2024

Healthcare

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Endometriosis is a chronic gynecological disease characterized by ectopic endometrial tissue outside the uterus that can cause chronic pain, dysmenorrhea, fatigue, and infertility. The aim of this study was to assess diet quality and nutritional knowledge of women with endometriosis. A questionnaire was used to collect data on lifestyle, dietary habits and nutritional knowledge from 90 women. More than 80% of women with endometriosis (82.2%) confirmed that diet and lifestyle are related to the progression of endometriosis. After being diagnosed with endometriosis, 77.3% of respondents reported a change in their dietary habits and made various changes to their diet by increasing or eliminating the consumption of certain foods. The majority declared reducing pro-inflammatory products, increasing anti-inflammatory foods, including the consumption of vegetables and fruits, avoiding white/or red/or processed meat, and avoiding sweets. Nevertheless, diet quality as assessed by the pro-healthy diet index (pHDI-10) and the Mediterranean Diet Score (MDS) showed a low intensity of consumption of pro-healthy food (average pHDI-10 value 31.4%; MDS 7.55/14 points, p = 0.0001). Women with endometriosis reported lower than recommended consumption of fruits, vegetables, dairy products and whole grains. A higher percentage of healthy controls had a “good” level of nutritional knowledge than women with endometriosis. The results of our study highlight the need to improve diet quality and nutritional knowledge among women with endometriosis as well as developing targeted dietary recommendations to help improve well-being and reduce the pain symptoms of endometriosis.

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“…A summary of our own and other authors' results [11,32,51,58,[63][64][65] for potential dietary modifications in the case of endometriosis is presented below (Figure 7).…”

Section: Discussionmentioning

confidence: 91%

Low Diet Quality and Nutritional Knowledge in Women with Endometriosis: A Pilot Study

Bogusz,

Górnicka

2024

Healthcare

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“…Secondly, vegetables are packed with bioactive plant compounds, especially polyphenols (such as curcumin, resveratrol and epigallocatechin gallate). Natural polyphenols have been proven to possess anti-in ammatory and antioxidative properties, making them a cost-effective and easily accessible treatment option for endometriosis [27] . In addition to these properties, polyphenols can be used as estrogen receptor agonists to combat the condition due to their structural similarity with estradiol [28] .…”

Section: Discussionmentioning

confidence: 99%

Dietary factors and risk for endometriosis: a Mendelian randomization analysis

Zhang,

Zheng,

Chen

2024

Preprint

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Aims Observational studies have reported an association between dietary factors and endometriosis, but the causality remains unknown. The study aimed to evaluate the potential causal effect of dietary factors on endometriosis. Methods We performed a two-sample Mendelian randomization (MR) analysis to investigate the effects of 18 diet-related exposure factors (alcoholic drinks per week, alcohol intake frequency, processed meat intake, poultry intake, beef intake, non-oily fish intake, oily fish intake, pork intake, lamb/mutton intake, bread intake, cheese intake, cooked vegetable intake, tea intake, fresh fruit intake, cereal intake, salad/raw vegetable intake, coffee intake, dried fruit intake) on the risk of endometriosis using summary statistics from the genome-wide association study (GWAS). The inverse variance weighted (IVW) method was used to deduce the causal association between dietary factors and endometriosis, and sensitivity analyses were further performed. Results Processed meat intake (OR=0.550; 95%CI:0.314-0.965; p=0.037) and salad / raw vegetable intake (OR=0.346; 95%CI:0.127-0.943; p=0.038) were discovered as protective factors for endometriosis. Heterogeneity test revealed no significant heterogeneity (processed meat intake: pIVW=0.607, pMR-Egger=0.548; salad / raw vegetable intake: pIVW=0.678, pMR-Egger=0.620). MR-Egger regression test didn’t support any evidence for horizontal pleiotropy (processed meat intake: p for intercept=0.865; salad / raw vegetable intake: p for intercept=0.725). No causal relationship was found between other dietary intakes and endometriosis. Conclusion These findings suggest that processed meat intake and salad/raw vegetable intake are associated with a decreased risk of endometriosis, but further investigation is required.

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“…A variety of alternative diets, including the low FODMAP diet [ 198 ], have been proposed for endometriosis, with particular interest sparked by their success in managing symptoms of IBS and their potential application in conditions associated with gut dysbiosis, such as endometriosis.…”

Section: Microbiota In Endometriosismentioning

confidence: 99%

Microbiota in Irritable Bowel Syndrome and Endometriosis: Birds of a Feather Flock Together—A Review

Salmeri,

Sinagra,

Dolci

et al. 2023

Microorganisms

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Endometriosis and irritable bowel syndrome (IBS) are chronic conditions affecting up to 10% of the global population, imposing significant burdens on healthcare systems and patient quality of life. Interestingly, around 20% of endometriosis patients also present with symptoms indicative of IBS. The pathogenesis of both these multifactorial conditions remains to be fully elucidated, but connections to gut microbiota are becoming more apparent. Emerging research underscores significant differences in the gut microbiota composition between healthy individuals and those suffering from either endometriosis or IBS. Intestinal dysbiosis appears pivotal in both conditions, exerting an influence via similar mechanisms. It impacts intestinal permeability, triggers inflammatory reactions, and initiates immune responses. Furthermore, it is entwined in a bidirectional relationship with the brain, as part of the gut–brain axis, whereby dysbiosis influences and is influenced by mental health and pain perception. Recent years have witnessed the development of microbiota-focused therapies, such as low FODMAP diets, prebiotics, probiotics, antibiotics, and fecal microbiota transplantation, designed to tackle dysbiosis and relieve symptoms. While promising, these treatments present inconsistent data, highlighting the need for further research. This review explores the evidence of gut dysbiosis in IBS and endometriosis, underscoring the similar role of microbiota in both conditions. A deeper understanding of this common mechanism may enable enhanced diagnostics and therapeutic advancements.

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I Am the 1 in 10—What Should I Eat? A Research Review of Nutrition in Endometriosis

Cited by 8 publications

References 86 publications

Low Diet Quality and Nutritional Knowledge in Women with Endometriosis: A Pilot Study

Low Diet Quality and Nutritional Knowledge in Women with Endometriosis: A Pilot Study

Dietary factors and risk for endometriosis: a Mendelian randomization analysis

Microbiota in Irritable Bowel Syndrome and Endometriosis: Birds of a Feather Flock Together—A Review

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