Evidence map›Paper›PMID 28278351›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2017

The association of protein intake (amount and type) with ovarian antral follicle counts among infertile women: results from the EARTH prospective study cohort.

I Souter, Y-H Chiu, M Batsis, M C Afeiche, P L Williams, R Hauser, J E Chavarro, EARTH Study Team

Registry-linked trialAbstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00011713 (Human Exposure to Bisphenol A, Phthalates and Fertility, Pregnancy Outcomes.), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00011713 completednot on this map

Human Exposure to Bisphenol A, Phthalates and Fertility, Pregnancy Outcomes.

TypeobservationalSponsorNational Institute of Environmental Health Sciences (NIEHS)Ran1999 to 2020Enrolled1,474ConditionsInfertilityArmsCompletion questionnaires/providing biological samples
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Review
  2. Observational
  3. Associations between dietary patterns and parameters of ovarian reserve in Polish women of reproductive age.International journal of occupational medicine and environmental health · 2024
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Can Nutrition Help in the Treatment of Infertility?Preventive nutrition and food science · 2021
    Review
  13. Article
  14. Review
  15. Article
  16. Relationship between nutrition and reproduction.Reproductive medicine and biology · 2020
    Review
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

I SouterDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Harvard Medical School, Massachusetts General Hospital Fertility Center, Boston, MA, USA.
Y-H ChiuDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
M BatsisDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Harvard Medical School, Massachusetts General Hospital Fertility Center, Boston, MA, USA.
M C AfeicheDepartment of Environmental Health, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
P L WilliamsDepartment of Biostatistics, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
R HauserDivision of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, Harvard Medical School, Massachusetts General Hospital Fertility Center, Boston, MA, USA.
J E ChavarroDepartment of Nutrition, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
EARTH Study Team

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI GREENBERG, ANDREW S, PERISSI, VALENTINA · 1992 to 2021
$25.0M
PCBs, Phthalates and Male Reproductive HealthR01ES009718 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HAUSER, RUSS B · 1999 to 2018
$11.6M
TRAINING GRANT IN ACADEMIC NUTRITIONT32DK007703 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTOPHER P DUGGAN, Frank B Hu · 1994 to 2026
$7.8M
NICHD NIH HHS L50 HD056672NIDDK NIH HHS P30 DK046200NIDDK NIH HHS T32 DK007703NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R01 ES009718
6 · The paper itself

Abstract

objectiveTo evaluate the association between protein intake (amount and type) and antral follicle count (AFC).

designProspective cohort.

settingAcademic fertility centre. POPULATION: Two hundred and sixty-five women undergoing fertility treatments at an academic fertility centre and participating in an ongoing study on environment and reproductive health.

methodsWe measured AFC in ultrasonographic evaluation among women undergoing infertility treatments. Women completed a previously validated semi-quantitative food frequency questionnaire. We used Poisson regression to evaluate the relation between protein intake and AFC while adjusting for age, body mass index, race, smoking status, and total energy intake.

main outcome measuresAntral follicle count.

resultsAmong 265 women (mean age: 35.0 ± 3.9 years, 85% Caucasian), total protein intake (% energy) was unrelated to AFC. When protein from different food sources was considered separately, we found a negative association between dairy protein intake and AFC. The mean AFC was 14.4% (3.9-23.7%) lower for women in the highest quintile of dairy protein intake than for women in the bottom quintile after adjusting for potential confounders (P-trend = 0.04). This association was stronger among women who had never smoked (P-trend = 0.002) but was not observed among previous smokers (P-trend = 0.36). There were no associations between protein intake from either non-dairy animal or vegetable sources and AFC.

conclusionHigher dairy protein intake (≥5.24% of energy) was associated with lower antral follicle counts among women presenting for infertility treatment. These findings should be further investigated in prospective studies also designed to clarify the biology underlying the observed associations. TWEETABLE ABSTRACT: Higher dairy protein intake was associated with lower antral follicle counts in an infertile population.

Indexed as

Ovarian FollicleAdultDairy ProductsDietary ProteinsDiet SurveysEatingFemaleHumansInfertility, FemalePoisson DistributionProspective StudiesRegression AnalysisDietary ProteinsAntral follicle countdairy intakefemale infertilityovarian reserveovaryprotein intake

Identifiers

PMID28278351
PMCPMC5568942

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.