Evidence map›Paper›PMID 40662109›Full record

ArticleFrontiers in public health2025

Consumption of ultra-processed foods and female infertility: a cross-sectional study.

Adam T Evans, Snigdha Alur-Gupta, Euridice Martinez Steele, Ying Meng, Alex J Knutson, Wendy S Vitek

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Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adam T EvansDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, United States.
Snigdha Alur-GuptaDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, United States.
Euridice Martinez SteeleDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Ying MengSchool of Nursing, University of Rochester, Rochester, NY, United States.
Alex J KnutsonDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, United States.
Wendy S VitekDepartment of Obstetrics and Gynecology, University of Rochester Medical Center, Rochester, NY, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A high dietary consumption of ultra-processed foods (UPF) has been associated with abnormal semen analysis parameters in males; however, it is unclear whether there is an impact on female reproduction. The objective of this study is to assess whether high consumption of UPF is associated with female infertility. Methods: A cross-sectional analysis of females aged 18-45 years who participated in the National Health and Nutrition Examination Survey (NHANES) from 2013 to 2018 was performed. Females were eligible for inclusion if they provided a 24-h dietary recall and responded to a question regarding infertility. Foods reported during a 24-h dietary recall were classified according to the Nova system. The relative percentage of total energy consumed from UPF and unprocessed/minimally processed foods within a 24-h period was calculated. Results: The prevalence of infertility was 11%. The overall mean percentage of daily UPF and unprocessed/minimally processed food intake among respondents was 57 and 29%, respectively. There was no difference in the odds of female infertility when comparing females in the lowest tertile of UPF consumption to peers in the middle [aOR = 1.37, 95% CI (0.96, 1.95)] or highest tertile of consumption [aOR = 1.26, 95% CI (0.91, 1.74)]. Similarly, there was no difference in the odds of infertility between participants in the middle [aOR = 1.39, 95% CI (0.83, 2.33)] or highest tertile [aOR = 0.73, 95% CI (0.34, 1.54)] of unprocessed/minimally processed food consumption relative to those in the lowest tertile. In an intermediate model removing body mass index (BMI) as a covariate, an increased odds of infertility was noted among females with the highest tertile of UPF consumption relative to those in the lowest tertile [aOR = 1.46, 95% CI (1.01, 2.09)]. Conclusion: Among women of reproductive age, high consumption of UPF is associated with female infertility. BMI is a mediator of the association between UPF and female infertility.

Indexed as

DietFast FoodsInfertility, FemaleAdolescentAdultCross-Sectional StudiesFemaleFood, ProcessedHumansMiddle AgedNutrition SurveysYoung Adultdietary intakeinfertilityNHANESNova systemnutritionultra-processed foods

Identifiers

PMID40662109
PMCPMC12256463

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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.