Evidence map›Paper›PMID 40933264›Full record

SynthesisFrontiers in nutrition2025

Association between the dietary inflammatory index and infertility: a systematic review and meta-analysis.

Yasamin Zahedi, Shayan Bonyanpour, Seyed Danial Alizadeh, Sarah Ravankhah, Alireza Zare, Bahareh Izadi, Shant Apelian, Eghbal Sekhavati, Reza Tabrizi

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Yasamin ZahediStudent Research Committee, Fasa University of Medical Sciences, Fasa, Iran.
Shayan BonyanpourStudent Research Committee, Fasa University of Medical Sciences, Fasa, Iran.
Seyed Danial AlizadehSina Trauma and Surgery Research Centre, Tehran University of Medical Sciences, Tehran, Iran.
Sarah RavankhahYasuj University of Medical Sciences, Yasuj, Iran.
Alireza ZareShiraz University of Medical Sciences, Shiraz, Iran.
Bahareh IzadiHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Shant ApelianDepartment of Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT, United States.
Eghbal SekhavatiHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Reza TabriziNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: To evaluate the association between the dietary inflammatory index (DII) and risk of infertility in human participants. Methods: A comprehensive search was conducted using the Scopus, PubMed, Web of Science, Cochrane, Embase, and Google Scholar databases until January 2025. All observational studies that reported an association between the DII and infertility in human participants were included. Data were extracted on study characteristics, DII scores, and infertility outcomes. Meta-analyses were conducted using random-effects models, and the heterogeneity of studies was evaluated using I Results: Of the 801 studies screened, nine met the inclusion criteria, involving 17,711 individuals. The analysis revealed a significant association between a pro-inflammatory diet (characterized by high DII scores) and infertility (odds ratio (OR): 1.61, 95% CI: 1.32-1.95) among participants in the highest quartile of the DII. Additionally, each unit increase in the DII was associated with a 10% higher risk of infertility (OR, 1.10; 95% CI: 1.05-1.15). Subgroup analyses revealed a significant association between anti-inflammatory diets (low DII scores) and infertility in men and increased infertility risk in both the Iranian and US populations and in female participants on a pro-inflammatory diet. The sensitivity analysis indicated that the overall OR remained stable, with the results not being significantly influenced by the exclusion of individual studies. Conclusion: These findings highlight the potential role of inflammation-related dietary factors in reproductive health and suggest that dietary modifications targeting inflammation could be a promising intervention for infertility management. Further randomized controlled trials are needed to confirm these findings and to establish causal relationships. Systematic review registration: This systematic review is registered in PROSPERO with code: CRD42024567145. URL: https://www.crd.york.ac.uk/PROSPERO/view/CRD42024567145.

Indexed as

dietdietary inflammatory indeximmunonutrition dietinfertilityinflammation

Identifiers

PMID40933264
PMCPMC12417118

What OpenQuestion holds

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Registered trials

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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.