Eating for Optimization: Unraveling the Dietary Patterns and Nutritional Strategies in Endometriosis Management

İnci Türkoğlu, I. Türkoğlu, Koray Görkem Saçıntı, Panattoni A, Andrea Panattoni, Ahmet Namazov, Namazov A, Nazlı Tunca Sanlier, Nazlı Tunca Şanlıer, Sanlier NT, Nevin Şanlıer, Sanlier N, Nevin Sanlier, Cela V, Vito Cela
Nutrition reviews · 2024 · vol. 83(5) , pp. 869–879 · doi:10.1093/nutrit/nuae120 · PMID:39225782 · W4402164571
Review OA: closed CC0 ⤵ 2 in-corpus citations
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This review examines evidence linking dietary patterns like Mediterranean and anti-inflammatory diets to improved endometriosis symptoms, explores the roles of antioxidants and gut microbiota, and suggests AI may offer future insights.

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Abstract

Endometriosis is a chronic gynecological disorder affecting millions of women worldwide, causing chronic pelvic pain, dyspareunia, dysmenorrhea, and infertility, and severely impacting their quality of life. Treatment primarily involves hormonal therapies and surgical excision, but high recurrence rates and the economic burden are substantial. With these challenges, significant discussion surrounds the potential role of dietary patterns in managing endometriosis, making it necessary to bridge this critical gap. This review investigates the current scientific evidence on the dietary patterns (eg, Mediterranean, vegetarian, anti-inflammatory, low-fermentable oligosaccharides, disaccharides, monosaccharides, and polyols [low-FODMAP], and Western-style diets) associated with endometriosis and provides a concise, yet thorough, overview on the subject. In addition, antioxidants, microbiota, and artificial intelligence (AI) and their potential roles were also evaluated as future directions. An electronic-based search was performed in MEDLINE, Embase, Cochrane Library, CINAHL, ClinicalTrials.gov, Scopus, and Web of Science. The current data on the topic indicate that a diet based on the Mediterranean and anti-inflammatory diet pattern, rich in dietary fiber, omega-3 fatty acids, plant-based protein, and vitamins and minerals, has a positive influence on endometriosis, yielding a promising improvement in patient symptoms. Preclinical investigations and clinical trials indicate that dietary antioxidants and gut microbiota modulation present potential new approaches in managing endometriosis. Also, AI may offer a promising avenue to explore how dietary components interact with endometriosis. Ultimately, considering genetic and lifestyle factors, a healthy, balanced, personalized approach to diet may offer valuable insights on the role of diet as a means of symptom improvement, facilitating the utilization of nutrition for the management of endometriosis.

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Condition tags

endometriosischronic_pelvic_paindysmenorrheadyspareuniainfertility

MeSH descriptors

Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet Diet

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (80)

Cited by (8)

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