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A prospective cohort study of meat and fish consumption and endometriosis risk
Open accessAbstract
Background Only 2 case-control studies have examined the associations between consumption of meat products and endometriosis risk with inconsistent results. Consumption of animal products has the potential to influence endometriosis risk through effects on steroid hormones levels.Objective We sought to determine whether higher intake of red meat, poultry, fish, and seafood are associated with risk of laparoscopically confirmed endometriosis.Study design A total of 81,908 participants of the prospective Nurses' Health Study II were followed up from 1991 through 2013. Diet was assessed via food frequency questionnaire every 4 years. Cox proportional hazards models were used to calculate rate ratios and 95% confidence intervals.Results During 1,019,294 person-years of follow-up, 3800 cases of incident laparoscopically confirmed endometriosis were reported. Women consuming >2 servings/d of red meat had a 56% higher risk of endometriosis (95% confidence interval, 1.22-1.99; P trend < .0001) compared to those consuming ≤1 serving/wk. This association was strongest for nonprocessed red meats (rate ratio, 1.57; 95% confidence interval, 1.35-1.83 for ≥2 servings/d vs ≤1 servings/wk; P trend < .0001), particularly among women who had not reported infertility (P interaction = .0004). Women in the highest category of processed red meat intake also had a higher risk of endometriosis (rate ratio, 1.20; 95% confidence interval, 1.06-1.37 for ≥5 servings/wk vs <1 serving/mo; P trend = .02). Intakes of poultry, fish, shellfish, and eggs were unrelated to endometriosis risk.Conclusion Our prospective analysis among premenopausal US nurses suggests that red meat consumption may be an important modifiable risk factor for endometriosis, particularly among women with endometriosis who had not reported infertility and thus were more likely to present with pain symptoms. Well-designed dietary intervention studies among women with endometriosis could help confirm this observation.
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“there is evidence that there may be an increase in endometriosis risk with increased red meat consumption (Yamamoto et al., 2018)”
From Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic (2020) · cites this paper as Yamamoto et al., 2018
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“It was shown that respondents who reported eating > 2 servings/day of red meat had a 56% higher risk of endometriosis compared to those consuming ≤ 1 serving/week.”
From Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature) (2021) · cites this paper as [52]
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“No association with poultry, fish, shellfish and egg consumption and the risk of endometriosis was demonstrated [52].”
From Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature) (2021) · cites this paper as [52]
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Metadata
- Authors
- Yamamoto, A., Harris, H. R., Vitonis, A. F., Chavarro, J. E., & Missmer, S. A.
- Affiliations
- Harvard University (US)
- Fred Hutch Cancer Center (US)
- Brigham and Women's Hospital (US)
- Boston Children's Hospital (US)
- Corresponding author
- Harris, Holly R.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2018-08
- Volume
- 219
- Issue
- 2
- Pages
- 178.e1-178.e10
- ISSN
- 0002-9378 (ISSN-L)
- PMC
- PMC6066416
- OpenAlex
- W2807620497
- Cited by
- 123
- References
- 39
- Citations by year
- 2026: 15 · 2025: 21 · 2024: 22 · 2023: 13 · 2022: 17 · 2021: 17 · 2020: 12 · 2019: 4 · 2018: 2
- FWCI
- 9.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (TL1TR001883)
- National Cancer Institute (K22CA193860, UM1CA176726)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK046200)
- National Center for Advancing Translational Sciences
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD057210, R01HD052473, R03HD048544)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- endometriosis, red meat consumption, processed red meat, poultry, fish consumption, seafood, dietary risk factors, infertility, premenopausal women, Nurses' Health Study II, dietary intervention
- MeSH terms
- Red Meat, Adult, Animals, Diet, Eggs, Endometriosis, Female, Fishes, Humans, Poultry, Prospective Studies, Risk Factors, Shellfish, United States, Cohort Studies, Proportional Hazards Models, Seafood
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