Evidence map›Paper›PMID 40604798›Full record

ArticleBMC public health2025

Association between ultra-processed foods and female infertility: a large cross-sectional study.

Xiaoxiao Su, Ge Chen, Shaole Shi, Huijun Sun, Ying Su, Yunan He

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

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

  1. Pooled it
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  3. Review
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.

Xiaoxiao Su *Reproductive Medicine Center, Department of Gynecology and Obstetrics, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Ge Chen *Department of Reproductive Medicine, West China Second University Hospital, Sichuan University, No. 1416 of Chenglong Avenue, Chengdu, Sichuan, 610066, China.
Shaole ShiDepartment of Obstetrics, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Huijun SunReproductive Medicine Center, Department of Gynecology and Obstetrics, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Ying SuReproductive Medicine Center, Department of Gynecology and Obstetrics, Tangdu Hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Yunan HeDepartment of Reproductive Medicine, West China Second University Hospital, Sichuan University, No. 1416 of Chenglong Avenue, Chengdu, Sichuan, 610066, China. yunanhe@foxmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfertility is a significant challenge in women's reproductive health, but the relationship between ultra-processed food (UPF) intake and female infertility remains unclear. This study aims to investigate the association between UPF intake and female infertility.

methodsUsing data from 3601 women in the NHANES database, UPF intake was defined as the percentage of energy consumed by UPF in each participant's daily total food intake energy. Propensity score matching (PSM) and logistic regression were applied to control for potential confounders and analyze the relationship between UPF intake and female infertility. In addition, the restricted cubic splines (RCS) were used to model the potential non-linear relationships.

resultsAfter PSM, 1645 participants were included in the final analysis, comprising 417 in the infertility group and 1228 in the control group. Compared to the first quartile (Q1), UPF intake in the fourth quartile (Q4) was significantly associated with infertility in both unadjusted and adjusted logistic regression models (unadjusted OR: 1.43, 95% CI: 1.05-1.96, P = 0.025; adjusted OR: 1.43, 95% CI: 1.03-2.00, P = 0.033, respectively). No significant non-linear relationship was observed between UPF intake and infertility. However, the curve showed an overall upward trend, with a notable increase in infertility risk when UPF intake exceeded 40.8%.

conclusionExcessive UPF intake is significantly associated with an increased risk of female infertility. Future prospective cohort studies with larger sample sizes are still needed to provide more stable evidence of the relationship between UPF intake and female infertility.

Indexed as

Fast FoodsInfertility, FemaleAdultCross-Sectional StudiesFemaleFood, ProcessedHumansMiddle AgedNutrition SurveysCross-sectional studyDietary intakeInfertilityProcessed foodRisk factor

Identifiers

PMID40604798
PMCPMC12220606

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.