Uterine Fibroids and Diet

Uterine myomas or fibroids are the most common benign female tumors of the reproductive organs, associated with significant morbidity and quality of life impairment. Several epidemiological risk factors for their occurrence have been identified so far, including nutrition and dietary habits. In this investigation, authors reviewed, as a narrative review, the data about diet and uterine myoma development in order to homogenize the current data. A PubMed search was conducted for the years 1990–2020, using a combination of keywords of interest for the selected topic. The authors searched the databases, selecting the randomized clinical studies, the observational studies, and the basic (experimental), clinical, and epidemiological researches. Once they collected the articles, they analyzed them according to the number of citations of each article, starting from the most cited to the least cited articles. Subsequently, authors collected the data of each article and inserted them in the various research paragraphs, summarizing the data collected. In this way, they crossed the available data regarding the association between nutrition habits and dietary components and myoma onset and growth. Many nutrients and dietary habits are associated with myoma development risk. These factors include low intakes of fruit, vegetables, and vitamin D, as well as pollutants in food. Despite the available data on the influence of some foods on the development of fibroids, further research is mandatory to understand all the nutrition risk factors which contribute to myoma growth and how exactly these risk factors influence myoma pathogenesis.

[1]  S. Missmer,et al.  Dietary fat intake, erythrocyte fatty acids, and risk of uterine fibroids. , 2020, Fertility and sterility.

[2]  D. Baird,et al.  Dietary Fat Intake and Risk of Uterine Leiomyomata: A Prospective Ultrasound Study. , 2020, American journal of epidemiology.

[3]  Xueqiong Zhu,et al.  The associations between serum vitamin D, calcium and uterine fibroids in Chinese women: a case-controlled study , 2020, The Journal of international medical research.

[4]  A. Baccarelli,et al.  Phthalate Exposures and MicroRNA Expression in Uterine Fibroids: The FORGE Study , 2020, Epigenetics insights.

[5]  F. Petraglia,et al.  Quercetin and indole-3-carbinol inhibit extracellular matrix expression in human primary uterine leiomyoma cells. , 2020, Reproductive biomedicine online.

[6]  S. Khanduri,et al.  Evaluation of 25-hydroxy vitamin D3 levels in patients with a fibroid uterus , 2020, Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology.

[7]  M. Piazza,et al.  Environmental toxins and the impact of other endocrine disrupting chemicals in women's reproductive health , 2019, JBRA assisted reproduction.

[8]  G. Spiller Basic Metabolism and Physiological Effects of the Methylxanthines , 2019, Caffeine.

[9]  Tzong-Ming Shieh,et al.  Natural Antioxidant Resveratrol Suppresses Uterine Fibroid Cell Growth and Extracellular Matrix Formation In Vitro and In Vivo , 2019, Antioxidants.

[10]  L. Thompson,et al.  Environmental Chemical Contaminants in Food: Review of a Global Problem , 2019, Journal of toxicology.

[11]  A. Baccarelli,et al.  Phthalates exposure and uterine fibroid burden among women undergoing surgical treatment for fibroids: a preliminary study. , 2019, Fertility and sterility.

[12]  M. Battino,et al.  Romina: A powerful strawberry with in vitro efficacy against uterine leiomyoma cells , 2018, Journal of cellular physiology.

[13]  Vinita Singh,et al.  Vitamin D3 Level in Women with Uterine Fibroid: An Observational Study in Eastern Indian Population , 2018, The Journal of Obstetrics and Gynecology of India.

[14]  Qiwei Yang,et al.  Hypovitaminosis D exacerbates the DNA damage load in human uterine fibroids, which is ameliorated by vitamin D3 treatment , 2018, Acta Pharmacologica Sinica.

[15]  Mei Gao,et al.  Frequent milk and soybean consumption are high risks for uterine leiomyoma , 2018, Medicine.

[16]  Hsuan-Liang Liu,et al.  Resveratrol inhibits human leiomyoma cell proliferation via crosstalk between integrin αvβ3 and IGF-1R. , 2018, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[17]  A. Zannotti,et al.  Omega‐3 fatty acids modulate the lipid profile, membrane architecture, and gene expression of leiomyoma cells , 2018, Journal of cellular physiology.

[18]  S. Erkaya,et al.  25-Hydroxy vitamin D levels in premenopausal Turkish women with uterine leiomyoma , 2018, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology.

[19]  E. Ha,et al.  Blood cadmium and volume of uterine fibroids in premenopausal women , 2017, Annals of Occupational and Environmental Medicine.

[20]  Md Soriful Islam,et al.  An anthocyanin rich strawberry extract induces apoptosis and ROS while decreases glycolysis and fibrosis in human uterine leiomyoma cells , 2017, Oncotarget.

[21]  A. Vignini,et al.  Hypovitaminosis D and “small burden” uterine fibroids: Opportunity for a vitamin D supplementation , 2016, Medicine.

[22]  Young Ah Kim,et al.  Increased Urinary Phthalate Levels in Women with Uterine Leiomyoma: A Case-Control Study , 2016, International journal of environmental research and public health.

[23]  Q. Dou,et al.  Biological and Mechanistic Characterization of Novel Prodrugs of Green Tea Polyphenol Epigallocatechin Gallate Analogs in Human Leiomyoma Cell Lines , 2016, Journal of cellular biochemistry.

[24]  J. Donnez,et al.  Uterine fibroid management: from the present to the future , 2016, Human reproduction update.

[25]  Qiwei Yang,et al.  Early Life Adverse Environmental Exposures Increase the Risk of Uterine Fibroid Development: Role of Epigenetic Regulation , 2016, Front. Pharmacol..

[26]  T. Boyer,et al.  Vitamin D3 Inhibits Wnt/β-Catenin and mTOR Signaling Pathways in Human Uterine Fibroid Cells. , 2016, The Journal of clinical endocrinology and metabolism.

[27]  Yang Shen,et al.  Vegetarian diet and reduced uterine fibroids risk: A case–control study in Nanjing, China , 2016, The journal of obstetrics and gynaecology research.

[28]  A. Tinelli,et al.  Epidemiology of Uterine Myomas: A Review , 2015, International journal of fertility & sterility.

[29]  D. Baird,et al.  Soy-Based Infant Formula Feeding and Ultrasound-Detected Uterine Fibroids among Young African-American Women with No Prior Clinical Diagnosis of Fibroids , 2015, Environmental health perspectives.

[30]  W. Catherino,et al.  Uterine fibroids , 2016, Nature Reviews Disease Primers.

[31]  W. Catherino,et al.  Prevalence, morbidity, and current medical management of uterine leiomyomas , 2015, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[32]  A. Zota,et al.  Vitamin D and uterine leiomyoma among a sample of US women: Findings from NHANES, 2001-2006. , 2015, Reproductive toxicology.

[33]  A. El-Sohemy,et al.  1,25-dihydroxyvitamin D3 regulates expression of sex steroid receptors in human uterine fibroid cells. , 2015, The Journal of clinical endocrinology and metabolism.

[34]  P. Parsons,et al.  Increased urinary cobalt and whole blood concentrations of cadmium and lead in women with uterine leiomyomata: Findings from the ENDO Study. , 2014, Reproductive toxicology.

[35]  Most Mauluda Akhtar,et al.  Use of dietary phytochemicals to target inflammation, fibrosis, proliferation, and angiogenesis in uterine tissues: promising options for prevention and treatment of uterine fibroids? , 2014, Molecular nutrition & food research.

[36]  A. Al-Hendy,et al.  Green Tea Extract Inhibition of Human Leiomyoma Cell Proliferation Is Mediated via Catechol-O-Methyltransferase , 2014, Gynecologic and Obstetric Investigation.

[37]  S. Missmer,et al.  Prenatal diethylstilbestrol exposure and risk of uterine leiomyomata in the Nurses' Health Study II. , 2014, American journal of epidemiology.

[38]  Hae-Hyeog Lee,et al.  The Relationship between Uterine Myoma Growth and the Endocrine Disruptor in Postmenopausal Women , 2013, Journal of menopausal medicine.

[39]  Yang Shen,et al.  Environmental exposure and risk of uterine leiomyoma: an epidemiologic survey. , 2013, European review for medical and pharmacological sciences.

[40]  Yunlang Cai,et al.  Measurement of Phenolic Environmental Estrogens in Women with Uterine Leiomyoma , 2013, PloS one.

[41]  Md Soriful Islam,et al.  Uterine Fibroids: Pathogenesis and Interactions with Endometrium and Endomyometrial Junction , 2013, Obstetrics and gynecology international.

[42]  K. Osteen,et al.  Vitamin D3 inhibits expression and activities of matrix metalloproteinase-2 and -9 in human uterine fibroid cells. , 2013, Human reproduction.

[43]  A. Al-Hendy,et al.  Treatment of symptomatic uterine fibroids with green tea extract: a pilot randomized controlled clinical study , 2013, International journal of women's health.

[44]  L. Fedele,et al.  Vitamin D status in women with uterine leiomyomas. , 2013, The Journal of clinical endocrinology and metabolism.

[45]  D. Baird,et al.  Vitamin D and the Risk of Uterine Fibroids , 2013, Epidemiology.

[46]  Q. Zeng,et al.  Associations between uterine fibroids and lifestyles including diet, physical activity and stress: a case-control study in China. , 2013, Asia Pacific journal of clinical nutrition.

[47]  A. Al-Hendy,et al.  Serum vitamin D3 level inversely correlates with uterine fibroid volume in different ethnic groups: a cross-sectional observational study , 2013, International journal of women's health.

[48]  M. Martin,et al.  Metals and Breast Cancer , 2013, Journal of Mammary Gland Biology and Neoplasia.

[49]  J. Palmer,et al.  Association of intrauterine and early life factors with uterine leiomyomata in black women. , 2012, Annals of epidemiology.

[50]  J. Segars,et al.  The impact and management of fibroids for fertility: an evidence-based approach. , 2012, Obstetrics and gynecology clinics of North America.

[51]  G. Wegienka Are uterine leiomyoma a consequence of a chronically inflammatory immune system? , 2012, Medical hypotheses.

[52]  A. Al-Hendy,et al.  1,25-Dihydroxyvitamin D3 Treatment Shrinks Uterine Leiomyoma Tumors in the Eker Rat Model1 , 2012, Biology of reproduction.

[53]  J. Segars,et al.  The estimated annual cost of uterine leiomyomata in the United States. , 2012, American journal of obstetrics and gynecology.

[54]  D. Baird,et al.  Early-Life Exposures and Early-Onset Uterine Leiomyomata in Black Women in the Sister Study , 2011, Environmental health perspectives.

[55]  F. Hu,et al.  A dietary pattern derived to correlate with estrogens and risk of postmenopausal breast cancer , 2012, Breast Cancer Research and Treatment.

[56]  F. Berrino,et al.  Fruit and vegetables consumption and breast cancer risk: the EPIC Italy study , 2012, Breast Cancer Research and Treatment.

[57]  J. Palmer,et al.  Intake of fruit, vegetables, and carotenoids in relation to risk of uterine leiomyomata. , 2011, The American journal of clinical nutrition.

[58]  Chantel L. Martin,et al.  Serum micronutrient concentrations and risk of uterine fibroids. , 2011, Journal of women's health.

[59]  A. Lampen,et al.  Risks and benefits of dietary isoflavones for cancer , 2011, Critical reviews in toxicology.

[60]  N. Yaegashi,et al.  Inhibitory effect of curcumin on uterine leiomyoma cell proliferation , 2011, Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology.

[61]  S. Freels,et al.  Uterine leiomyomata in a cohort of Great Lakes sport fish consumers. , 2011, Environmental research.

[62]  Ji Young Kim,et al.  Bisphenol-A Concentrations from Leiomyoma Patients by LC/MS , 2011, Toxicological research.

[63]  O. Kucuk,et al.  The Effects of Selenium Supplementation on the Spontaneously Occurring Fibroid Tumors of Oviduct, 8-Hydroxy-2′-Deoxyguanosine Levels, and Heat Shock Protein 70 Response in Japanese Quail , 2010, Nutrition and cancer.

[64]  R. Fanelli,et al.  Polychlorobiphenyls (PCBs), polychlorinated dibenzo-p-dioxins (PCDDs) and dibenzofurans (PCDFs) in fruit and vegetables from an industrial area in northern Italy. , 2010, Chemosphere.

[65]  J. Weuve,et al.  Association of Exposure to Phthalates with Endometriosis and Uterine Leiomyomata: Findings from NHANES, 1999–2004 , 2010, Environmental health perspectives.

[66]  J. Palmer,et al.  A prospective study of dairy intake and risk of uterine leiomyomata. , 2010, American journal of epidemiology.

[67]  D. Baird,et al.  Association of Intrauterine and Early-Life Exposures with Diagnosis of Uterine Leiomyomata by 35 Years of Age in the Sister Study , 2009, Environmental health perspectives.

[68]  L. Shulman Green tea extract inhibits proliferation of uterine leiomyoma cells in vitro and in nude mice , 2010 .

[69]  A. Prasad,et al.  Zinc picolinate in the prevention of leiomyoma in Japanese quail. , 2009, Journal of Medicinal Food.

[70]  L. Bernstein,et al.  Risk factors for surgically removed fibroids in a large cohort of teachers. , 2009, Fertility and sterility.

[71]  M. Payson,et al.  Curcumin, a nutritional supplement with antineoplastic activity, enhances leiomyoma cell apoptosis and decreases fibronectin expression. , 2009, Fertility and sterility.

[72]  C. Nagata,et al.  Association of intakes of fat, dietary fibre, soya isoflavones and alcohol with uterine fibroids in Japanese women. , 2009, The British journal of nutrition.

[73]  J. Goldberg,et al.  The association between heavy metals, endometriosis and uterine myomas among premenopausal women: National Health and Nutrition Examination Survey 1999-2002. , 2008, Human reproduction.

[74]  Anders Bignert,et al.  Study of the relation between the incidence of uterine leiomyomas and the concentrations of PCB and DDT in Baltic gray seals. , 2008, Reproductive toxicology.

[75]  W. Willett,et al.  Lycopene and other carotenoid intake in relation to risk of uterine leiomyomata. , 2008, American journal of obstetrics and gynecology.

[76]  F. Khachik,et al.  Dietary Tomato Powder Supplementation in the Prevention of Leiomyoma of the Oviduct in the Japanese Quail , 2007, Nutrition and cancer.

[77]  W. Catherino,et al.  Uterine leiomyomas express a molecular pattern that lowers retinoic acid exposure. , 2007, Fertility and sterility.

[78]  W. Parker Etiology, symptomatology, and diagnosis of uterine myomas. , 2007, Fertility and sterility.

[79]  S. Schwartz,et al.  Lignan and isoflavone excretion in relation to uterine fibroids: a case-control study of young to middle-aged women in the United States. , 2006, The American journal of clinical nutrition.

[80]  Alberto Mantovani,et al.  From environment to food: the case of PCB. , 2006, Annali dell'Istituto superiore di sanita.

[81]  P. Parodi Dairy Product Consumption and the Risk of Breast Cancer , 2005, Journal of the American College of Nutrition.

[82]  D. Baird,et al.  Prenatal diethylstilbestrol (DES) exposure is associated with uterine leiomyoma development. , 2005, Reproductive toxicology.

[83]  J. Palmer,et al.  Risk of Benign Gynecologic Tumors in Relation to Prenatal Diethylstilbestrol Exposure , 2005, Obstetrics and gynecology.

[84]  F. Sarkar,et al.  Lycopene Supplementation Prevents the Development of Spontaneous Smooth Muscle Tumors of the Oviduct in Japanese Quail , 2004, Nutrition and cancer.

[85]  D. Spiegelman,et al.  Risk of uterine leiomyomata in relation to tobacco, alcohol and caffeine consumption in the Black Women's Health Study. , 2004, Human reproduction.

[86]  E. Wallach,et al.  Uterine Myomas: An Overview of Development, Clinical Features, and Management , 2004, Obstetrics and gynecology.

[87]  D. Mozaffarian,et al.  Dietary intake of trans fatty acids and systemic inflammation in women. , 2004, The American journal of clinical nutrition.

[88]  D. Spiegelman,et al.  Reproductive factors, hormonal contraception, and risk of uterine leiomyomata in African-American women: a prospective study. , 2004, American journal of epidemiology.

[89]  A. Tiltman,et al.  Anatomical variation of the oestrogen receptor in the non-neoplastic myometrium of fibromyomatous uteri , 1996, Virchows Archiv.

[90]  E. Rimm,et al.  Habitual Dietary Intake of n-3 and n-6 Fatty Acids in Relation to Inflammatory Markers Among US Men and Women , 2003, Circulation.

[91]  Yi Tang,et al.  [Determination of trace element Cu, Zn, Mg, Cr in serum of women with barrenness and hysteromyoma disease]. , 2002, Guang pu xue yu guang pu fen xi = Guang pu.

[92]  J. Haseman,et al.  Cell proliferation and apoptosis in human uterine leiomyomas and myometria , 2002, Virchows Archiv.

[93]  R. Barbieri,et al.  Early follicular phase hormone levels in relation to patterns of alcohol, tobacco, and coffee use. , 2001, Fertility and sterility.

[94]  M. Rein,et al.  Advances in uterine leiomyoma research: the progesterone hypothesis. , 2000, Environmental health perspectives.

[95]  B. Katzenellenbogen,et al.  Activation of Estrogen Receptor-α by the Heavy Metal Cadmium , 2000 .

[96]  C. la Vecchia,et al.  Diet and uterine myomas. , 1999, Obstetrics and gynecology.

[97]  D. Stram,et al.  Meta-analysis: dietary fat intake, serum estrogen levels, and the risk of breast cancer. , 1999, Journal of the National Cancer Institute.

[98]  E. Stewart,et al.  Prolactin Is an Autocrine or Paracrine Growth Factor for Human Myometrial and Leiomyoma Cells , 1999, Gynecologic and Obstetric Investigation.

[99]  E. Stewart,et al.  Leiomyoma-related bleeding: a classic hypothesis updated for the molecular era. , 1996, Human reproduction update.

[100]  G A Colditz,et al.  Alcohol, height, and adiposity in relation to estrogen and prolactin levels in postmenopausal women. , 1995, Journal of the National Cancer Institute.

[101]  M. Klagsbrun,et al.  Isolation and characterization of heparin-binding growth factors in human leiomyomas and normal myometrium. , 1995, Biology of reproduction.

[102]  M. Reidy,et al.  Proliferation of smooth muscle cells after vascular injury is inhibited by an antibody against basic fibroblast growth factor. , 1991, Proceedings of the National Academy of Sciences of the United States of America.

[103]  K. James,et al.  Effects of dietary fat, calcium, and vitamin D on growth and mammary tumorigenesis induced by 7,12-dimethylbenz(a)anthracene in female Sprague-Dawley rats. , 1989, Cancer research.

[104]  R R Watson,et al.  The effects of caffeine on various body systems: a review. , 1987, Journal of the American Dietetic Association.