Integrating nutrition and artificial intelligence in reproductive health: advancing precision fertility medicine
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20261311Keywords:
Nutrition, Fertility, Assisted reproductive technology , Artificial intelligence, Mediterranean dietAbstract
Nutrition is increasingly recognized as a critical, modifiable determinant of reproductive health in both men and women. A growing body of evidence demonstrates that dietary patterns, specific nutrients, and overall diet quality influence fertility potential in assisted reproductive technology (ART) outcomes, and pregnancy success. This review synthesizes recent evidence from systematic reviews, meta-analyses, randomized controlled trials, and mechanistic studies published between 2021 and 2026 to evaluate the impact of nutrition on reproductive outcomes across both men and women. Consistent findings indicate that adherence to healthy dietary patterns particularly Mediterranean and plant-rich diets characterized by high intake of fruits, vegetables, whole grains, nuts, seafood, and unsaturated fats is associated with improved semen quality, hormonal balance, oocyte competence, reduced oxidative stress, and enhanced clinical pregnancy and live birth rates. Conversely, diets high in ultra-processed foods, trans fats, refined carbohydrates, and red or processed meats are linked to impaired reproductive function, increased inflammation, and poorer fertility outcomes. Emerging evidence also highlights the role of targeted micronutrients and nutraceuticals, such as omega-3 fatty acids, zinc, selenium, and coenzyme Q10, in improving gamete quality and ART success, although heterogeneity across studies underscores the need for further well-designed trials. Importantly, advances in artificial intelligence (AI) offer new opportunities to integrate nutritional data with clinical, metabolic, and reproductive parameters, enabling personalized dietary recommendations and predictive modelling of fertility outcomes. The integration of AI-driven analytics with evidence-based nutritional strategies holds promise for optimizing preconception care, enhancing ART decision making, and advancing precision fertility medicine.
References
Gaskins AJ, Chavarro JE, Rich-Edwards JW, Williams PL, Souter I, Hauser R. Preconception dietary patterns and outcomes of assisted reproductive technologies. Adv Nutr. 2022;13(2):432-45.
Budani MC, Tiboni GM. Nutrition and female fertility: Evidence and clinical implications. Reprod Toxicol. 2023;113:108-16.
Fontana R, Della Torre S, Ricci E, Salas-Huetos A, Bulló M, Salas-Salvadó J, et al. Nut consumption and semen quality: A systematic review and meta-analysis. Adv Nutr. 2024;15(1):210-24.
Practice Committee of the American Society for Reproductive Medicine. Optimizing natural fertility: A committee opinion. Fertil Steril. 2022;118(2):302-14.
Skoracka K, Ratajczak AE, Rychter AM, Dobrowolska A, Krela-Kaźmierczak I. Female fertility and the Mediterranean diet: A review. Adv Nutr. 2021;12(4):1340-53.
Ricci E, Noli S, Cipriani S, De Cosmi V, Scaglioni S, Parazzini F, et al. Mediterranean diet and male reproductive health: A systematic review and meta-analysis. Adv Nutr. 2025;16(2):355-68.
Nassan FL, Gaskins AJ, Chiu YH, Williams PL, Keller MG, Souter I, et al. Mediterranean diet and reproductive outcomes across the female life course. Am J Obstet Gynecol. 2023;228(4):421-33.
Chiu YH, Afeiche MC, Gaskins AJ, Williams PL, Petrozza JC, Tanrikut C, et al. Dietary patterns and reproductive health: A life-course perspective. Am J Clin Nutr. 2022;115(5):1213-25.
Salas-Huetos A, Bulló M, Salas-Salvadó J. Nutrition, oxidative stress, and fertility in men and women. Food Nutr Res. 2025;69:8921.
Gaskins AJ, Colaci DS, Mendiola J, Swan SH, Chavarro JE. Dietary fat intake and semen quality: Animal and human evidence. J Nutr. 2022;152(9):2150-60.
Panth N, Gavarkovs A, Tamez M, Mattei J. The influence of diet on male fertility: A systematic review. Fertil Steril. 2023;119(4):614-28.
Montano L, Pironti C, Pinto G, Ricciardi M, Buono G, Brogna C, et al. Low-carbohydrate organic Mediterranean diet improves male reproductive parameters. Curr Res Transl Med. 2023;71(2):103345.
Karayiannis D, Kontogianni MD, Mendorou C, Douka E, Mastrominas M, Yiannakouris N, et al. Adherence to Mediterranean diet and semen quality: A cross-sectional study. Eur J Obstet Gynecol Reprod Biol. 2024;289:15-22.
Zhang Y, Liu X, Wang H, Li M, Zhao Y, Chen L, et al. Omega-3 fatty acids and female fertility outcomes: A systematic review and meta-analysis. Heliyon. 2024;10(3):e25341.
Ricci E, Cipriani S, Noli S, De Cosmi V, Scaglioni S, Parazzini F, et al. Micronutrients and IVF outcomes in women with poor ovarian response. Reprod Biomed Online. 2025;50(1):45-58.
Barrès R, Zierath JR. The metabolic and reproductive consequences of ultra-processed food consumption. Cell Metab. 2025;37(2):211-24.
Hanson MA, Gluckman PD, Ma RCW. Nutrition, environmental stressors, and male fertility in the Western Pacific region. Lancet Reg Health West Pac. 2025;38:100812.
Eslamian G, Amirjannati N, Rashidkhani B, Sadeghi MR, Hekmatdoost A, Ahmadi A, et al. Mediterranean versus Persian diet on semen parameters: A randomized controlled trial. Sci Rep. 2025;15:10422.
Michaelsen KF, Larnkjær A, Mølgaard C, Greisen G, Lauritzen L, Friis H, et al. Micronutrient supplementation and male fertility: Current evidence and future needs. Nutrients. 2026;18(1):142.
Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstet Gynecol. 2022;140(3):455-67.
Gaskins AJ, Nassan FL, Chiu YH. Nutrition and assisted reproduction: Where are we now? Fertil Steril. 2024;121(5):873-81.
Reddy KR, Asif M, Deotale G, Shanmuga Priya VG. Artificial intelligence in embryo selection: Enhancing precision and overcoming traditional limitations in vitro fertilization. Int J Reprod Contracept Obstet Gynecol. 2026;15:789-97.