# Association between diet intake and trace elements concentrations in couples undergoing in vitro fertilization: a couple-based exploration

**Authors:** Caiyun Wu, Xuemei Wang, Lin Su, Xin Gao, Yaning Sun, Yanlan Tang, Wei Ju, Junjun Liu, Feng Ni, Hong Jiang

PMC · DOI: 10.3389/fnut.2026.1722802 · Frontiers in Nutrition · 2026-02-12

## TL;DR

This study explores how diet affects trace element levels in couples undergoing IVF, offering insights for dietary adjustments to improve fertility.

## Contribution

The study identifies specific dietary associations with trace elements in infertile couples, providing actionable guidance for optimizing fertility through diet.

## Key findings

- Red meat consumption is inversely linked to Thallium but positively linked to Tin and Cerium.
- Tea consumption is positively associated with Cobalt, Gallium, and Strontium levels.
- Whole grain intake is significantly linked to increased Tin levels.

## Abstract

This study aimed to provide guidance for couples in dietary adjustments to optimize trace element concentrations for improved fertility and to offer a reference for formulating precise reproductive health policies.

In this prospective cohort study, we analyzed 1,066 couples undergoing in vitro fertilization (IVF) from 2020 to 2023. Dietary intake was assessed using a Food Frequency Questionnaire, and 21 trace elements were measured. Multiple linear regression and factor analysis were used to evaluate associations.

Hefei City, Anhui Province, China.

A total of 1,066 couples undergoing IVF treatment.

In this study, we found significant associations between dietary intake and trace element concentrations in couples undergoing in vitro fertilization (IVF). Results showed that red meat consumption was inversely associated with Thallium (Tl) but positively correlated with Tin (Sn) and Cerium (Ce). Moderate intake of animal offal and processed meats showed significant associations with Aluminum (Al). Moderate sugar-sweetened beverage consumption was inversely linked to Tl levels. Furthermore, the moderate consumption of pickled and fried foods, as well as coffee, exhibited positive correlations with the trace elements Al and Manganese (Mn). Notably, as tea consumption increased, levels of Cobalt (Co), Gallium (Ga), and Strontium (Sr) also exhibited a significant rise. Even after False Discovery Rate (FDR) correction, the positive associations between Al levels and the moderate consumption of animal offal, pickled/fried foods, and coffee remained robust. Additionally, whole grain intake demonstrated a significant positive association with Sn, while tea consumption remained positively correlated with Rubidium (Rb).

Our study emphasizes the significant impact of dietary intake on trace metal exposure in infertile couples. These insights can guide future research and help couples optimize trace elements through dietary modifications.

## Linked entities

- **Chemicals:** Thallium (PubChem CID 5359464), Tin (PubChem CID 5352426), Cerium (PubChem CID 23974), Aluminum (PubChem CID 123667), Manganese (PubChem CID 23930), Cobalt (PubChem CID 104730), Gallium (PubChem CID 5360835), Strontium (PubChem CID 5359327), Rubidium (PubChem CID 105153)

## Full-text entities

- **Genes:** ESR1 (estrogen receptor 1) [NCBI Gene 2099] {aka ER, ESR, ESRA, ESTRR, Era, NR3A1}, DMRT1 (doublesex and mab-3 related transcription factor 1) [NCBI Gene 1761] {aka CT154, DMT1}
- **Diseases:** IVF (MESH:C566179), spontaneous abortion (MESH:D000022), toxicity (MESH:D064420), Infertility (MESH:D007246), menstrual disorders (MESH:D004412), iron deficiency (MESH:D000090463), reproductive system damage (MESH:D060737), overweight (MESH:D050177), obese (MESH:D009765), tumor (MESH:D009369), failure (MESH:D051437), endometriosis (MESH:D004715)
- **Chemicals:** heavy metal (MESH:D019216), reactive oxygen species (MESH:D017382), Ba (MESH:D001464), Sr (MESH:D013324), Mg (MESH:D008274), nitric acid (MESH:D017942), Manganese (MESH:D008345), Mo (MESH:D008982), Cd (MESH:D002104), arsenic (MESH:D001151), alcohol (MESH:D000438), Ga (MESH:D005708), Pb (MESH:D007854), Co (MESH:D003035), Se (MESH:D012643), Hg (MESH:D008628), Al (MESH:D000535), CAL2-1 (-), Ce (MESH:D002563), Cu (MESH:D003300), Sn (MESH:D014001), Ag (MESH:D012834), Fe (MESH:D007501), V (MESH:D014639), Li (MESH:D008094), Thallium (MESH:D013793), water (MESH:D014867), Triton X-100 (MESH:D017830), Ni (MESH:D009532), Zn (MESH:D015032), Au (MESH:D006046), Rb (MESH:D012413), Be (MESH:D001608), metal (MESH:D008670)
- **Species:** Oryza sativa (Asian cultivated rice, species) [taxon 4530], Homo sapiens (human, species) [taxon 9606], Glycine max (soybean, species) [taxon 3847]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12935679/full.md

## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12935679/full.md

## References

47 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935679/full.md

---
Source: https://tomesphere.com/paper/PMC12935679