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Submitted: 06 Aug 2025
Revision: 30 Sep 2025
Accepted: 06 Oct 2025
ePublished: 12 Oct 2025
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J Prev Epidemiol. Inpress.
doi: 10.34172/jpe.2025.39282
  Abstract View: 39

Meta-analysis

Investigating the relationship between vitamin B intake and endometriosis: a systematic review and meta-analysis

Amirhosein Moradi 1 ORCID logo, Ahmadreza Siyasari 2 ORCID logo, Sara Abutalebi Nasrabad 3 ORCID logo, Tahmineh Ezazi Bojnordi 4 ORCID logo, Saba Bazzazi 5 ORCID logo, Sadaf Rassouli 6 ORCID logo, Peyman Khajehnabi 7 ORCID logo, Maryam Farajisani 8 ORCID logo, Mehrangiz Ghafari 9* ORCID logo

1 Department of Anesthesiology, Kerman University of Medical Sciences, Kerman, Iran
2 Department of Medical Surgical Nursing, Faculty of Nursing and Midwifery, Zabol University of Medical Sciences, Iran
3 Department of Obstetrics and Gynecology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Department of Perinatology, Shahid Akbarabadi Hospital, Iran University of Medical Sciences, Tehran, Iran
5 Preventative Gynecology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
6 Department of Gynecology and Obstetrics, Imam Khomeini Hospital, School of Medicine, Sari University of Medical Sciences, Sari, Iran
7 Department of Pharmacology, Cyprus International University, Lefkosa, North Cyprus
8 Department of Gynecology and Obstetrics, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
9 Department of Pathology, School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
*Corresponding Author: Mehrangiz Ghafari, Email: ghafari.mehr@yahoo.com

Abstract

Introduction: Vitamin B promotes the inactive metabolism of estrogen and inhibits endometrial growth. Accordingly, the present study aimed to examine the relationship between vitamin B intake and endometriosis.

Materials and Methods: Databases Scopus, PubMed, ProQuest, Web of Science, Cochrane, Embase, and Google Scholar Search Engine were used for articles published until July 18, 2025. Data was entered into SPSS 19 and analyzed using STATA 14.

Results: Generally, administration of vitamins B2 (OR: 0.76, 95% CI: 0.64, 0.90) and B3 (OR: 0.98, 95% CI: 0.96, 1) reduced the risk of endometriosis. However, the relationship between vitamins B1 (OR: 1.04, 95% CI: 0.92, 1.17), B6 (OR: 0.98, 95% CI: 0.89, 1.08), B9 (OR: 1.01, 95% CI: 0.84, 1.21), and B12 (OR: 1.06, 95% CI: 0.98, 1.14) and endometriosis was statistically insignificant. According to the subgroup analysis, vitamin B1 intake in cohort studies increased the risk of endometriosis. Vitamin B2 administration in casecontrol studies and in the fourth quartile reduced the risk of endometriosis. Vitamin B9 intake, on the other hand, increased the risk of endometriosis in cohort studies and the fourth quartile.

Conclusion: Vitamin B2 and B3 intake reduced the risk of endometriosis in women by up to 24% and 2%, respectively. However, to ensure the validity of the results, further studies on this subject are required.

Registration: This study has been compiled based on the PRISMA checklist, and its protocol was registered on the PROSPERO (ID: CRD420251112519) and Research Registry (UIN: reviewregistry2028) websites.


Citation: Moradi A, Siyasari A, Abutalebi Nasrabad S, Ezazi Bojnordi T, Bazzazi S, Rassouli S, Khajehnabi P, Farajisani M, Ghafari M. Investigating the relationship between vitamin B intake and endometriosis: a systematic review and Meta-analysis. J Prev Epidemiol. 2025;10(x):e39282. doi: 10.34172/jpe.2025.39282.
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