“…Understanding these relationships is critical since on average, reproductive-aged women in North America have low diet quality [ 19 , 20 , 21 , 22 ] and increased obesity rates [ 23 ], which were shown to increase the propensity for ovulatory dysfunction, hormonal dysregulation, and infertility [ 24 , 25 , 26 ]. Animal studies evaluating the impact of diet on ovarian function support a negative influence of poor diet quality, including high-fat [ 27 , 28 , 29 , 30 ]; low-protein [ 31 ]; and, Western-style diets (combined high-calorie and high-fat [ 32 ] and combined high-calorie, high-fat, and high-sucrose [ 33 ]) on ovarian follicle development and ovarian morphology, which is exacerbated by androgen exposure [ 32 ]. With respect to human studies, a systematic review including women of reproductive age evaluated the relationship between dietary nutrients, dietary patterns, and food groups with ovarian reserve biomarkers (e.g., antral follicle count, follicle-stimulating hormone [FSH], anti-müllerian hormone [AMH] concentrations) and reported no or modest associations of some single nutrients/foods (e.g., dietary fiber, soy products) with ovarian reserve.…”