期刊论文详细信息
Nutrition Journal
Effects of isoflavones (soy phyto-estrogens) on serum lipids: a meta-analysis of randomized controlled trials
Tak-fu Yu2  John Yeung1 
[1] Medical Centre, Kowloon Motor Bus Company, Hong Kong;Medical Centre, G/F, Greenrich Mansion, 100 Castle Peak, Hong Kong
关键词: lipids;    phytoestrogens;    soy;    isoflavones;    meta-analysis;   
Others  :  1152104
DOI  :  10.1186/1475-2891-2-15
 received in 2003-09-19, accepted in 2003-11-19,  发布年份 2003
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【 摘 要 】

Objectives

To determine the effects of isoflavones (soy phyto-estrogens) on serum total cholesterol (TC), low density lipoprotein cholesterol (LDL), high density lipoprotein cholesterol (HDL) and triglyceride (TG).

Methods

We searched electronic databases and included randomized trials with isoflavones interventions in the forms of tablets, isolated soy protein or soy diets. Review Manager 4.2 was used to calculate the pooled risk differences with fixed effects model.

Results

Seventeen studies (21 comparisons) with 853 subjects were included in this meta-analysis. Isoflavones tablets had insignificant effects on serum TC, 0.01 mmol/L (95% CI: -0.17 to 0.18, heterogeneity p = 1.0); LDL, 0.00 mmol/L (95% CI: -0.14 to 0.15, heterogeneity p = 0.9); HDL, 0.01 mmol/L (95% CI: -0.05 to 0.06, heterogeneity p = 1.0); and triglyceride, 0.03 mmol/L (95% CI: -0.06 to 0.12, heterogeneity p = 0.9). Isoflavones interventions in the forms of isolated soy protein (ISP), soy diets or soy protein capsule were heterogeneous to combine.

Conclusions

Isoflavones tablets, isolated or mixtures with up to 150 mg per day, seemed to have no overall statistical and clinical benefits on serum lipids. Isoflavones interventions in the forms of soy proteins may need further investigations to resolve whether synergistic effects are necessary with other soy components.

【 授权许可】

   
2003 Yeung and Yu; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.

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【 参考文献 】
  • [1]Anderson JW, Johnstone BM, Cook-Newell ME: Meta-analysis of the effects of soy protein intake on serum lipids. N Eng J Med 1995, 333:276-282.
  • [2]Hasler CM: The cardiovascular effects of soy products. J Cardiovasc Nurs 2002, 16(4):50-63.
  • [3]Clarkson TB: Fourth international symposium on the role of soy in preventing and treating chronic disease: Soy, soy phytoestrogens and cardiovascular disease. J Nutr 2002, suppl 132:566-569S.
  • [4]Dickersin K, Scherer R, Lefebvre C: Systematic Reviews: Identifying relevant studies for systematic reviews. BMJ 1994, 309:1286-1291.
  • [5]Phipps WR, Duncan AM, Kurzer MS: A Critical Review: Isoflavones and Postmenopausal Women. Treat Endocrinol 2002, 1(5):293-311.
  • [6]Deeks JJ, Altman DG, Bradburn MJ: Statistical methods for examining heterogeneity and combining results from several studies in meta-analysis. In In Systematic Reviews in Health Care: Meta-analysis in Context. 2nd edition. Edited by Egger M, Smith GD, Altman DG. London: BMJ Publishing Group; 2001:285-312.
  • [7]Calvert GD, Blight L, Illman RJ, Topping DL, Potter JD: A trial of the effects of soya-bean flour and soya-bean saponins on plasma lipids, faecal bile acids and neutral sterols in hypercholesterolaemic men. Br J Nutr 1981, 45:277-281.
  • [8]Clifton-Bligh PB, Baber RJ, Fulcher GR, Nery ML, Moreton T: The effect of isoflavones extracted from red clover (Rimostil) on lipid and bone metabolism. Menopause 2001, 8(4):259-265.
  • [9]Dewell A, Hollenbeck CB, Bruce B: The effects of soy-derived phytoestrogens on serum lipids and lipoproteins in moderately hypercholesterolemic postmenopausal women. J Clin Endocrinol Metab 2002, 87:118-121.
  • [10]Hale G, Paul-Labrador M, Dwyer JH, Merz CNB: Isoflavone supplementation and endothelial function in menopausal women. Clin Endocrinol 2002, 56:693-701.
  • [11]Han KK, Soares JM, Haidar MA, de Lima GR, Baracat EC: Benefits of soy isoflavone therapeutic regimen on menopausal symptoms. Obstet Gynecol 2002, 99:389-394.
  • [12]Hodgson JM, Puddey IB, Beilin LJ, Mori TA, Croft KD: Supplementation with isoflavonoid phytoestrogens does not alter serum lipid concentrations: a randomized controlled trial in humans. J Nutr 1998, 128:728-732.
  • [13]Howes JB, Sullivan D, Lai N, Nestel P, Pomeroy S, West L, Eden JA, Howes LG: The effects of dietary supplementation with isoflavones from red clover on the lipoprotein protein profiles of post menopausal women with mild to moderate hypercholesterolaemia. Atherosclerosis 2000, 152:143-147.
  • [14]Mackey R, Ekangaki A, Eden JA: The effects of soy protein in women and men with elevated plasma lipids. Biofactors 2000, 12:251-257.
  • [15]Merz-Demlow BE, Duncan AM, Wangen KE, Xu X, Carr TP, Phipps WR, Kurzer MS: Soy isoflavones improve plasma lipids in normocholesterolemic, premenopausal women. Am J Clin Nutr 2000, 71:1462-1469.
  • [16]Nestel PJ, Yamashita T, Sasahara T, Pomeroy S, Dart A, Komesaroff P, Owen A, Abbey M: Soy isoflavones improve systemic arterial compliance but not plasma lipids in menopausal and perimenopausal women. ArteriosclerThromb Vasc Biol 1997, 17:3392-3398.
  • [17]Nestel PJ, Pomeroy S, Kay S, Komesaroff P, Behrsing J, Cameron JD, West L: Isoflavones from red clover improve systemic arterial compliance but not plasma lipids in menopausal women. J Clin Endocrinol Metab 1999, 84:895-898.
  • [18]Samman S, Wall PML, Chan GSM, Smith SJ, Petocz P: The effect of supplementation with isoflavones on plasma lipids and oxidisability of low density lipoprotein in premenopausal women. Atherosclerosis 1999, 147:277-283.
  • [19]Sanders TAB, Dean TS, Grainger D, Miller GJ, Wiseman H: Moderate intakes of intact soy protein rich in isoflavones compared with ethanol-extracted soy protein increase HDL but do not influence transforming growth factor beta concentrations and hemostatic risk factors for coronary heart disease in healthy subjects. Am J Clin Nutr 2002, 76:373-377.
  • [20]Simons LA, von Konigsmark M, Simons J, Celermajer DS: Phytoestrogens do not influence lipoprotein levels or endothelial function in healthy, postmenopausal women. Am J Cardiol 2000, 85:1297-1301.
  • [21]Squadrito F, Altavilla D, Morabito N, Crisafulli A, D'Anna R, Corrado F, Ruggeri P, Campo GM, Calapai G, Caputi AP, Squadrito G: The effect of the phytoestrogen genistein on plasma nitric oxide concentrations, endothelin-1 levels and endothelium dependent vasodilation in postmenopausal women. Atherosclerosis 2002, 163:339-347.
  • [22]Urban D, Irwin W, Kirk M, Markiewicz MA, Myers R, Smith M, Weiss H, Grizzle WE, Barnes S: The effect of isolated soy protein on plasma biomarkers in elderly men with elevated serum prostate specific antigen. J Urol 2001, 165:294-300.
  • [23]Wangen KE, Duncan AM, Xu X, Kurzer MS: Soy isoflavones improve plasma lipids in normocholesterolemic and mildly hypercholesterolemic postmenopausal women. Am J Clin Nutr 2001, 73:225-231.
  • [24]Cassidy A, Bingham S, Setchell KDR: Biological effects of a diet of soy protein rich in isoflavones on the menstrual cycle of premenopausal women. Am J Clin Nutr 1994, 60:333-340.
  • [25]Cassidy A, Bingham S, Setchell K: Biological effects of isoflavones in young women: importance of the chemical composition of soyabean products. Br J Nutr 1995, 74:587-601.
  • [26]Tikkanen MJ, Wahala K, Ojala S, Vihma V, Adlercreutz H: Effect of soybean phytoestrogen intake on low density lipoprotein oxidation resistance. Proc Natl Acad Sci USA 1998, 95:3106-3110.
  • [27]Wong WW: Effects of soy isoflavones on blood lipids, blood pressure and biochemical markers of bone metabolism in postmenopausal women. J Nutr 2000, suppl 130:686S.
  • [28]Gooderham MJ, Adlercreutz H, Ojala ST, Wahala K, Holub BJ: A soy protein isolate rich in genistein adn daidzein and its effects on plasma isoflavone concentrations, platelet aggregation, blood lipids and fatty acid composition of plasma phospholipid in normal men. J Nutr 1996, 126:2000-2006.
  • [29]Potter SM, Baum JA, Teng H, Stillman RJ, Shay NF, Erdman JW: Soy protein and isoflavones: their effects on blood lipids and bone density in postmenopausal women. Am J Clin Nutr 1998, suppl 68:1375-1379S.
  • [30]Adlercruetz H, Goldin BR, Gorbach SL, Hockerstedt KA, Watanabe S, Hamalainen EK, Markkanen MH, Makela TH, Wahala KT, Adlercreutz T: Soybean phytoestrogen intake and cancer risk. J Nutr 1995, suppl 125:757-770S.
  • [31]Review Manager (RevMan) [Computer program]. Version 4.2 for Windows Oxford, England: The Cochrane Collaboration 2003.
  • [32]Erdman JW Jr: AHA science advisory: soy protein and cardiovascular disease: a statement for healthcare professionals from the Nutrition Committee of the AHA. Circulation 2000, 102:2555-2559.
  • [33]Clarkson TB: Soy, soy phytoestrogens and cardiovascular disease. J Nutr 2002, suppl 132:566-569S.
  • [34]Clarkson TB, Anthony MS, Morgan TM: Inhibition of postmenopausal atherosclerosis progression: a comparison of the effects of conjugated equine estrogens and soy phytoestrogens. J Clin Endocrinol Metab 2001, 86:41-47.
  • [35]Clarkson TB, Kaplan JR, Wagner JD, et al.: Lessons from animal models. In In Cardiovascular disease and disease in women. 2nd edition. Edited by Douglas PS. New York: WB Saunders Company; 2002:231-256.
  • [36]Sterne JAC, Egger M: Funnel plots for detecting bias in meta-analysis: Guidelines on choice of axis. Journal of Clinical Epidemiology 2001, 54:1046-1055.
  • [37]Kuiper GG, Lemmen JG, Carlsson B, Corton JC, Safe SH, van der Saag PT, van der Burg B, Gustafsson JA: Interaction of estrogenic chemicals and phytoestrogens with estrogen receptor b. Endocrinology 1998, 139:4252-4263.
  • [38]Dornstauder E, Jisa E, Unterrieder I, Krenn L, Kubelka W, Jungbauer A: Estrogenic activity of two standardized red clover extracts (Menoflavon) intended for large scale use in hormone replacement therapy. J SteroidBiochem Mol Biol 2001, 78:67-75.
  • [39]Morito K, Hirose T, Kinjo J, Hirakawa T, Okawa M, Nohara T, Ogawa S, Inoue S, Muramatsu M, Masamune Y: Interaction of phytoestrogens with estrogen receptors alpha and beta. Biol Pharm Bull 2001, 24:351-356.
  • [40]Mendelsohn ME: Nongenomic, ER-mediated activation of endothelial nitric oxide synthase: how does it work? What does it mean? Circ Res 2000, 87:956-960.
  • [41]Gruber CJ, Tschugguel W, Schneeberger C, Huber JC: Production and actions of estrogens. N Engl J Med 2002, 346:340-352.
  • [42]Jayachandran M, Miller VM: Molecular and cellular mechanisms of estrogen's actions. In In Cardiovascular disease and disease in women. 2nd edition. Edited by Douglas PS. New York: WB Saunders Company; 2002:207-230.
  • [43]Busby MG, Jeffcoat AR, Bloedon LT, Koch MA, Black T, Dix KJ, Heizer WD, Thomas BF, Hill JM, Crowell JA, Zeisel SH: Clinical characteristics and pharmacokinetics of purified soy isoflavones: single-dose administration to healthy men. Am J Clin Nutr 2002, 75:126-36.
  • [44]Lu LJ, Anderson KE: Sex and long-term soy diets affect the metabolism and excretion of soy isoflavones in humans. Am J Clin Nutr 1998, suppl 68:1500-1504S.
  • [45]Xu X, Wang HJ, Murphy PA, Hendrich S: Neither background diet nor type of soy food affects short-term isoflavone bioavailability in women. J Nutr 2000, 130:798-801.
  • [46]Sirtori CR, Gianazza E, Manzoni C, Lovati MR, Murphy PA: Role of isoflavones in the cholesterol reduction by soy proteins in the clinic. Am J Clin Nutr 1997, 65:166-167.
  • [47]Potter SM: Soy protein and cardiovascular disease: the impact of bioactive components in soy. Nutr Rev 1998, 56:231-235.
  • [48]Potter SM: Overview of proposed mechanisms for the hypocholesterolemic effect of soy. J Nutr 1995, suppl 125:606-611S.
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