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Related Experiment Videos

Phytoestrogens and cardiovascular disease.

Aedín Cassidy1, Lee Hooper

  • 1School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, UK. a.cassidy@uea.ac.uk

The Journal of the British Menopause Society
|June 17, 2006
PubMed
Summary

Soy isoflavones in soy protein isolate may reduce LDL cholesterol, but effects on other lipids are unclear. The active components in soy remain unidentified, necessitating further research on whole soy foods for cardiovascular outcomes.

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Area of Science:

  • Nutritional Science
  • Cardiovascular Health
  • Phytoestrogen Research

Background:

  • Isoflavones, a major class of phytoestrogens found in soybeans, have been extensively studied for their health effects.
  • Previous systematic reviews suggest soy protein isolate (ISP) with isoflavones reduces LDL cholesterol, but evidence for other lipids is inconsistent.

Purpose of the Study:

  • To review the effects of soy isoflavones and soy protein on lipid levels and other cardiovascular risk markers.
  • To clarify the active components within soy responsible for observed health effects.
  • To identify areas for future research on whole soy foods and cardiovascular outcomes.

Main Methods:

  • Systematic review of existing literature on soy isoflavones and cardiovascular biomarkers.
  • Analysis of data from six systematic reviews assessing soy isoflavones' impact on lipid profiles.

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  • Evaluation of evidence regarding effects on blood pressure, endothelial function, and homocysteine.
  • Main Results:

    • Soy protein isolate (ISP) containing isoflavones significantly reduces low-density lipoprotein (LDL) cholesterol by approximately 0.15 mmol/L.
    • No significant effects were observed on triglyceride or high-density lipoprotein (HDL) cholesterol levels.
    • Purified isoflavones or soy protein lacking isoflavones did not show statistically significant lipid-lowering effects.
    • Potential benefits on endothelial function in postmenopausal women and homocysteine concentrations were noted.
    • Adverse effects were minimal at physiological doses, with some gastrointestinal and menstrual complaints reported with supplements.

    Conclusions:

    • Soy protein isolate with isoflavones demonstrates a modest LDL cholesterol-lowering effect.
    • The specific active components in soy (isoflavones, protein matrix, or other compounds) require further elucidation.
    • Robust studies on whole soy foods and their impact on cardiovascular events are essential.