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The effect of soy protein beverages on serum cell adhesion molecule concentrations in prehypertensive/stage 1
Michelle Dettmer1, D Lee Alekel, Joanne A Lasrado
1Department of Food Science & Human Nutrition, Nutrition & Wellness Research Center, Research Park, Ames, Iowa, USA.
Insights
Neither cow's milk nor soy beverages lowered cell adhesion molecules in individuals with prehypertension or stage 1 hypertension. This suggests neither drink reduces atherosclerotic cardiovascular disease risk by improving these markers.
Area of Science:
- Cardiovascular Disease Research
- Nutritional Science
- Endocrinology
Background:
- Prehypertension and hypertension increase atherosclerotic cardiovascular disease (CVD) risk due to endothelial dysfunction and elevated cell adhesion molecules (CAMs).
- Soy protein and isoflavones may offer cardiovascular benefits by favorably altering CVD risk factors.
Purpose of the Study:
- To investigate if cow's milk, whole soy bean (WSB) beverage, or soy protein isolate (SPI) beverage consumption impacts soluble CAM concentrations.
- To assess the potential of these beverages in reducing CVD risk by modulating CAM levels in prehypertensive/stage 1 hypertensive individuals.
Main Methods:
- A randomized controlled trial involving 60 men and 8 women with prehypertension/stage 1 hypertension over 8 weeks.
- Participants consumed either cow's milk (600 mL/d), SPI beverage (840 mL/d; 30.1 mg isoflavones/d), or WSB beverage (840 mL/d; 91.4 mg isoflavones/d).
- Soluble vascular cell adhesion molecule-1 (VCAM-1), intercellular cell adhesion molecule-1 (ICAM-1), and endothelial-leukocyte adhesion molecule-1 (E-selectin) were measured at baseline and week 8.
Main Results:
- No significant alterations in soluble CAM concentrations were observed across treatment groups or between prehypertensive and hypertensive participants.
- A significant gender interaction was found for ICAM-1, with men exhibiting higher baseline and week 8 concentrations than women.
- No significant treatment effect was noted for VCAM-1 or E-selectin, though a trend was observed for E-selectin.
Conclusions:
- Eight weeks of consuming cow's milk or soy beverages did not alter soluble CAM concentrations in individuals with prehypertension/stage 1 hypertension.
- These findings suggest that neither beverage effectively reduces atherosclerotic CVD risk through improvements in circulating CAM concentrations in this population.
Objective:
Prehypertensive and hypertensive individuals are at increased risk of atherosclerotic cardiovascular disease (CVD), in part because hypertension contributes to endothelial dysfunction and increased cell adhesion molecule expression. Soy protein and isoflavones may favorably alter CVD risk factors, and hence the aim of this study was to determine whether intake of cow's milk compared with soy beverage prepared from whole soy bean (WSB) or soy protein isolate (SPI) would lower soluble cell adhesion molecule concentrations as a means of decreasing CVD risk.
Methods:
We enrolled healthy prehypertensive/stage 1 hypertensive men (n = 60; 18-63 years) and premenopausal women (n = 8; 20-48 years). Participants were randomized to 1 of 3 groups for 8 weeks: cow's milk (600 mL/d), SPI beverage (840 mL/d; 30.1 mg total isoflavones/d), or WSB beverage (840 mL/d; 91.4 mg total isoflavones/d). We measured soluble vascular cell adhesion molecule-1 (VCAM-1), intercellular cell adhesion molecule-1 (ICAM-1), and endothelial-leukocyte adhesion molecule-1 (E-selectin) concentrations at baseline and week 8.
Results:
Soluble CAM concentrations were not altered by treatment and did not differ between prehypertensive and hypertensive participants. However, analysis of variance indicated a treatment × gender interaction (gender effect) for ICAM-1 (p = 0.0037) but not for E-selectin (p = 0.067) or VCAM-1 (p = 0.16). Men had higher concentrations of ICAM-1 and E-selectin, respectively, at baseline (p = 0.0071, p = 0.049) and week 8 (p = 0.0054, p = 0.038) than women did.
Conclusion:
Neither intake of cow's milk nor soy beverage for 8 weeks altered soluble CAM concentrations in prehypertensive/stage 1 hypertensive individuals, suggesting that neither type of beverage diminished atherosclerotic CVD risk in mildly hypertensive individuals by way of improving circulating CAM concentrations.
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