Effects of Soy on Metabolic Biomarkers of Cardiovascular Disease in Elderly Women with the Metabolic Syndrome
Abstract
Objective: To ascertain the effects of soy [in the forms of Textured Soy Protein (TSP) and soy-nut] on lipid profiles, apolipoproteins, inflammatory and prothrombotic markers and blood pressure in elderly women with the metabolic syndrome.
Materials and methods: The study is a 12-week parallel randomized controlled trial that was conducted in rural health centres of Babol, Iran. The participants were 75 women 60-70 years old with the metabolic syndrome who were randomized to one of the three groups of soy-nut (35g/d), TSP (35g/d) and control. Blood pressure and blood biochemical markers were measured at baseline and at the end of the study including, triglyceride, cholesterol, HDL-C, LDL-C, VLDL-C, ApoB100, ApoAI, CRP and fibrinogen.
Results: The soy-nut improved significantly LDL-C, VLDL-C and Apo B100 (P<0.05) while fewer improvements but significant were observed in these variables in the TSP group only when compared with the mean changes from the baseline (P<0.001). Similar result was found for Apo AI in the treatment groups (P<0.01). Serum total cholesterol decreased significantly in the treatment groups compared with control group (P<0.005). The differences from control for triglyceride, HDL-C, fibrinogen, CRP and blood pressure were not significant.
Conclusion: Both forms of soy while improved lipids profiles the soy-nut contribution was more to this improvement than the TSP. Therefore, moderate daily intake of soy may be a safe, cheap and practical method to improve cardiovascular disease risk and also reduce the need for medical treatment.
Kaaja RJ. Metabolic syndrome and the menopause. Menopause Int 2008; 14: 21–5.
Handelsmn Y. Metabolic Syndrome Pathophysiology and Clinical Presentation. Toxicol Pathol 2009; 37: 18–20.
Odrowaz–Sypniewska G. Markers of pro–inflamma- tory and pro–thrombotic state in the diagnosis of metabolic syndrome. Adv Med Sci 2007; 52: 246–50.
Alberti KG, Zimmet P, Shaw J. Metabolic syndrome: a new world–wide definition. A consensus statement from the International Diabetes Federation. Diabet Med. 2006; 23: 469–80.
Eshtiaghi R, Esteghamati A, Nakhjavani M. Menopa- use is an independent predictor of metabolic syndrome in Iranian women. Maturitas 2010; 65: 262–6.
Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Athe- rosclerosis Risk in Communities study. Circulation 2008; 117:754–61.
Feldeisen SE, Tucker KL. Nutritional strategies in the prevention and treatment of metabolic syndrome. Appl physiol Nutr Metab 2007; 32: 46–60.
Djoussé L, Padilla H, Nelson TL, Gaziano JM, Muka- mal KJ. Diet and metabolic syndrome. Endocr Metab Immune Disord Drug Targets 2010; 10: 124–37.
McVeigh BL, Dillingham. BL, Lampe JW, Duncan AM Effect of soy protein varying in isoflavone content on serum lipids in healthy young men. Am J Clin Nutr 2006; 83: 244 –51.
Hall WL, Vafeiadou K, Hallund J, Bugel S, Reimann M, Koebnick C, Zunft HJ et al. Soy–isoflavone– enriched foods and markers of lipid and glucose metabolism in postmenopausal women: interactions with genotype and equol production. Am J Clin Nutr 2006; 83: 592–600.
Sacks FM, Lichtenstein A, Van Horn L, Harris W, Kris–Etherton P, Winston M,et al. Soy protein, isofla- vones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation. 2006; 113: 1034–44.
Jenkins DJ, Kendall CW, Jackson CJ, Connelly PW, Parker T, Faulkner D et al. Effects of high– and low– isoflavone (phytoestrogen) soy foods on inflammatory biomarkers and proinflammatory cytokines in middle– aged men and women. Metabolism 2002; 51: 919–24.
Sakai T, Kogiso M. Soy isoflavone and immunity. J Med Invest. 2008; 55: 167–73.
Hanachi P, Golkho S. Assessment of soy phytoestro- gens and exercise on lipid profiles and menopause symptoms in menopausal women. J Biol Sci 2008; 8:789–93.
Moutsatsou, P. The spectrum of phytoestrogens in nature: our knowledge is expanding. Hormones 2007;6: 173–93.
Welty FK, Lee KS, Lew NS. Effect of soy nuts on blood pressure and lipid levels in hypertensive, prehypertensive, and normotensive postmenopausal women. Arch Intern Med 2007; 167: 1060–7.
Matthan NR, Jalbert SM, Ausman LM, Kuvin JT, Karas RH, Lichtenstein AH.. Effect of soy protein from differently processed products on cardiovascular disease risk factors and vascular endothelial function in hypercholesterolemic subjects. Am J Clin Nutr 2007; 85: 960–6.
Chen ST, Chen JR, Yang CS, Peng SJ, Ferng SH.Effect of soya protein on serum lipid profile and lipoprotein concentrations in patients undergoing hypercholesterolaemic haemod ialysis. Br J Nutr 2006;95: 366–71.
Pipe EA, Gobert CP, Capes SE, Darlington GA, Lampe JW, Duncan AM. Soy protein reduces serum LDL cholesterol and the LDL cholesterol: HDL cholesterol and apolipoprotein B: apolipoprotein A–I ratios in adults with type 2 diabetes. J Nutr 2009; 139:1700–6.
Zhan S, Ho SC.. Meta–analysis of the effects of soy protein containing isoflavones on the lipid profile. Am J Clin Nutr 2005; 81: 397–408.
Duranti M, Lovati MR, Dani V, Barbiroli A, Scarafoni A, Castiglioni S, Ponzone C, et al. The alpha’ subunit from soybean 7S globulin lowers plasma lipids and upregulates liver beta–VLDL receptors in rats fed a hypercholesterolemic diet. J Nutr 2004; 134: 1334–9.
Moriyama T, Kishimoto K, Nagai K, Urade R, Ogawa T, Utsumi S, et al.Soybean beta–conglycinin diet suppresses serum triglyceride levels in normal and genetically obese mice by induction of beta–oxidation, downregulation of fatty acid synthase, and inhibition of triglyceride absorption. Biosci Biotechnol Biochem 2004; 68: 352–9.
Hermansen K, Søndergaard M, Høie L, Carstensen M, Brock B.. Beneficial Effects of a Soy–Based Dietary Supplement on Lipid Levels and Cardiovascular Risk Markers in Type 2 Diabetic Subjects. Diabetes Care 2001; 24: 228–33.
Borodin EA, Menshikova IG, Dorovskikh VA, Feoktistova NA, Shtarberg MA, Yamamoto T, et al. Effects of two–month consumption of 30 g a day of soy protein isolate or skimmed curd protein on blood lipid concentration in Russian adults with hyperlipide- mia. J Nutr Sci Vitaminol. 2009; 55 (6): 492–7.
Galisteo M, Duarte J, Zarzuelo A. Effects of dietary fibers on disturbances clustered in the metabolic syndrome. J Nutr Biochem 2008; 19: 71–84.
Brown L, Rosner B, Willett WW, Sacks FM. Choles- terol–lowering effects of dietary fiber: a meta–analysis. Am J Clin Nutr 1999; 69: 30–42.
Beavers KM, Jonnalagadda SS, Messina MJ. Soy consumption, adhesion molecules, and pro–inflamma- tory cytokines: a brief review of the literature. Nutr Rev 2009; 67: 213–21.
Jenkins DJ, Kendall CW, Jackson CJ, Connelly PW, Parker T, Faulkner D, et al. Effects of high– and low– isoflavone soyfoods on blood lipids, oxidized LDL, homocysteine, and blood pressure in hyperlipidemic men and women. Am J Clin Nutr 2002; 76: 365–72.
Blum A, Lang N, Peleg A, Vigder F, Israeli P, Gumanovsky M, et al. Effects of oral soy protein on markers of nflammation in postmenopausal women with mild hypercholesterolemia. Am Heart J 2003;145: e7.
Hanson LN, Engelman HM, Alekel DL, Schalinske KL, Kohut ML, Reddy MB.. Effects of soy isoflavones and phytate on homocysteine, C–reactive protein, and iron status in postmenopausal women. Am J Clin Nutr 2006; 84: 774–80.
Nikander E, Metsa–Heikkila M, Tiitinen A. Evidence of a lack of effect of a phytoestrogen regimen on the levels of C–reactive protein, E–selectin, and nitrate in postmenopausal women. J Clin Endocrino Metab 2003; 88: 5180–5.
Christie DR, Grant J, Darnell BE, Chapman VR, Gastaldelli A, Sites CK. Metabolic effects of soy supplementation in postmenopausal Caucasian and African American women: a randomized, placebo– controlled trial. Am J Obstet Gynecol 2010; 203: 153. e1–9.
Li Z, Hong K, Saltsman P, DeShields S, Bellman M,Thames G, Liu Y, et al. Long–term efficacy of soy– based meal replacements vs. an individualized diet plan in obese type II DM patients: relative effects on weight loss, metabolic parameters, and C–reactive protein. Eur J Clinl Nutr 2005; 59: 411–8.
Azadbakht L, Atabak S, Esmaillzadeh A. Soy protein intake, cardiorenal indices, and C–reactive protein in type 2 diabetes with nephropathy: a longitudinal randomized clinical trial. Diabetes Care 2008; 31: 648–54.
Helferich WG, Andrade JE, Hoagland MS. Phytoestro- gens and breast cancer: a complex story. Inflammophar- macology. 2008; 16: 219–26.
Ma J, Xu A, Jia C, Liu L, Fu Z, Dong J, Guo X, Su J, Bi Z. Associations of fibrinogen with metabolic syndrome in rural Chinese population. J Atheroscler Thromb 2010; 17: 486–92.
Kondo K, Suzuki Y, Ikeda Y, Umemura K. Genistein, an isoflavone included in soy, inhibits thrombotic vessel occlusion in the mouse femoral artery and in vitro platelet aggregation. Eur J Pharmacol 2002; 455: 53–7.
Dent SB, Peterson CT, Brace LD, Swain JH, Reddy MB, Hanson KB, et al. Soy protein intake by perimenopausal women does not affect circulating lipids and lipoproteins or coagulation and fibrinolytic factors. J Nutr 2001; 131: 2280–7.
Yang G, Shu XO, Jin F, Zhang X, Li HL, Li Q, Gao YT, Zheng W. Longitudinal study of soy food intake and blood pressure among middle–aged and elderly Chinese women. Am J Clin Nutr 2005; 81: 1012–7.
Files | ||
Issue | Vol 4, No 3 (September 2010) | |
Section | Original Articles | |
Keywords | ||
Aging dyslipidemia Inflammatory factor Metabolic syndrome Soy foods |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |