Highlights
- •Women with a high frequency of soy food intake had high urinary isoflavone levels.
- •Urinary isoflavone level did not affect urinary estrogen level in premenopausal women.
- •Postmenopausal women with a high urinary isoflavone level had high estrogen levels.
Abstract
Results of studies on the associations of soy food intake with urinary estrogen levels
in premenopausal women and in postmenopausal women have been inconsistent. We examined
the associations of urinary isoflavone levels as well as soy food intake with estrone
(E1) and estradiol (E2) in pre- and postmenopausal women. In addition, we compared
the levels of isoflavones, E1 and E2 across current hormone users such as those receiving
hormone replacement therapy and those using oral contraceptives and non-users among
both pre- and postmenopausal women. Urinary levels of isoflavones, E1 and E2 in 498
women (36 hormone users and 462 non-users) were analyzed. Premenopausal women with
a higher frequency of soy food intake had higher urinary isoflavone levels, but there
were no significant associations between E1 and E2 levels and urinary isoflavone levels.
Levels of E1 and E2 in hormone users were significantly lower than those in hormone
non-users among premenopausal women, but levels of E1 and E2 in hormone users were
significantly higher than those in hormone non-users among postmenopausal women. Postmenopausal
women with a higher frequency of soy food intake had higher urinary isoflavone levels,
and postmenopausal women with high urinary isoflavone levels had significantly higher
E1 and E2 levels. In conclusion, the associations of urinary isoflavone levels with
urinary estrogen levels differed with menopausal status. Urinary levels of E1 and
E2 were high in postmenopausal women with high urinary isoflavone levels but not in
premenopausal women with high urinary isoflavone levels.
Keywords
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References
- Comprehensive evaluation of the role of soy and isoflavone supplementation in humans and animals over the past two decades.Phytother. Res. 2017; : 1-11
- Use of plant-based therapies and menopausal symptoms: a systematic review and meta-analysis.JAMA. 2016; 315: 2554-2563
- A systematic review and meta-analysis of the effects of isoflavone formulations against estrogen-deficient bone resorption in peri- and postmenopausal women.Am. J. Clin. Nutr. 2017; 106: 801-811
- Soy and the risk of type 2 diabetes mellitus: a systematic review and meta-analysis of observational studies.Diabetes Res. Clin. Pract. 2018; 137: 190-199
- Soy isoflavone intake and breast cancer risk in Japan: from the Takayama study.Int. J. Cancer. 2013; 133: 952-960
- Nonhormonal therapies for menopausal hot flashes: systemic review and meta-analysis.JAMA. 2006; 295: 2057-2071
- Soy protein, isoflavones, and cardiovascular health: a summary of a statement for professionals from the American heart association nutrition committee.Arterioscler. Thromb. Vasc. Biol. 2006; 26: 1689-1692
- Soy isoflavones in the prevention of menopausal bone loss and menopausal symptoms: a randomized, double-blind trial.Arch. Intern. Med. 2011; 171: 1363-1369
- Soyfood intake in the prevention of breast cancer risk in women: a meta-analysis of observational epidemiological studies.J. Nutr. Sci. Vitaminol. 2006; 52: 428-436
- Soy isoflavones consumption and risk of breast cancer incidence or recurrence: a meta-analysis of prospective studies.Breast Cancer Res. Treat. 2011; 125: 315-323
- Decreased serum estradiol concentration associated with high dietary intake of soy products in premenopausal Japanese women.Nutr. Cancer. 1997; 29: 228-233
- Effect of dietary components, including lignans and phytoestrogens, on enterohepatic circulation and liver metabolism of estrogens and on sex hormone binding globulin (SHBG).J. Steroid Biochem. 1987; 27: 1135-1144
- Effects of soya consumption for one month on steroid hormones in premenopausal women: implications for breast risk reduction.Cancer Epidemiol. Biomark. Prev. 1996; 5: 63-70
- Decreased ovarian hormones during a soya diet: implications for breast cancer prevention.Cancer Res. 2000; 60: 4112-4121
- Effects of soy foods on ovarian function in premenopausal women.Br. J. Cancer. 2000; 82: 1879-1886
- Effects of isoflavone supplement on healthy women.Biofactors. 2000; 12: 233-241
- 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
- Effects of a 2-year randomized soy intervention on sex hormone levels in premenopausal women.Cancer Epidemiol. Biomark. Prev. 2004; 13: 1736-1744
- Soy isoflavones exert modest hormonal effects in premenopausal women.J. Clin. Endocrinol. Metab. 1999; 84: 192-197
- Effects of soy protein and isoflavones on circulating hormone concentrations in pre- and post-menopausal women: a systematic review and meta-analysis.Hum. Reprod. Update. 2009; 15: 423-440
- Modest hormonal effects of soy isoflavones in postmenopausal women.J. Clin. Endocrinol. Metab. 1999; 84: 3476-3484
- Soy protein with isoflavones has favorable effects on endothelial function that are independent of lipid and antioxidant effects in healthy postmenopausal women.Am. J. Clin. Nutr. 2003; 78: 123-130
- Design of the Japan Nurses’ Health Study: a prospective occupational cohort study of women’s health in Japan.Ind. Health. 2007; 45: 679-686
- Optimal cut-off value for equol-producing status in women: the Japan Nurses’ Health Study urinary isoflavone concentration survey.PLoS One. 2018; 13e0201318https://doi.org/10.1371/journal.pone.0201318
- Radioimmunoassay for estrone, estradiol 17β and estriol in urine and amniotic fluid.Folia Endocrinol. Jpn. 1974; 50: 788-796
- Bioavailability, disposition, and dose-response effects of soy isoflavones when consumed by healthy women at physiologically typical dietary intakes.J. Nutr. 2003; 133: 1027-1035
- Relationship of serum isoflavone, insulin and adiponectin levels with breast cancer risk.Breast Cancer. 2015; 22: 452-461
- Effect of soymilk consumption on serum estrogen concentrations in premenopausal Japanese women.J. Natl. Cancer Inst. 1998; 90: 1830-1835
- Stimulatory influence of soy protein isolate on breast secretion in pre- and postmenopausal women.Cancer Epidemiol. Biomark. Prev. 1996; 5: 785-794
- Associations of intakes of fat, dietary fiber, soy isoflavones, and alcohol with levels of sex hormones and prolactin in premenopausal Japanese women.Cancer Causes Control. 2012; 23: 683-689
- Endogenous sex hormones and breast cancer in postmenopausal women: reanalysis of nine prospective studies.J. Natl. Cancer Inst. 2002; 94: 606-616
- Relationship between equal producer status and metabolic parameters in 743 Japanese women: equal producer status is associated with antiatherosclerotic conditions in women around menopause and early postmenopause.Menopause. 2016; 24: 216-224
- Phytoestrogen exposure is associated with circulating sex hormone levels in postmenopausal women and interact with ESR! And NR1I2 gene variants.Cancer Epidemiol. Biomark. Prev. 2007; 16: 1009-1016
Article info
Publication history
Published online: December 20, 2018
Accepted:
December 17,
2018
Received in revised form:
October 14,
2018
Received:
August 27,
2018
Identification
Copyright
© 2018 Elsevier B.V. All rights reserved.