Skip to main content
Erschienen in: Osteoporosis International 11/2009

01.11.2009 | Original Article

Genistein effects on quantitative ultrasound parameters and bone mineral density in osteopenic postmenopausal women

verfasst von: M. Atteritano, S. Mazzaferro, A. Frisina, M. L. Cannata, A. Bitto, R. D’Anna, F. Squadrito, I. Macrì, N. Frisina, M. Buemi

Erschienen in: Osteoporosis International | Ausgabe 11/2009

Einloggen, um Zugang zu erhalten

Abstract

Summary

This study aimed at evaluating the effects of genistein (54 mg/die) on calcaneus and phalanges ultrasound (QUS) parameters and bone mineral density in osteopenic postmenopausal women. We concluded that genistein prevented bone loss in the osteopenic postmenopausal women and improves QUS parameters at the calcaneus and phalanges.

Introduction

The purpose of the study was to evaluate the effects of genistein (54 mg/die) on quantitative ultrasound (QUS) parameters of the calcaneus and hand phalange and on bone mineral density (BMD) in osteopenic postmenopausal women.

Methods

One hundred thirty-eight women (age 49–67 years) were assigned to receive genistein or placebo. Bone status was assessed by measuring the anteroposterior lumbar spine and femoral neck BMD by dual energy X-ray absorptiometry and by ultrasound of the calcaneus (Achilles Plus, GE, Lunar) and of the phalanges (Bone Profiler. IGEA) at baseline and after a 1- and 2-year treatment.

Results

At the end of the experimental period, genistein had significantly increased BMD in the femur and lumbar spine (p < 0.001). The stiffness index, amplitude-dependent speed of sound, and bone transmission time in the genistein group had increased significantly at the end of study (+5.3, p < 0.001; +3.6%, p < 0.001; +4.6, p < 0.001, respectively).

Conclusions

This study confirms that genistein prevented bone loss in the osteopenic postmenopausal women and it improves the QUS parameters.
Literatur
1.
Zurück zum Zitat Albright F, Smith PH, Richarson AM (1941) Postmenopausal osteoporosis. JAMA 116(2):465–2474 Albright F, Smith PH, Richarson AM (1941) Postmenopausal osteoporosis. JAMA 116(2):465–2474
2.
Zurück zum Zitat Kanis JA, Melton LJIII, Christiansen C et al (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141PubMedCrossRef Kanis JA, Melton LJIII, Christiansen C et al (1994) The diagnosis of osteoporosis. J Bone Miner Res 9:1137–1141PubMedCrossRef
3.
4.
Zurück zum Zitat Scharbo-Dehaan M (1996) Hormone replacement therapy. Nurs Prat 21:1–13 Scharbo-Dehaan M (1996) Hormone replacement therapy. Nurs Prat 21:1–13
5.
Zurück zum Zitat Neer RM, Arnaud CD, Zanchetta JR et al (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344(19):1434–1441CrossRefPubMed Neer RM, Arnaud CD, Zanchetta JR et al (2001) Effect of parathyroid hormone (1–34) on fractures and bone mineral density in postmenopausal women with osteoporosis. N Engl J Med 344(19):1434–1441CrossRefPubMed
6.
Zurück zum Zitat Ahlborg HG, Johnell O, Karlsson MK (2004) Long term effects of oestrogen therapy on bone loss in postmenopausal women: a 23 year prospective study. BJOG 111:335–339CrossRefPubMed Ahlborg HG, Johnell O, Karlsson MK (2004) Long term effects of oestrogen therapy on bone loss in postmenopausal women: a 23 year prospective study. BJOG 111:335–339CrossRefPubMed
7.
Zurück zum Zitat Castelo-Branco C, Figueras F, Sanjuan A et al (1999) Long term postmenopausal hormone replacement therapy effects on bone mass:differences between surgical and spontaneous patients. Eur J Obstet Gynecol Reprod Biol 83(2):207–211CrossRefPubMed Castelo-Branco C, Figueras F, Sanjuan A et al (1999) Long term postmenopausal hormone replacement therapy effects on bone mass:differences between surgical and spontaneous patients. Eur J Obstet Gynecol Reprod Biol 83(2):207–211CrossRefPubMed
8.
Zurück zum Zitat Writing Group for the Women's Health Initiative Investigators (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA 288(3):321–333CrossRef Writing Group for the Women's Health Initiative Investigators (2002) Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results From the Women's Health Initiative randomized controlled trial. JAMA 288(3):321–333CrossRef
9.
Zurück zum Zitat Collaborative group on Hormonal Factors in Breast Cancer Breast Cancer and hormone replacement therapy (1997) Collaborative reanalysis of data from 51 epidemiological studies of 52705 women with breast cancer and 108411 women without breast cancer. Lancet 350:1047–1059CrossRef Collaborative group on Hormonal Factors in Breast Cancer Breast Cancer and hormone replacement therapy (1997) Collaborative reanalysis of data from 51 epidemiological studies of 52705 women with breast cancer and 108411 women without breast cancer. Lancet 350:1047–1059CrossRef
10.
Zurück zum Zitat Beral V (2003) Million Women Study Collaborators. Breast cancer and hormone replacement therapy in the Million Women Study. Lancet 362:419–427CrossRefPubMed Beral V (2003) Million Women Study Collaborators. Breast cancer and hormone replacement therapy in the Million Women Study. Lancet 362:419–427CrossRefPubMed
11.
Zurück zum Zitat Adlecreutz HL, Mazur W (1997) Phyto-estrogen and western disease. Ann Med 29:95–120 Adlecreutz HL, Mazur W (1997) Phyto-estrogen and western disease. Ann Med 29:95–120
12.
Zurück zum Zitat Horiuchi T, Onouchi T, Takahashi M et al (2000) Effect of soy protein on bone metabolism in postmenopausal Japanese women. Osteoporos Int 11:721–724CrossRefPubMed Horiuchi T, Onouchi T, Takahashi M et al (2000) Effect of soy protein on bone metabolism in postmenopausal Japanese women. Osteoporos Int 11:721–724CrossRefPubMed
13.
Zurück zum Zitat Sha GH, Lin SQ (2008) Genistein inhibits proliferation of human endometrial endothelial cell in vitro. Chin Med Sci J 23(1):49–53CrossRefPubMed Sha GH, Lin SQ (2008) Genistein inhibits proliferation of human endometrial endothelial cell in vitro. Chin Med Sci J 23(1):49–53CrossRefPubMed
14.
Zurück zum Zitat Yanagihara K, Ito A, Toge T, Numoto M (1993) Antiproliferative effects of isoflavones on human cancer cell lines established from the gastrointestinal tract. Cancer Res. 53(23):5815–5821PubMed Yanagihara K, Ito A, Toge T, Numoto M (1993) Antiproliferative effects of isoflavones on human cancer cell lines established from the gastrointestinal tract. Cancer Res. 53(23):5815–5821PubMed
15.
Zurück zum Zitat Bingham SA, Atkinson C, Liggins J et al (1998) Phyo-oestrogens: where are we now? Br J Nutr. 79:393–406CrossRefPubMed Bingham SA, Atkinson C, Liggins J et al (1998) Phyo-oestrogens: where are we now? Br J Nutr. 79:393–406CrossRefPubMed
16.
Zurück zum Zitat Kuiper GG, Lemmen JG, Carlsson B et al (1998) Interaction of estrogenic chemicals and phytoestrogens with estrogen receptor β. Endocrinology 139:4252–4263CrossRefPubMed Kuiper GG, Lemmen JG, Carlsson B et al (1998) Interaction of estrogenic chemicals and phytoestrogens with estrogen receptor β. Endocrinology 139:4252–4263CrossRefPubMed
17.
Zurück zum Zitat Setchell KD, Lydeking-Olsen E (2003) Dietary phytoestrogens and their effect on bone: evidence from in vitro and in vivo, human observational and dietary intervention studies. Am J Clin Nutr. 78:593S–609SPubMed Setchell KD, Lydeking-Olsen E (2003) Dietary phytoestrogens and their effect on bone: evidence from in vitro and in vivo, human observational and dietary intervention studies. Am J Clin Nutr. 78:593S–609SPubMed
18.
Zurück zum Zitat Messina M, Ho S, Alekel DL (2004) Skeletal benefits of soy isoflavones: a review of the clinical trial and epidemiologic data. Curr Opin Clin Nutr Metab Care 7:649–658CrossRefPubMed Messina M, Ho S, Alekel DL (2004) Skeletal benefits of soy isoflavones: a review of the clinical trial and epidemiologic data. Curr Opin Clin Nutr Metab Care 7:649–658CrossRefPubMed
19.
Zurück zum Zitat Morabito N, Crisafulli A, Vergara C et al (2002) Effects of genistein and hormone replacement therapy on bone loss in early postmenopausal women: a randomized double-blind placebo-controlled study. J Bone Miner Res. 17:1904–1912CrossRefPubMed Morabito N, Crisafulli A, Vergara C et al (2002) Effects of genistein and hormone replacement therapy on bone loss in early postmenopausal women: a randomized double-blind placebo-controlled study. J Bone Miner Res. 17:1904–1912CrossRefPubMed
20.
Zurück zum Zitat Marini H, Minutoli L, Polito F et al (2007) Effects of the phytoestrogen genistein on bone metabolism in osteopenic postmenopausal women: a 2-years randomized, double-blind, placebo-controlled study. Annals Internal Medicine 146(12):839–847 Marini H, Minutoli L, Polito F et al (2007) Effects of the phytoestrogen genistein on bone metabolism in osteopenic postmenopausal women: a 2-years randomized, double-blind, placebo-controlled study. Annals Internal Medicine 146(12):839–847
21.
Zurück zum Zitat Crisafulli A, Altavilla D, Squadrito G et al (2004) Effects of the phytoestrogen genistein on the circulating soluble receptor activator of nuclear factor kappaB ligand-osteoprotegerin system in early postmenopausal women. J Clin Endocrinol Metab. 89:188–192CrossRefPubMed Crisafulli A, Altavilla D, Squadrito G et al (2004) Effects of the phytoestrogen genistein on the circulating soluble receptor activator of nuclear factor kappaB ligand-osteoprotegerin system in early postmenopausal women. J Clin Endocrinol Metab. 89:188–192CrossRefPubMed
22.
Zurück zum Zitat Marini H, Minutoli L, Polito F et al (2008) OPG and sRANKL serum concentrations in osteopenic, postmenopausal women after 2-year genistein administration. J Bone Miner Res 23:715–720 Published online FebruaryCrossRefPubMed Marini H, Minutoli L, Polito F et al (2008) OPG and sRANKL serum concentrations in osteopenic, postmenopausal women after 2-year genistein administration. J Bone Miner Res 23:715–720 Published online FebruaryCrossRefPubMed
23.
Zurück zum Zitat Atteritano M, Marini H, Polito F et al (2007) Effects of the phytoestrogen genistein on some predictors of cardiovascular risk in osteopenic, postmenopausal women: a 2-years randomized, double-blind, placebo-controlled study. J. Clin Endocr Metab 92(8):3068–3075CrossRefPubMed Atteritano M, Marini H, Polito F et al (2007) Effects of the phytoestrogen genistein on some predictors of cardiovascular risk in osteopenic, postmenopausal women: a 2-years randomized, double-blind, placebo-controlled study. J. Clin Endocr Metab 92(8):3068–3075CrossRefPubMed
24.
Zurück zum Zitat D’Anna R, Cannata ML, Atteritano M et al (2007) Effects of the phytoestrogen genistein on hot flushes, endometrium, and vaginal epithelium in postmenopausal women: a 1-year randomized, double-blind, placebo-controlled study. Menopause 14(4):648–655CrossRefPubMed D’Anna R, Cannata ML, Atteritano M et al (2007) Effects of the phytoestrogen genistein on hot flushes, endometrium, and vaginal epithelium in postmenopausal women: a 1-year randomized, double-blind, placebo-controlled study. Menopause 14(4):648–655CrossRefPubMed
25.
Zurück zum Zitat Altavilla D, Crisafulli A, Marini H et al (2004) Cardiovascular effects of the phytoestrogen genistein. Curr Med Chem Cardiovasc Hematol Agents 2:179–186CrossRefPubMed Altavilla D, Crisafulli A, Marini H et al (2004) Cardiovascular effects of the phytoestrogen genistein. Curr Med Chem Cardiovasc Hematol Agents 2:179–186CrossRefPubMed
26.
Zurück zum Zitat Crisafulli A, Marini H, Bitto A et al (2004) Effects of genistein on hot flushes in early postmenopausal women: a randomized, double-blind EPT- and placebo controlled study. Menopause 11:400–404CrossRefPubMed Crisafulli A, Marini H, Bitto A et al (2004) Effects of genistein on hot flushes in early postmenopausal women: a randomized, double-blind EPT- and placebo controlled study. Menopause 11:400–404CrossRefPubMed
27.
Zurück zum Zitat Gluer CC (1999) Monitoring skeletal changes by radiological techniques. J Bone Miner Res 14:1952–1962CrossRefPubMed Gluer CC (1999) Monitoring skeletal changes by radiological techniques. J Bone Miner Res 14:1952–1962CrossRefPubMed
28.
Zurück zum Zitat Adlercreutz H, Wang GJ, Lapcik O et al (1998) Time-resolved fluoroimmunoassay for plasma enterolactone. Anal Biochem. 265:208–215CrossRefPubMed Adlercreutz H, Wang GJ, Lapcik O et al (1998) Time-resolved fluoroimmunoassay for plasma enterolactone. Anal Biochem. 265:208–215CrossRefPubMed
29.
Zurück zum Zitat Bauer DC (1999) Clinical Applications of quantitative ultrasound. In: Njch CF, Hams D, FuerstT Glueer CC, Genant HK (eds) Quantitative ultrasound assessment of osteoporosis and bone status. Martin Dunitz, London, UK, pp 254–297 Bauer DC (1999) Clinical Applications of quantitative ultrasound. In: Njch CF, Hams D, FuerstT Glueer CC, Genant HK (eds) Quantitative ultrasound assessment of osteoporosis and bone status. Martin Dunitz, London, UK, pp 254–297
30.
Zurück zum Zitat Glüer CC (1997) Quantitative ultrasound techniques for the assessment of osteoporosis: expert agreement on current status. The International Quantitative Ultrasound Consensus Group. J Bone Miner Res. 12(8):1280–1288 ReviewCrossRefPubMed Glüer CC (1997) Quantitative ultrasound techniques for the assessment of osteoporosis: expert agreement on current status. The International Quantitative Ultrasound Consensus Group. J Bone Miner Res. 12(8):1280–1288 ReviewCrossRefPubMed
31.
Zurück zum Zitat Lee SC, Coan BS, Bouxsein ML (1997) Tibial ultrasound velocity measured in situ predicts the material properties of tibial cortical bone. Bone. 21(1):119–125CrossRefPubMed Lee SC, Coan BS, Bouxsein ML (1997) Tibial ultrasound velocity measured in situ predicts the material properties of tibial cortical bone. Bone. 21(1):119–125CrossRefPubMed
32.
Zurück zum Zitat Zhao J, Jiang Y, Hans D et al (1999) QCT, DXA and ultrasound measurement in the distal radius. Osteoporos. Int. 8:515 (abstract) Zhao J, Jiang Y, Hans D et al (1999) QCT, DXA and ultrasound measurement in the distal radius. Osteoporos. Int. 8:515 (abstract)
33.
Zurück zum Zitat Jiang Y, Zhao J, Rosen C et al (1999) Perspectives on bone mechanical properties and adaptive response to mechanical challenge. J Clin Densitom. 2(4):423–433CrossRefPubMed Jiang Y, Zhao J, Rosen C et al (1999) Perspectives on bone mechanical properties and adaptive response to mechanical challenge. J Clin Densitom. 2(4):423–433CrossRefPubMed
34.
Zurück zum Zitat Glüer CC, Hans D (1999) How to use ultrasound for risk assessment: a need for defining strategies. Osteoporos Int. 9(3):193–195CrossRefPubMed Glüer CC, Hans D (1999) How to use ultrasound for risk assessment: a need for defining strategies. Osteoporos Int. 9(3):193–195CrossRefPubMed
35.
Zurück zum Zitat Marín F, López-Bastida J, Díez-Pérez A, ECOSAP DXA Substudy Group Investigators et al (2004) Bone mineral density referral for dual-energy X-ray absorptiometry using quantitative ultrasound as a prescreening tool in postmenopausal women from the general population: a cost-effectiveness analysis. Calcif Tissue Int. 74(3):277–283CrossRefPubMed Marín F, López-Bastida J, Díez-Pérez A, ECOSAP DXA Substudy Group Investigators et al (2004) Bone mineral density referral for dual-energy X-ray absorptiometry using quantitative ultrasound as a prescreening tool in postmenopausal women from the general population: a cost-effectiveness analysis. Calcif Tissue Int. 74(3):277–283CrossRefPubMed
36.
Zurück zum Zitat Glüer CC (1999) Monitoring skeletal changes by radiological techniques. J Bone Miner Res. 14(11):1952–1962CrossRefPubMed Glüer CC (1999) Monitoring skeletal changes by radiological techniques. J Bone Miner Res. 14(11):1952–1962CrossRefPubMed
37.
Zurück zum Zitat Gonnelli S, Cepollaro C, Montagnani A et al (2002) Heel ultrasonography in monitoring alendronate therapy: a four-year longitudinal study. Osteoporos Int 13:415–421CrossRefPubMed Gonnelli S, Cepollaro C, Montagnani A et al (2002) Heel ultrasonography in monitoring alendronate therapy: a four-year longitudinal study. Osteoporos Int 13:415–421CrossRefPubMed
38.
Zurück zum Zitat Ingle BM, Machado ABC, Pereda CA et al (2005) Monitoring alendronate and estradiol therapy with quantitative ultrasound and bone mineral density. J Clin Densitom. 8(3):278–286CrossRefPubMed Ingle BM, Machado ABC, Pereda CA et al (2005) Monitoring alendronate and estradiol therapy with quantitative ultrasound and bone mineral density. J Clin Densitom. 8(3):278–286CrossRefPubMed
39.
Zurück zum Zitat Krieg MA, Barkmann R, Gonnelli S et al (2008) Quantitative ultrasound in the management of osteoporosis: the 2007 ISCD Official Position. J Clin Densitometry 11:163–187CrossRef Krieg MA, Barkmann R, Gonnelli S et al (2008) Quantitative ultrasound in the management of osteoporosis: the 2007 ISCD Official Position. J Clin Densitometry 11:163–187CrossRef
40.
Zurück zum Zitat Lenora J, Gerdhem P, Obrant KJ et al (2008). Bone turnover markers are correlated with quantitative ultrasound of the calcaneus: 5-year longitudinal data. Osteoporos Int. doi:10.1007/s00198-008-0769-x Lenora J, Gerdhem P, Obrant KJ et al (2008). Bone turnover markers are correlated with quantitative ultrasound of the calcaneus: 5-year longitudinal data. Osteoporos Int. doi:10.​1007/​s00198-008-0769-x
Metadaten
Titel
Genistein effects on quantitative ultrasound parameters and bone mineral density in osteopenic postmenopausal women
verfasst von
M. Atteritano
S. Mazzaferro
A. Frisina
M. L. Cannata
A. Bitto
R. D’Anna
F. Squadrito
I. Macrì
N. Frisina
M. Buemi
Publikationsdatum
01.11.2009
Verlag
Springer-Verlag
Erschienen in
Osteoporosis International / Ausgabe 11/2009
Print ISSN: 0937-941X
Elektronische ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-009-0883-4

Weitere Artikel der Ausgabe 11/2009

Osteoporosis International 11/2009 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.