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Erschienen in: European Journal of Nutrition 7/2019

27.09.2018 | Original Contribution

Habitual consumption of soy protein and isoflavones and risk of metabolic syndrome in adults ≥ 40 years old: a prospective analysis of the Korean Multi-Rural Communities Cohort Study (MRCohort)

verfasst von: Hye Won Woo, Mi Kyung Kim, Young-Hoon Lee, Dong Hoon Shin, Min-Ho Shin, Bo Youl Choi

Erschienen in: European Journal of Nutrition | Ausgabe 7/2019

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Abstract

Purpose

Although considerable attention has been paid to the potential benefits of soy protein and isoflavones for preventing metabolic syndrome (MetS) and its components, findings linking habitual consumption of these factors to MetS are limited. This study aimed to evaluate the association of MetS incidence with habitual intake of soy protein/isoflavones among Korean men and women aged ≥ 40 years old who did not have MetS at baseline (n = 5509; 2204 men and 3305 women).

Methods

Dietary intake of soy protein/isoflavones at baseline and average consumption during follow-up were used.

Results

A significant inverse association between dietary intake and incidence of MetS was found in women (incidence rate ratios, IRR = 0.60, 95% CI = 0.46–0.78, P for trend = 0.0094 for the highest quintile of average soy protein intake compared with the lowest quintile; IRR = 0.57, 95% CI = 0.44–0.74, P for trend = 0.0048 for the highest quintile of average isoflavones intake compared with the lowest quintile). A tendency towards an inverse association was also found in men, although it was not significant for the highest quintile (IRR = 0.80, 95% CI = 0.58–1.11, P for trend = 0.9759, comparing the lowest to the highest quintile of average soy protein intake; IRR = 0.73, 95% CI = 0.53–1.01, P for trend = 0.8956, comparing the lowest to the highest quintile of average isoflavones intake). In terms of individual abnormalities, a significant inverse association was found between soy protein and isoflavones and the incidence of low–high-density lipoprotein cholesterol in both men and women. Abdominal obesity and elevated blood pressure were inversely related to soy protein/isoflavones only in women, and an inverse association of elevated triglyceride appeared only in men.

Conclusion

Our findings suggest that habitual intake of soy protein and isoflavones is inversely associated with the risk of MetS and its components. There is likely to be a reverse J-shaped association of average intake with MetS.
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Literatur
1.
Zurück zum Zitat Velasquez MT, Bhathena SJ (2007) Role of dietary soy protein in obesity. Int J Med Sci 4(2):72–82CrossRef Velasquez MT, Bhathena SJ (2007) Role of dietary soy protein in obesity. Int J Med Sci 4(2):72–82CrossRef
2.
Zurück zum Zitat Appel LJ (2003) The effects of protein intake on blood pressure and cardiovascular disease. Curr Opin Lipidol 14(1):55–59CrossRef Appel LJ (2003) The effects of protein intake on blood pressure and cardiovascular disease. Curr Opin Lipidol 14(1):55–59CrossRef
3.
Zurück zum Zitat Vedavanam K, Srijayanta S, O’Reilly J, Raman A, Wiseman H (1999) Antioxidant action and potential antidiabetic properties of an isoflavonoid-containing soyabean phytochemical extract (SPE). Phytother Res 13(7):601–608CrossRef Vedavanam K, Srijayanta S, O’Reilly J, Raman A, Wiseman H (1999) Antioxidant action and potential antidiabetic properties of an isoflavonoid-containing soyabean phytochemical extract (SPE). Phytother Res 13(7):601–608CrossRef
4.
Zurück zum Zitat Torres N, Torre-Villalvazo I, Tovar AR (2006) Regulation of lipid metabolism by soy protein and its implication in diseases mediated by lipid disorders. J Nutr Biochem 17(6):365–373CrossRef Torres N, Torre-Villalvazo I, Tovar AR (2006) Regulation of lipid metabolism by soy protein and its implication in diseases mediated by lipid disorders. J Nutr Biochem 17(6):365–373CrossRef
5.
Zurück zum Zitat Taku K, Umegaki K, Sato Y, Taki Y, Endoh K, Watanabe S (2007) Soy isoflavones lower serum total and LDL cholesterol in humans: a meta-analysis of 11 randomized controlled trials. Am J Clin Nutr 85(4):1148–1156CrossRef Taku K, Umegaki K, Sato Y, Taki Y, Endoh K, Watanabe S (2007) Soy isoflavones lower serum total and LDL cholesterol in humans: a meta-analysis of 11 randomized controlled trials. Am J Clin Nutr 85(4):1148–1156CrossRef
6.
Zurück zum Zitat Zhan S, Ho SC (2005) Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile. Am J Clin Nutr 81(2):397–408CrossRef Zhan S, Ho SC (2005) Meta-analysis of the effects of soy protein containing isoflavones on the lipid profile. Am J Clin Nutr 81(2):397–408CrossRef
7.
Zurück zum Zitat Erdman JW, Badger TM, Lampe JW, Setchell KD, Messina M (2004) Not all soy products are created equal: caution needed in interpretation of research results. J Nutr 134(5):1229S–1233SCrossRef Erdman JW, Badger TM, Lampe JW, Setchell KD, Messina M (2004) Not all soy products are created equal: caution needed in interpretation of research results. J Nutr 134(5):1229S–1233SCrossRef
10.
Zurück zum Zitat Villegas R, Gao Y-T, Yang G, Li H-L, Elasy TA, Zheng W, Shu XO (2008) Legume and soy food intake and the incidence of type 2 diabetes in the Shanghai Women’s Health Study. Am J Clin Nutr 87(1):162–167CrossRef Villegas R, Gao Y-T, Yang G, Li H-L, Elasy TA, Zheng W, Shu XO (2008) Legume and soy food intake and the incidence of type 2 diabetes in the Shanghai Women’s Health Study. Am J Clin Nutr 87(1):162–167CrossRef
11.
Zurück zum Zitat Mueller NT, Odegaard AO, Gross MD, Koh W-P, Mimi CY, Yuan J-M, Pereira MA (2012) Soy intake and risk of type 2 diabetes mellitus in Chinese Singaporeans. Eur J Nutr 51(8):1033–1040CrossRef Mueller NT, Odegaard AO, Gross MD, Koh W-P, Mimi CY, Yuan J-M, Pereira MA (2012) Soy intake and risk of type 2 diabetes mellitus in Chinese Singaporeans. Eur J Nutr 51(8):1033–1040CrossRef
12.
Zurück zum Zitat Yang G, Shu X-O, Jin F, Zhang X, Li H-L, Li Q, Gao Y-T, Zheng W (2005) Longitudinal study of soy food intake and blood pressure among middle-aged and elderly Chinese women. Am J Clin Nutr 81(5):1012–1017CrossRef Yang G, Shu X-O, Jin F, Zhang X, Li H-L, Li Q, Gao Y-T, Zheng W (2005) Longitudinal study of soy food intake and blood pressure among middle-aged and elderly Chinese women. Am J Clin Nutr 81(5):1012–1017CrossRef
13.
Zurück zum Zitat Zhang X, Shu XO, Gao Y-T, Yang G, Li Q, Li H, Jin F, Zheng W (2003) Soy food consumption is associated with lower risk of coronary heart disease in Chinese women. J Nutr 133(9):2874–2878CrossRef Zhang X, Shu XO, Gao Y-T, Yang G, Li Q, Li H, Jin F, Zheng W (2003) Soy food consumption is associated with lower risk of coronary heart disease in Chinese women. J Nutr 133(9):2874–2878CrossRef
14.
Zurück zum Zitat Kokubo Y, Iso H, Ishihara J, Okada K, Inoue M, Tsugane S (2007) Association of dietary intake of soy, beans, and isoflavones with risk of cerebral and myocardial infarctions in Japanese Populations The Japan Public Health Center-Based (JPHC) Study Cohort I. Circulation 116(22):2553–2562CrossRef Kokubo Y, Iso H, Ishihara J, Okada K, Inoue M, Tsugane S (2007) Association of dietary intake of soy, beans, and isoflavones with risk of cerebral and myocardial infarctions in Japanese Populations The Japan Public Health Center-Based (JPHC) Study Cohort I. Circulation 116(22):2553–2562CrossRef
15.
Zurück zum Zitat Nagata C, Takatsuka N, Shimizu H (2002) Soy and fish oil intake and mortality in a Japanese community. Am J Epidemiol 156(9):824–831CrossRef Nagata C, Takatsuka N, Shimizu H (2002) Soy and fish oil intake and mortality in a Japanese community. Am J Epidemiol 156(9):824–831CrossRef
16.
Zurück zum Zitat Talaei M, Koh W-P, van Dam RM, Yuan J-M, Pan A (2014) Dietary soy intake is not associated with risk of cardiovascular disease mortality in Singapore Chinese adults. J Nutr 144(6):921–928CrossRef Talaei M, Koh W-P, van Dam RM, Yuan J-M, Pan A (2014) Dietary soy intake is not associated with risk of cardiovascular disease mortality in Singapore Chinese adults. J Nutr 144(6):921–928CrossRef
17.
Zurück zum Zitat Yu D, Zhang X, Xiang Y-B, Yang G, Li H, Fazio S, Linton M, Cai Q, Zheng W, Gao Y-T (2014) Association of soy food intake with risk and biomarkers of coronary heart disease in Chinese men. Int J Cardiol 172(2):e285CrossRef Yu D, Zhang X, Xiang Y-B, Yang G, Li H, Fazio S, Linton M, Cai Q, Zheng W, Gao Y-T (2014) Association of soy food intake with risk and biomarkers of coronary heart disease in Chinese men. Int J Cardiol 172(2):e285CrossRef
18.
Zurück zum Zitat van der Schouw YT, Kreijkamp-Kaspers S, Peeters PH, Keinan-Boker L, Rimm EB, Grobbee DE (2005) Prospective study on usual dietary phytoestrogen intake and cardiovascular disease risk in Western women. Circulation 111(4):465–471CrossRef van der Schouw YT, Kreijkamp-Kaspers S, Peeters PH, Keinan-Boker L, Rimm EB, Grobbee DE (2005) Prospective study on usual dietary phytoestrogen intake and cardiovascular disease risk in Western women. Circulation 111(4):465–471CrossRef
19.
Zurück zum Zitat McCullough ML, Peterson JJ, Patel R, Jacques PF, Shah R, Dwyer JT (2012) Flavonoid intake and cardiovascular disease mortality in a prospective cohort of US adults. Am J Clin Nutr 95(2):454–464CrossRef McCullough ML, Peterson JJ, Patel R, Jacques PF, Shah R, Dwyer JT (2012) Flavonoid intake and cardiovascular disease mortality in a prospective cohort of US adults. Am J Clin Nutr 95(2):454–464CrossRef
20.
Zurück zum Zitat Zamora-Ros R, Jiménez C, Cleries R, Agudo A, Sánchez M-J, Sánchez-Cantalejo E, Molina-Montes E, Navarro C, Chirlaque M-D, Huerta JM (2013) Dietary flavonoid and lignan intake and mortality in a Spanish cohort. Epidemiology 24(5):726–733CrossRef Zamora-Ros R, Jiménez C, Cleries R, Agudo A, Sánchez M-J, Sánchez-Cantalejo E, Molina-Montes E, Navarro C, Chirlaque M-D, Huerta JM (2013) Dietary flavonoid and lignan intake and mortality in a Spanish cohort. Epidemiology 24(5):726–733CrossRef
21.
Zurück zum Zitat Expert Panel on Detection E (2001) Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama 285(19):2486CrossRef Expert Panel on Detection E (2001) Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama 285(19):2486CrossRef
22.
Zurück zum Zitat Samson SL, Garber AJ (2014) Metabolic syndrome. Endocrinol Metab Clin 43(1):1–23CrossRef Samson SL, Garber AJ (2014) Metabolic syndrome. Endocrinol Metab Clin 43(1):1–23CrossRef
23.
Zurück zum Zitat Ahn Y, Kwon E, Shim J, Park M, Joo Y, Kimm K, Park C, Kim D (2007) Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr 61(12):1435–1441CrossRef Ahn Y, Kwon E, Shim J, Park M, Joo Y, Kimm K, Park C, Kim D (2007) Validation and reproducibility of food frequency questionnaire for Korean genome epidemiologic study. Eur J Clin Nutr 61(12):1435–1441CrossRef
24.
Zurück zum Zitat Yang YK, Kim JY, Kwon O (2012) Development of flavonoid database for commonly consumed foods by Koreans. Kor J Nutr 45(3):283–292CrossRef Yang YK, Kim JY, Kwon O (2012) Development of flavonoid database for commonly consumed foods by Koreans. Kor J Nutr 45(3):283–292CrossRef
25.
Zurück zum Zitat Bhagwat S, Haytowitz DB, Holden JM (2008) USDA database for the isoflavone content of selected foods, release 2.0, vol 15. US Department of Agriculture, Maryland Bhagwat S, Haytowitz DB, Holden JM (2008) USDA database for the isoflavone content of selected foods, release 2.0, vol 15. US Department of Agriculture, Maryland
26.
Zurück zum Zitat The Korean Nutrition Society (2009) Food values. The Korean Nutrition Society, Seoul The Korean Nutrition Society (2009) Food values. The Korean Nutrition Society, Seoul
27.
Zurück zum Zitat Hu FB, Stampfer MJ, Rimm E, Ascherio A, Rosner BA, Spiegelman D, Willett WC (1999) Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements. Am J Epidemiol 149(6):531–540CrossRef Hu FB, Stampfer MJ, Rimm E, Ascherio A, Rosner BA, Spiegelman D, Willett WC (1999) Dietary fat and coronary heart disease: a comparison of approaches for adjusting for total energy intake and modeling repeated dietary measurements. Am J Epidemiol 149(6):531–540CrossRef
28.
Zurück zum Zitat Alberti KGMM, Zimmet P, Shaw J (2006) Metabolic syndrome—a new world-wide definition. A consensus statement from the international diabetes federation. Diabet Med 23(5):469–480CrossRef Alberti KGMM, Zimmet P, Shaw J (2006) Metabolic syndrome—a new world-wide definition. A consensus statement from the international diabetes federation. Diabet Med 23(5):469–480CrossRef
29.
Zurück zum Zitat Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, Kim DY, Kwon HS, Kim SR, Lee CB (2007) Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabet Res Clin Pract 75(1):72–80CrossRef Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, Kim DY, Kwon HS, Kim SR, Lee CB (2007) Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabet Res Clin Pract 75(1):72–80CrossRef
30.
Zurück zum Zitat Willett WC, Howe GR, Kushi LH (1997) Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr 65(4):1220S–1228SCrossRef Willett WC, Howe GR, Kushi LH (1997) Adjustment for total energy intake in epidemiologic studies. Am J Clin Nutr 65(4):1220S–1228SCrossRef
32.
Zurück zum Zitat Woo HW, Choi BY, Kim MK (2016) Cross-sectional and longitudinal associations between egg consumption and metabolic syndrome in adults ≥ 40 years old: the Yangpyeong Cohort of the Korean Genome and Epidemiology Study (KoGES_Yangpyeong). PloS One 11(1):e0147729CrossRef Woo HW, Choi BY, Kim MK (2016) Cross-sectional and longitudinal associations between egg consumption and metabolic syndrome in adults ≥ 40 years old: the Yangpyeong Cohort of the Korean Genome and Epidemiology Study (KoGES_Yangpyeong). PloS One 11(1):e0147729CrossRef
33.
Zurück zum Zitat Kim S, Haines PS, Siega-Riz AM, Popkin BM (2003) The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 133(11):3476–3484CrossRef Kim S, Haines PS, Siega-Riz AM, Popkin BM (2003) The Diet Quality Index-International (DQI-I) provides an effective tool for cross-national comparison of diet quality as illustrated by China and the United States. J Nutr 133(11):3476–3484CrossRef
34.
Zurück zum Zitat Callas PW, Pastides H, Hosmer DW (1998) Empirical comparisons of proportional hazards, poisson, and logistic regression modeling of occupational cohort data. Am J Ind Med 33(1):33–47CrossRef Callas PW, Pastides H, Hosmer DW (1998) Empirical comparisons of proportional hazards, poisson, and logistic regression modeling of occupational cohort data. Am J Ind Med 33(1):33–47CrossRef
35.
Zurück zum Zitat Zou G (2004) A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol 159(7):702–706CrossRef Zou G (2004) A modified poisson regression approach to prospective studies with binary data. Am J Epidemiol 159(7):702–706CrossRef
36.
Zurück zum Zitat MacMahon B, Pugh TF (1970) Epidemiology: principles and methods, principles and methods. Little, Brown & Co, Boston MacMahon B, Pugh TF (1970) Epidemiology: principles and methods, principles and methods. Little, Brown & Co, Boston
37.
Zurück zum Zitat Ryu C, Hong S (2015) R visualication, 1st edn. Insignt, South Korea Ryu C, Hong S (2015) R visualication, 1st edn. Insignt, South Korea
38.
Zurück zum Zitat Micha R, Wallace SK, Mozaffarian D (2010) Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus. Circulation 121(21):2271–2283CrossRef Micha R, Wallace SK, Mozaffarian D (2010) Red and processed meat consumption and risk of incident coronary heart disease, stroke, and diabetes mellitus. Circulation 121(21):2271–2283CrossRef
39.
Zurück zum Zitat Messina M, Nagata C, Wu AH (2006) Estimated Asian adult soy protein and isoflavone intakes. Nutr Cancer 55(1):1–12CrossRef Messina M, Nagata C, Wu AH (2006) Estimated Asian adult soy protein and isoflavone intakes. Nutr Cancer 55(1):1–12CrossRef
41.
Zurück zum Zitat Messina M, Messina V, Setchell KD (1994) The simple soybean and your health. Avery Pub. Group, New York Messina M, Messina V, Setchell KD (1994) The simple soybean and your health. Avery Pub. Group, New York
42.
Zurück zum Zitat Canada H (2012) Summary of Health Canada’s Assessment of a health claim about barley products and blood cholesterol lowering. Health Canada Ottawa, Ottawa Canada H (2012) Summary of Health Canada’s Assessment of a health claim about barley products and blood cholesterol lowering. Health Canada Ottawa, Ottawa
43.
Zurück zum Zitat Stein K (2000) FDA approves health claim labeling for foods containing soy protein. J Acad Nutr Diet 100(3):292 Stein K (2000) FDA approves health claim labeling for foods containing soy protein. J Acad Nutr Diet 100(3):292
44.
Zurück zum Zitat EFSA Panel on Dietetic Products N, Allergies (2010) Scientific opinion on the substantiation of a health claim related to soy protein and reduction of blood cholesterol concentrations pursuant to Article 14 of the Regulation (EC) No 1924/2006. EFSA J 8(7):14 EFSA Panel on Dietetic Products N, Allergies (2010) Scientific opinion on the substantiation of a health claim related to soy protein and reduction of blood cholesterol concentrations pursuant to Article 14 of the Regulation (EC) No 1924/2006. EFSA J 8(7):14
45.
Zurück zum Zitat Omoni AO, Aluko RE (2005) Soybean foods and their benefits: potential mechanisms of action. Nutr Rev 63(8):272–283CrossRef Omoni AO, Aluko RE (2005) Soybean foods and their benefits: potential mechanisms of action. Nutr Rev 63(8):272–283CrossRef
46.
Zurück zum Zitat Cope M, Erdman J Jr, Allison D (2008) The potential role of soyfoods in weight and adiposity reduction: an evidence-based review. Obes Rev 9(3):219–235CrossRef Cope M, Erdman J Jr, Allison D (2008) The potential role of soyfoods in weight and adiposity reduction: an evidence-based review. Obes Rev 9(3):219–235CrossRef
47.
Zurück zum Zitat Jenkins DJ, Kendall CW, Jackson CJ, Connelly PW, Parker T, Faulkner D, Vidgen E, Cunnane SC, Leiter LA, Josse RG (2002) 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 76(2):365–372. https://doi.org/10.1093/ajcn/76.2.365 CrossRefPubMed Jenkins DJ, Kendall CW, Jackson CJ, Connelly PW, Parker T, Faulkner D, Vidgen E, Cunnane SC, Leiter LA, Josse RG (2002) 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 76(2):365–372. https://​doi.​org/​10.​1093/​ajcn/​76.​2.​365 CrossRefPubMed
53.
Zurück zum Zitat Potter SM (1995) Overview of proposed mechanisms for the hypocholesterolemic effect of soy. J Nutr 125(3 Suppl):606S–611SPubMed Potter SM (1995) Overview of proposed mechanisms for the hypocholesterolemic effect of soy. J Nutr 125(3 Suppl):606S–611SPubMed
54.
Zurück zum Zitat Velasquez MT, Bhathena SJ (2007) Role of dietary soy protein in obesity. Int J Med Sci 4(2):72CrossRef Velasquez MT, Bhathena SJ (2007) Role of dietary soy protein in obesity. Int J Med Sci 4(2):72CrossRef
55.
Zurück zum Zitat Cano A, García-Pérez M, Tarín JJ (2010) Isoflavones and cardiovascular disease. Maturitas 67(3):219–226CrossRef Cano A, García-Pérez M, Tarín JJ (2010) Isoflavones and cardiovascular disease. Maturitas 67(3):219–226CrossRef
56.
Zurück zum Zitat Bazuine M, van den Broek PJ, Maassen JA (2005) Genistein directly inhibits GLUT4-mediated glucose uptake in 3T3-L1 adipocytes. Biochem Biophys Res Commun 326(2):511–514CrossRef Bazuine M, van den Broek PJ, Maassen JA (2005) Genistein directly inhibits GLUT4-mediated glucose uptake in 3T3-L1 adipocytes. Biochem Biophys Res Commun 326(2):511–514CrossRef
57.
Zurück zum Zitat Squadrito F, Altavilla D, Morabito N, Crisafulli A, D’Anna R, Corrado F, Ruggeri P, Campo GM, Calapai G, Caputi AP (2002) The effect of the phytoestrogen genistein on plasma nitric oxide concentrations, endothelin-1 levels and endothelium dependent vasodilation in postmenopausal women. Atherosclerosis 163(2):339–347CrossRef Squadrito F, Altavilla D, Morabito N, Crisafulli A, D’Anna R, Corrado F, Ruggeri P, Campo GM, Calapai G, Caputi AP (2002) The effect of the phytoestrogen genistein on plasma nitric oxide concentrations, endothelin-1 levels and endothelium dependent vasodilation in postmenopausal women. Atherosclerosis 163(2):339–347CrossRef
58.
Zurück zum Zitat Setchell KD, Clerici C, Lephart ED, Cole SJ, Heenan C, Castellani D, Wolfe BE, Nechemias-Zimmer L, Brown NM, Lund TD (2005) S-equol, a potent ligand for estrogen receptor β, is the exclusive enantiomeric form of the soy isoflavone metabolite produced by human intestinal bacterial flora. Am J Clin Nutr 81(5):1072–1079CrossRef Setchell KD, Clerici C, Lephart ED, Cole SJ, Heenan C, Castellani D, Wolfe BE, Nechemias-Zimmer L, Brown NM, Lund TD (2005) S-equol, a potent ligand for estrogen receptor β, is the exclusive enantiomeric form of the soy isoflavone metabolite produced by human intestinal bacterial flora. Am J Clin Nutr 81(5):1072–1079CrossRef
59.
Zurück zum Zitat Pan A, Franco OH, Ye J, Demark-Wahnefried W, Ye X, Yu Z, Li H, Lin X (2008) Soy protein intake has sex-specific effects on the risk of metabolic syndrome in middle-aged and elderly Chinese. J Nutr 138(12):2413–2421CrossRef Pan A, Franco OH, Ye J, Demark-Wahnefried W, Ye X, Yu Z, Li H, Lin X (2008) Soy protein intake has sex-specific effects on the risk of metabolic syndrome in middle-aged and elderly Chinese. J Nutr 138(12):2413–2421CrossRef
60.
Zurück zum Zitat Nagata C, Shimizu H, Takami R, Hayashi M, Takeda N, Yasuda K (2003) Association of blood pressure with intake of soy products and other food groups in Japanese men and women. Prev Med 36(6):692–697CrossRef Nagata C, Shimizu H, Takami R, Hayashi M, Takeda N, Yasuda K (2003) Association of blood pressure with intake of soy products and other food groups in Japanese men and women. Prev Med 36(6):692–697CrossRef
61.
Zurück zum Zitat Nozue M, Shimazu T, Sasazuki S, Charvat H, Mori N, Mutoh M, Sawada N, Iwasaki M, Yamaji T, Inoue M, Kokubo Y, Yamagishi K, Iso H, Tsugane S (2017) Fermented soy product intake is inversely associated with the development of high blood pressure: the Japan Public Health Center-Based Prospective Study. J Nutr 147(9):1749–1756. https://doi.org/10.3945/jn.117.250282 CrossRefPubMed Nozue M, Shimazu T, Sasazuki S, Charvat H, Mori N, Mutoh M, Sawada N, Iwasaki M, Yamaji T, Inoue M, Kokubo Y, Yamagishi K, Iso H, Tsugane S (2017) Fermented soy product intake is inversely associated with the development of high blood pressure: the Japan Public Health Center-Based Prospective Study. J Nutr 147(9):1749–1756. https://​doi.​org/​10.​3945/​jn.​117.​250282 CrossRefPubMed
62.
Zurück zum Zitat Yang G, Shu XO, Jin F, Zhang X, Li HL, Li Q, Gao YT, Zheng W (2005) Longitudinal study of soy food intake and blood pressure among middle-aged and elderly Chinese women. Am J Clin Nutr 81(5):1012–1017CrossRef Yang G, Shu XO, Jin F, Zhang X, Li HL, Li Q, Gao YT, Zheng W (2005) Longitudinal study of soy food intake and blood pressure among middle-aged and elderly Chinese women. Am J Clin Nutr 81(5):1012–1017CrossRef
64.
Zurück zum Zitat Barbosa-Leiker C, Wright BR, Burns GL, Parks CD, Strand PS (2011) Longitudinal measurement invariance of the metabolic syndrome: is the assessment of the metabolic syndrome stable over time? Ann Epidemiol 21(2):111–117CrossRef Barbosa-Leiker C, Wright BR, Burns GL, Parks CD, Strand PS (2011) Longitudinal measurement invariance of the metabolic syndrome: is the assessment of the metabolic syndrome stable over time? Ann Epidemiol 21(2):111–117CrossRef
Metadaten
Titel
Habitual consumption of soy protein and isoflavones and risk of metabolic syndrome in adults ≥ 40 years old: a prospective analysis of the Korean Multi-Rural Communities Cohort Study (MRCohort)
verfasst von
Hye Won Woo
Mi Kyung Kim
Young-Hoon Lee
Dong Hoon Shin
Min-Ho Shin
Bo Youl Choi
Publikationsdatum
27.09.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Nutrition / Ausgabe 7/2019
Print ISSN: 1436-6207
Elektronische ISSN: 1436-6215
DOI
https://doi.org/10.1007/s00394-018-1833-8

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