Soy protein, isoflavones, and cardiovascular health: A summary of a statement for professionals from the American Heart Association Nutrition Committee

作者: Frank M. Sacks , Alice Lichtenstein , Linda Van Horn , William Harris , Penny Kris-Etherton

DOI: 10.1161/01.ATV.0000227471.00284.EF

关键词:

摘要: This editorial summarizes the recent American Heart Association (AHA) Science Advisory on soy protein and isoflavones (phytoestrogens) published in February 21, 2006, issue of Circulation .1 Soy have gained considerable attention for their potential role improving risk factors cardiovascular disease. scientific advisory report assesses more work its component isoflavones. In 22 randomized trials, isolated with compared milk or other proteins decreased LDL cholesterol concentrations most studies; average effect was approximately 3%. reduction is very small large amount tested these studies, averaging 50 g, half usual total daily intake. No significant effects were evident HDL cholesterol, triglycerides, lipoprotein(a), blood pressure. Among 19 studies isoflavones, lipid nil. not been shown to lessen vasomotor symptoms menopause, results are mixed regarding slowing postmenopausal bone loss. The efficacy safety preventing treating cancer breast, endometrium, prostate established; evidence from clinical trials meager cautionary as regards a possible adverse effect. For this reason, use isoflavone supplements food pills recommended. Thus, earlier research indicating that has clinically important favorable enjoyed confirmation. contrast, many products should be beneficial overall health because high content polyunsaturated fats, fiber, vitamins, minerals low saturated fat. In October 1999, US Food Drug Administration (FDA) approved labeling foods containing protective against coronary heart disease.2 …

参考文章(52)
G. Bonaccorsi, P. Albertazzi, P. Donegà, G. Mollica, R. Fellin, F. Pansini, D. de Aloysio, L. Zanotti, G. B. Vigna, Plasma lipoproteins in soy-treated postmenopausal women: a double-blind, placebo-controlled trial. Nutrition Metabolism and Cardiovascular Diseases. ,vol. 10, pp. 315- 322 ,(2000)
Carroll Kk, Hypercholesterolemia and atherosclerosis: effects of dietary protein. Federation proceedings. ,vol. 41, pp. 2792- ,(1982)
J A Baum, H Teng, J W Erdman, R M Weigel, B P Klein, V W Persky, S Freels, P Surya, R M Bakhit, E Ramos, N F Shay, S M Potter, Long-term intake of soy protein improves blood lipid profiles and increases mononuclear cell low-density-lipoprotein receptor messenger RNA in hypercholesterolemic, postmenopausal women. The American Journal of Clinical Nutrition. ,vol. 68, pp. 545- 551 ,(1998) , 10.1093/AJCN/68.3.545
C R Sirtori, E Gatti, O Mantero, F Conti, E Agradi, E Tremoli, M Sirtori, L Fraterrigo, L Tavazzi, D Kritchevsky, Clinical experience with the soybean protein diet in the treatment of hypercholesterolemia The American Journal of Clinical Nutrition. ,vol. 32, pp. 1645- 1658 ,(1979) , 10.1093/AJCN/32.8.1645
Christopher D Gardner, Kathryn A Newell, Rise Cherin, William L Haskell, The effect of soy protein with or without isoflavones relative to milk protein on plasma lipids in hypercholesterolemic postmenopausal women. The American Journal of Clinical Nutrition. ,vol. 73, pp. 728- 735 ,(2001) , 10.1093/AJCN/73.4.728
J M A van Raaij, M B Katan, J G A J Hautvast, R J J Hermus, Effects of casein versus soy protein diets on serum cholesterol and lipoproteins in young healthy volunteers The American Journal of Clinical Nutrition. ,vol. 34, pp. 1261- 1271 ,(1981) , 10.1093/AJCN/34.7.1261
Sandra R Teixeira, Susan M Potter, Ronald Weigel, Sandra Hannum, John W Erdman, Clare M Hasler, Effects of feeding 4 levels of soy protein for 3 and 6 wk on blood lipids and apolipoproteins in moderately hypercholesterolemic men The American Journal of Clinical Nutrition. ,vol. 71, pp. 1077- 1084 ,(2000) , 10.1093/AJCN/71.5.1077
Barbara E Merz-Demlow, Alison M Duncan, Kerry E Wangen, Xia Xu, Timothy P Carr, William R Phipps, Mindy S Kurzer, Soy isoflavones improve plasma lipids in normocholesterolemic, premenopausal women The American Journal of Clinical Nutrition. ,vol. 71, pp. 1462- 1469 ,(2000) , 10.1093/AJCN/71.6.1462
John W. Erdman, Thomas M. Badger, Johanna W. Lampe, Kenneth D.R. Setchell, Mark Messina, Not All Soy Products Are Created Equal: Caution Needed in Interpretation of Research Results Journal of Nutrition. ,vol. 134, ,(2004) , 10.1093/JN/134.5.1229S
Stephen Barnes, Soy Isoflavones—Phytoestrogens and What Else? Journal of Nutrition. ,vol. 134, ,(2004) , 10.1093/JN/134.5.1225S