Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Communication
  • Published:

Relation between soy-associated isoflavones and LDL and HDL cholesterol concentrations in humans: a meta-analysis

Abstract

Background: Differences in isoflavone content of soy protein may explain the absence of a dose–response relation between soy protein intake and blood cholesterol concentrations.

Objective: To study specifically the effect of soy-associated isoflavones on cholesterol concentrations in well-controlled trials substituting soy protein with dairy or animal protein.

Design: Studies were identified by MEDLINE searches (1995 - 6 June 2002) and reviewing reference lists. Studies were included if they had a control group or treatment, experimental diets only differed in the amounts of soy protein and isoflavones and were each fed for at least 14 days. A total of 10 studies met these criteria, providing 21 dietary comparisons.

Subjects: Studies comprised 959 subjects (336 men and 623 women), average age ranged from 41 to 67 y and baseline cholesterol concentration from 5.42 to 6.60 mmol/l.

Interventions: The intake of soy-associated isoflavones increased by 1–95 mg/day and the intake of soy protein increased by 19–60 g/day.

Results: Feeding daily 36 g soy protein with 52 mg soy-associated isoflavones on average decreased low-density lipoprotein (LDL) cholesterol by −0.17±0.04 mmol/l (mean±s.e.) and increased high-density lipoprotein (HDL) cholesterol by 0.03±0.01 mmol/l. There was no dose–response relation between soy-associated isoflavones and changes in LDL cholesterol (R=−0.33, P=0.14) (Pearson correlation coefficient) or HDL cholesterol (R=−0.07, P=0.76) or their ratio.

Conclusions: Consumption of soy-associated isoflavones is not related to changes in LDL or HDL cholesterol.

Sponsorship: Unilever Research and Development, Vlaardingen, The Netherlands.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1
Figure 2

Similar content being viewed by others

References

  • Anderson JW, Johnstone BM & Cook-Newell ME (1995): Meta-analysis of the effects of soy protein intake on serum lipids. N. Engl. J. Med. 333, 276–282.

    Article  CAS  Google Scholar 

  • Anthony MS, Blair RM & Clarkson TB (2002): Neither isoflavones nor the alcohol-extracted fraction added to alcohol-washed soy protein isolate restores the lipoprotein effects of soy protein isolate [abstract]. J. Nutr. 132, 583S.

    Google Scholar 

  • Ashton E & Ball M (2000): Effects of soy as tofu vs meat on lipoprotein concentrations. Eur. J. Clin. Nutr. 54, 14–19.

    Article  CAS  Google Scholar 

  • Axelson M, Sjovall J, Gustafsson BE & Setchell KD (1984): Soya—a dietary source of the non-steroidal oestrogen equol in man and animals. J. Endocrinol. 102, 49–56.

    Article  CAS  Google Scholar 

  • Baum JA, Teng H, Erdman JW, Weigel RM, Klein BP, Persky VW, Freels S, Surya P, Bakhit RM, Ramos E, Shay NF & Potter SM (1998): Long-term intake of soy protein improves blood lipid profiles and increases mononuclear cell low-density-lipoprotein receptor messenger RNA in hypercholesterolemic, postmenopausal women. Am. J. Clin. Nutr. 68, 545–551.

    Article  CAS  Google Scholar 

  • Boden WE (2000): High-density lipoprotein cholesterol as an independent risk factor in cardiovascular disease: assessing the data from Framingham to the Veterans Affairs High-Density Lipoprotein Intervention Trial. Am. J. Cardiol. 86, 19L–22L.

    Article  CAS  Google Scholar 

  • Crouse JR, Morgan T, Terry JG, Ellis J, Vitolins M & Burke GL (1999): A randomized trial comparing the effect of casein with that of soy protein containing varying amounts of isoflavones on plasma concentrations of lipids and lipoproteins. Arch. Intern. Med. 159, 2070–2076.

    Article  CAS  Google Scholar 

  • Dent SB, Peterson CT, Brace LD, Swain JH, Reddy MB, Hanson KB, Robinson JG & Alekel DL . (2001): Soy protein intake by perimenopausal women does not affect circulating lipids and lipoproteins or coagulation and fibrinolytic factors. J. Nutr. 131, 2280–2287.

    Article  CAS  Google Scholar 

  • Dewell A, Hollenbeck CB & Bruce B (2002): The effects of soy-derived phytoestrogens on serum lipids and lipoproteins in moderately hypercholesterolemic postmenopausal women. J. Clin. Endocrinol. Metab. 87, 118–121.

    Article  CAS  Google Scholar 

  • Egger M, Davey SG, Schneider M & Minder C (1997): Bias in meta-analysis detected by a simple, graphical test. Br. Med. J. 315, 629–634.

    Article  CAS  Google Scholar 

  • Erdman JW (2000): Soy protein and cardiovascular disease. A statement for healthcare professionals form the nutrition committee of the AHA. Circulation 102, 2555–2559.

    Article  CAS  Google Scholar 

  • Expert Panel on Detection Evaluation and Treatment of High Blood Cholesterol in Adults (2001): National Cholesterol Education Program (NCEP) Adult Treatment Panel III Report. http://www.nhlbi.nih.gov/guidelines/cholesterol/atp3_rpt.htm (10 December 2001).

  • Gardner CD, Newell KA, Cherin R & Haskell WL (2001): The effect of soy protein with or without isoflavones relative to milk protein on plasma lipids in hypercholesterolemic postmenopausal women. Am. J. Clin. Nutr. 73, 728–735.

    Article  CAS  Google Scholar 

  • Jenkins DJA, Kendall CWC, Jackson CJ, Connelly PW, Parker T, Faulkner D, Vidgen E, Cunnane SC, Leiter LA & Josse RG (2002): Effects of high and low isoflavone soy foods on blood lipids, oxidized LDL, homocysteine and blood pressure in hyperlipemic men and women. Am. J. Clin. Nutr. 76, 365–372

    Article  CAS  Google Scholar 

  • Kleinbaum DG, Kupper LL & Morgenstern H . (1988): Applied Regression Analysis and Other Multivariable Methods. 2nd edition. Belmont, Duxbury Press.

  • Laboratory Methods Committee of the Lipids Research Clinics Program (1977): Cholesterol and triglyceride concentrations in serum/plasma pairs. Clin. Chem. 23, 60–63.

  • Law M (2000): Plant sterol and stanol margarines and health. Br. Med. J. 320, 861–864.

    Article  CAS  Google Scholar 

  • Law MR, Wald NJ & Thompson SG (1994): By how much and how quickly does reduction in serum cholesterol concentration lower risk of ischaemic heart disease? Brit. Med. J. 308, 367–372.

    Article  CAS  Google Scholar 

  • Lichtenstein AH . (2001): Got soy? Am. J. Clin. Nutr. 73, 667–668.

    Article  CAS  Google Scholar 

  • Meinertz H, Nilausen K & Hilden J (2002): Alcohol-extracted, but not intact, dietary soy protein lowers lipoprotein(a) markedly. Arterioscler.Thromb.Vasc. Biol. 22, 312–316.

    Article  CAS  Google Scholar 

  • Meyer BJ, Larkin TA, Owen AJ, Astheimer LB, Tapsell L & Howe PRC (2002): The hypocholesterolaemic effect of chronic soy supplementation may be linked to equol. (abstract) In: Proceedings of conference Soy & Health 2002. Clinical evidence—dietetic applications. May 30–31, 2002, London, UK.

  • Morito K, Hirose T, Kinjo J, Hirakawa T, Okawa M, Nohara T, Ogawa S, Inoue S, Muramatsu M & Masamune Y (2001): Interaction of phytoestrogens with estrogen receptors alpha and beta. Biol. Pharm. Bull. 24, 351–356.

    Article  CAS  Google Scholar 

  • Oakenfull DG (2001): Soy protein, saponins and plasma cholesterol. J. Nutr. 131, 2971.

    Article  CAS  Google Scholar 

  • Potter SM (1995): Overview of proposed mechanisms for the hypocholesterolemic effect of soy. J. Nutr. 125, 606S–611S.

    CAS  PubMed  Google Scholar 

  • Samman S, Lyons WPM, Chan GS, Smith SJ & Petocz P (1999): The effect of supplementation with isoflavones on plasma lipids and oxidisability of low density lipoprotein in premenopausal women. Atherosclerosis 147, 277–283.

    Article  CAS  Google Scholar 

  • Setchell KD, Borriello SP, Hulme P, Kirk DN & Axelson M (1984): Nonsteroidal estrogens of dietary origin: possible roles in hormone-dependent disease. Am. J. Clin. Nutr. 40, 569–578.

    Article  CAS  Google Scholar 

  • Simons LA, von Konigsmark M, Simons J & Celermajer DS (2000): Phytoestrogens do not influence lipoprotein levels or endothelial function in healthy, postmenopausal women. Am. J. Cardiol. 85, 1297–1301.

    Article  CAS  Google Scholar 

  • Sirtori CR & Lovati MR (2001): Soy proteins and cardiovascular disease. Curr. Atheroscler. Rep 3, 47–53.

    Article  CAS  Google Scholar 

  • Teede HJ, Dalais FS, Kotsopoulos D, Liang YL, Davis S & McGrath BP (2001): Dietary soy has both beneficial and potentially adverse cardiovascular effects: a placebo-controlled study in men and postmenopausal women. J. Clin. Endocrinol. Metab. 86, 3053–3060.

    CAS  PubMed  Google Scholar 

  • Teixeira SR, Potter SM, Weigel R, Hannum S, Erdman JW & Hasler CM (2000): Effects of feeding 4 levels of soy protein for 3 and 6 wk on blood lipids and apolipoproteins in moderately hypercholesterolemic men. Am. J. Clin. Nutr. 71, 1077–1084.

    Article  CAS  Google Scholar 

  • Van Horn L, Liu K, Gerber J, Garside D, Schiffer L, Gernhofer N & Greenland P (2001): Oats and soy in lipid-lowering diets for women with hypercholesterolemia: is there synergy? J. Am. Diet. Assoc 101, 1319–1325.

    Article  CAS  Google Scholar 

  • Vigna GB Pansini F Bonaccorsi G Albertazzi P Donega P Zanotti L De Aloysio D Mollica G & Fellin R (2000): Plasma lipoproteins in soy-treated postmenopausal women: a double-blind, placebo-controlled trial. Nutr. Metab. Cardiovasc. Dis. 10, 315–322.

    CAS  PubMed  Google Scholar 

  • Vitolins MZ Anthony M & Burke GL (2001): Soy protein isoflavones, lipids and arterial disease. Curr. Opin. Lipidol. 12, 433–437.

    Article  CAS  Google Scholar 

  • Weggemans RM Zock PL & Katan MB (2001): Dietary cholesterol from eggs increases the ratio of total cholesterol to high-density lipoprotein cholesterol in man. A meta-analysis. Am. J. Clin. Nutr. 73, 885–891.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Contributions

Guarantor: RW Weggemans.

Corresponding author

Correspondence to E A Trautwein.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Weggemans, R., Trautwein, E. Relation between soy-associated isoflavones and LDL and HDL cholesterol concentrations in humans: a meta-analysis. Eur J Clin Nutr 57, 940–946 (2003). https://doi.org/10.1038/sj.ejcn.1601628

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1601628

Keywords

This article is cited by

Search

Quick links