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 Article
  • Published:

Dietary combination of soy with a probiotic or prebiotic food significantly reduces total and LDL cholesterol in mildly hypercholesterolaemic subjects

Abstract

Objective:

We hypothesized that a dietary combination of soy with either a probiotic (yoghurt) or a prebiotic (resistant starch) would result in enhanced lipid-lowering effects compared with a control soy diet, possibly via improvements in isoflavone bioavailability.

Subjects:

Mildly hypercholesterolaemic subjects (men and post-menopausal women) older than 45 years were recruited via the local media. Thirty-six subjects commenced the study; five withdrew.

Results:

Soy+probiotic significantly decreased total cholesterol (4.7±2.0%; P=0.038) and soy+prebiotic significantly decreased total and low-density lipoprotein cholesterol (5.5±1.6%; P=0.003 and 7.3±2.2%; P=0.005, respectively). The bioavailabilities of daidzein, genistein or equol were not affected by probiotic or prebiotic consumption or associated with lipid changes.

Conclusion:

Dietary combination of soy with either a probiotic or a prebiotic resulted in significant lipid lowering, not related to isoflavone bioavailability.

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

Similar content being viewed by others

References

  • Adlercreutz H (1998). Evolution, nutrition, intestinal microflora, and prevention of cancer: a hypothesis. Proc Soc Exp Biol Med 217, 241–246.

    Article  CAS  Google Scholar 

  • Agerbaek M, Gerdes L, Richelson B (1995). Hypocholesterolaemic effect of a new fermented milk product in healthy middle-aged men. Eur J Clin Nutr 49, 346–352.

    CAS  PubMed  Google Scholar 

  • Agerholm-Larsen L, Bell M, Grunwald G, Astrup A (2000a). The effect of a probiotic milk product on plasma cholesterol: a meta-analysis of short-term intervention studies. Eur J Clin Nutr 54, 856–860.

    Article  CAS  Google Scholar 

  • Agerholm-Larsen L, Raben A, Haulrik N, Hansen A, Manders M, Astrup A (2000b). Effect of 8 week intake of probiotic milk products on risk factors for cardiovascular diseases. Eur J Clin Nutr 54, 288–297.

    Article  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  • Brown I (1996). Complex carbohydrates and resistant starch. Nutr Rev 54, S115–S119.

    Article  CAS  Google Scholar 

  • Brown I, Wang X, Conway P (1999). Sticky and selective starches. Microbiol Aust 9, 18–19.

    Google Scholar 

  • Brown I, Wang X, Topping D, Playne M, Conway P (1998). High amylose maize starch as a versatile prebiotic for use with probiotic bacteria. Food Aust 50, 602–609.

    Google Scholar 

  • Crouse J, Morgan T, Terry J, Ellis J, Vitolins M, Burke G (1999). A randomized trial comparing the effect of casein with that of soy protein containing varying amounts of isoflavones on plasma concentration of lipids and lipoproteins. Arch Intern Med 59, 2070–2076.

    Article  Google Scholar 

  • Cummings J, Roberfroid M, Andersson H, Barth C, Ferro-Luzzi A, Ghoos Y et al. (1997). A new look at dietary carbohydrate: chemistry, physiology and health. Eur J Clin Nutr 51, 417–423.

    Article  CAS  Google Scholar 

  • Friedewald W, Levy R, Fredickson D (1972). Estimation of the concentration of LDL cholesterol in plasma without the use of the preparative ultracentrifuge. Clin Chem 18, 499–502.

    CAS  PubMed  Google Scholar 

  • Gamache PH, Acworth IN (1998). Analysis of phytoestrogens and polyphenols in plasma, tissue, and urine using HPLC with coulometric array detection. Proc Soc Exp Biol Med 217, 274–280.

    Article  CAS  Google Scholar 

  • Gibson G (1998). Dietary modulation of the human gut microflora using prebiotics. Br J Nutr 80, S209–S212.

    Article  CAS  Google Scholar 

  • Gibson G (1999). Dietary modulation of the human gut microflora using the prebiotics oligofructose and inulin. J Nutr 129, S1438–S1441.

    Article  Google Scholar 

  • Gomes A, Malcata F (1999). Bifidobacterium spp. and Lactobacillus acidophilus: biological, biochemical, technological and therapeutical properties relevant for use as probiotics. Trends Food Sci Tech 10, 139–157.

    Article  CAS  Google Scholar 

  • Greany K, Nettleton J, KE W, Thomas W, Kurzer M (2004). Probiotic consumption does not enhance the cholesterol-lowering effect of soy in postmenopausal women. J Nutr 134, 3277–3283.

    Article  CAS  Google Scholar 

  • Harland J, Carr T (2004). Does a practical daily intake of 25 g soy protein significantly lower cholesterol? A meta-analysis of recent studies. J Nutr 134, S1267.

    Google Scholar 

  • Hentges D (1980). Does diet influence human fecal microflora composition. Nutr Rev 38, 329–336.

    Article  CAS  Google Scholar 

  • Hodgson J, Puddey I, Beilin L, Mori T, Croft K (1998). Supplementation with isoflavonoid phytoestrogens does not alter serum lipid concentrations: a randomized controlled trial in humans. J Nutr 128, 728–732.

    Article  CAS  Google Scholar 

  • Hoebler C, Karinthi A, Chiron H, Champ M, Barry J (1999). Bioavailability of starch in bread rich in amylose: metabolic responses in healthy subjects and starch structure. Eur J Clin Nutr 53, 360–366.

    Article  CAS  Google Scholar 

  • Jenkins D, Vuksan V, Rao A, Vidgen E, Kendall C, Tariq N et al. (1999). Colonic bacterial activity and serum lipid risk factors for cardiovascular disease. Metabolism 48, 264–268.

    Article  CAS  Google Scholar 

  • Larkin TA . Soy isoflavone bioavailability: effects of probiotic and prebiotic consumption and oil supplementation. PhD Thesis, University of Wollongong: Australia, 2005.

  • Lichtenstein A (1998). Soy protein, isoflavones and cardiovascular disease risk. J Nutr 128, 1589–1592.

    Article  CAS  Google Scholar 

  • Merz-Demlow B, Duncan A, Wangen K, Xu X, Carr T, Phipps W et al. (2000). Soy isoflavones improve plasma lipids in normocholesterolemic, premenopausal women. Am J Clin Nutr 71, 1462–1469.

    Article  CAS  Google Scholar 

  • Muir J, Walker K, Kaimakamis M, Cameron M, Govers M, Lu Z et al. (1998). Modulation of fecal markers relevant to colon cancer risk: a high-starch Chinese diet did not generate expected beneficial changes relative to a Western-type diet. Am J Clin Nutr 68, 372–379.

    Article  CAS  Google Scholar 

  • Nestel P, Yamashita T, Sasahara T, Pomeroy S, Dart A, Komesaroff P et al. (1997). Soy isoflavones improve systemic arterial compliance but not plasma lipids in menopausal and perimenopausal women. Arterioscler Thromb Vasc Biol 17, 3392–3398.

    Article  CAS  Google Scholar 

  • O'Sullivan D (2001). Screening of intestinal microflora for effective probiotic bacteria. J Agric Food Chem 49, 1751–1760.

    Article  CAS  Google Scholar 

  • Parodi P (1999). The role of intestinal bacteria in the causation and prevention of cancer: modulation by diet and probiotics. Aust J Dairy Tech 54, 103–121.

    CAS  Google Scholar 

  • Pereira D, Gibson G (2002). Effects of consumption of probiotics and prebiotics on serum lipid levels in humans. Crit Rev Biochem Mol Biol 37, 259–281.

    Article  CAS  Google Scholar 

  • Potter S (1998). Soy protein and cardiovascular disease: the impact of bioactive components in soy. Nutr Rev 56, 231–235.

    Article  CAS  Google Scholar 

  • Richelson B, Kristensen K, Pedersen S (1996). Long-term (6 months) effect of a new fermented milk product on the level of plasma lipoproteins—a placebo-controlled and double blind study. Eur J Clin Nutr 50, 811–815.

    Google Scholar 

  • Rowland I (1999). Optimal nutrition: fibre and phytochemicals. Proc Nutr Soc 58, 415–419.

    Article  CAS  Google Scholar 

  • Rowland I, Wiseman H, Sanders T, Adlercreutz H, Bowey E (1999). Metabolism of oestrogens and phytoestrogens: role of the gut microflora. Biochem Soc Trans 27, 304–308.

    Article  CAS  Google Scholar 

  • Sanders M (2000). Considerations for use of probiotic bacteria to modulate human health. J Nutr 130, S384–S390.

    Article  Google Scholar 

  • Schaafsma G, Meuling W, van Dokkum W, Bouley C (1998). Effect of a milk product, fermented by Lactobacillus acidophilus and with fructo-oligosaccharides added, on blood lipids in male volunteers. Eur J Clin Nutr 52, 436–440.

    Article  CAS  Google Scholar 

  • Silvi S, Cresci R, Rowland I (1999). Resistant starch modifies gut microflora and microbial metabolism in human flora-associated rats inoculated with faeces from Italian and UK donors. J Appl Microbiol 86, 521–530.

    Article  CAS  Google Scholar 

  • Steinberg F, Guthrie N, Villablanca A, Kumar K, Murray M (2003). 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 78, 123–130.

    Article  CAS  Google Scholar 

  • Taylor G, Williams C (1998). Effects of probiotics and prebiotics on blood lipids. Br J Nutr 80, S225–S230.

    Article  CAS  Google Scholar 

  • Topping D, Clifton P (2001). Short-chain fatty acids and human colonic function: roles of resistant starch and nonstarch polysaccharides. Physiol Rev 81, 1031–1064.

    Article  CAS  Google Scholar 

  • Turner N, Thomson B, Shaw I (2003). Bioactive isoflavones in functional foods: the importance of gut microflora on bioavailability. Nutr Rev 61, 204–213.

    Article  Google Scholar 

  • Wangen K, Duncan A, Xu X, Kurzer M (2001). Soy isoflavones improve plasma lipids in normocholesterolemic and mildly hypercholesterolemic postmenopausal women. Am J Clin Nutr 73, 225–231.

    Article  CAS  Google Scholar 

  • Warnick G, Benderson J, Albers J (1982). Dextran sulfate-Mg2+ precipitation procedure for quantitation of high-density lipoprotein cholesterol. Clin Chem 28, 1379–1388.

    CAS  Google Scholar 

  • Weggemans R, Trautwein E (2003). Relation between soy-associated isoflavones and LDL and HDL cholesterol concentrations in humans: a meta-analysis. Eur J Clin Nutr 57, 940–946.

    Article  CAS  Google Scholar 

  • Winter J, Bokkenheuser V (1987). Bacterial metabolism of natural and synthetic sex hormones undergoing enterohepatic circulation. J Steroid Biochem 27, 1145–1149.

    Article  CAS  Google Scholar 

  • Xiao J, Kondo S, Takahashi N, Miyaki K, Oshida K, Hiramatsu A et al. (2003). Effects of milk products fermented by Bifidobacterium longum on blood lipids in rats and healthy adult male volunteers. J Dairy Sci 86, 2452–2461.

    Article  CAS  Google Scholar 

  • Yeung J, Yu T (2003). Effects of isoflavones (soy phyto-estrogens) on serum lipids: a meta-analysis of randomised controlled trials. Nutr J 2, 1.

    Article  Google Scholar 

Download references

Acknowledgements

We acknowledge financial support from The Australian Research Council, Specialty Cereals Pty Ltd and the ARC Smart Foods Key Centre at the University of Wollongong. The following companies provided foods for the dietary interventions: Specialty Cereals Pty Ltd, Mt Kuring-gai, New South Wales, Australia; So Natural Foods, Taren Point, New South Wales, Australia; Vaalia, Pauls Dairy, Brisbane, Qld, Australia; Penford Australia Ltd, Sydney, New South Wales, Australia.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T A Larkin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Larkin, T., Astheimer, L. & Price, W. Dietary combination of soy with a probiotic or prebiotic food significantly reduces total and LDL cholesterol in mildly hypercholesterolaemic subjects. Eur J Clin Nutr 63, 238–245 (2009). https://doi.org/10.1038/sj.ejcn.1602910

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ejcn.1602910

Keywords

This article is cited by

Search

Quick links