Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study

Abstract Background Although many epidemiological studies have reported the preventive effects of soy products and isoflavones on prostate cancer, our previous studies reported that the association between soy and isoflavones and prostate cancer incidence differed according to stage. It is more impo...

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Veröffentlicht in:International journal of epidemiology 2020-10, Vol.49 (5), p.1553-1561
Hauptverfasser: Sawada, Norie, Iwasaki, Motoki, Yamaji, Taiki, Shimazu, Taichi, Inoue, Manami, Tsugane, Shoichiro
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container_end_page 1561
container_issue 5
container_start_page 1553
container_title International journal of epidemiology
container_volume 49
creator Sawada, Norie
Iwasaki, Motoki
Yamaji, Taiki
Shimazu, Taichi
Inoue, Manami
Tsugane, Shoichiro
description Abstract Background Although many epidemiological studies have reported the preventive effects of soy products and isoflavones on prostate cancer, our previous studies reported that the association between soy and isoflavones and prostate cancer incidence differed according to stage. It is more important to identify modifiable risk factors related to lethal prostate cancer. Here, we investigated the association between soy, soy products and isoflavones intake and prostate cancer mortality, in a prospective study in Japan. Methods We conducted a population-based prospective study in 43 580 Japanese men with no history of cancer or cardiovascular disease (aged 45-74 years). Participants completed a validated questionnaire which included 138 food items. We followed participants from 1995 to 2016. Hazard ratios (HRs) and 95% confidence intervals (CIs) of prostate cancer mortality were calculated according to quintiles of soy products and isoflavones intake, using Cox hazard proportional hazards regression. Results During 16.9 years follow-up, we registered 221 deaths from prostate cancer. Isoflavones and soy products intake was associated with an increased risk of prostate cancer death, with multivariate HRQ5 vs. Q1=1.39, 95% CI = 0.87-2.20, p for trend = 0.04 for isoflavones and multivariate HRQ5 vs. Q1=1.76, 95% CI = 1.10-2.82, p for trend = 0.04 for soy food. Conclusions Our study suggested that high intake of soy and isoflavones might increase the risk of prostate cancer mortality.
doi_str_mv 10.1093/ije/dyaa177
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It is more important to identify modifiable risk factors related to lethal prostate cancer. Here, we investigated the association between soy, soy products and isoflavones intake and prostate cancer mortality, in a prospective study in Japan. Methods We conducted a population-based prospective study in 43 580 Japanese men with no history of cancer or cardiovascular disease (aged 45-74 years). Participants completed a validated questionnaire which included 138 food items. We followed participants from 1995 to 2016. Hazard ratios (HRs) and 95% confidence intervals (CIs) of prostate cancer mortality were calculated according to quintiles of soy products and isoflavones intake, using Cox hazard proportional hazards regression. Results During 16.9 years follow-up, we registered 221 deaths from prostate cancer. Isoflavones and soy products intake was associated with an increased risk of prostate cancer death, with multivariate HRQ5 vs. Q1=1.39, 95% CI = 0.87-2.20, p for trend = 0.04 for isoflavones and multivariate HRQ5 vs. Q1=1.76, 95% CI = 1.10-2.82, p for trend = 0.04 for soy food. Conclusions Our study suggested that high intake of soy and isoflavones might increase the risk of prostate cancer mortality.</description><identifier>ISSN: 0300-5771</identifier><identifier>EISSN: 1464-3685</identifier><identifier>DOI: 10.1093/ije/dyaa177</identifier><identifier>PMID: 32968784</identifier><language>eng</language><publisher>OXFORD: Oxford University Press</publisher><subject>Aged ; Diet ; Humans ; Isoflavones ; Japan - epidemiology ; Life Sciences &amp; Biomedicine ; Male ; Middle Aged ; Prospective Studies ; Prostatic Neoplasms - epidemiology ; Public Health ; Public, Environmental &amp; Occupational Health ; Risk Factors ; Science &amp; Technology ; Soy Foods ; Surveys and Questionnaires</subject><ispartof>International journal of epidemiology, 2020-10, Vol.49 (5), p.1553-1561</ispartof><rights>The Author(s) 2020; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association 2020</rights><rights>The Author(s) 2020; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>8</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000606715400025</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c423t-58746c606f410f9a69e90063a33716234d61f05654e65b1b84c99d5d2151749b3</citedby><cites>FETCH-LOGICAL-c423t-58746c606f410f9a69e90063a33716234d61f05654e65b1b84c99d5d2151749b3</cites><orcidid>0000-0002-9936-1476 ; 0000-0001-6000-9830 ; 0000-0003-1276-2398</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1585,27929,27930,28253</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32968784$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sawada, Norie</creatorcontrib><creatorcontrib>Iwasaki, Motoki</creatorcontrib><creatorcontrib>Yamaji, Taiki</creatorcontrib><creatorcontrib>Shimazu, Taichi</creatorcontrib><creatorcontrib>Inoue, Manami</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Japan Public Hlth Ctr-Based Prospe</creatorcontrib><creatorcontrib>Japan Public Health Center-based Prospective Study Group</creatorcontrib><creatorcontrib>for the Japan Public Health Center-based Prospective Study Group</creatorcontrib><title>Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study</title><title>International journal of epidemiology</title><addtitle>INT J EPIDEMIOL</addtitle><addtitle>Int J Epidemiol</addtitle><description>Abstract Background Although many epidemiological studies have reported the preventive effects of soy products and isoflavones on prostate cancer, our previous studies reported that the association between soy and isoflavones and prostate cancer incidence differed according to stage. It is more important to identify modifiable risk factors related to lethal prostate cancer. Here, we investigated the association between soy, soy products and isoflavones intake and prostate cancer mortality, in a prospective study in Japan. Methods We conducted a population-based prospective study in 43 580 Japanese men with no history of cancer or cardiovascular disease (aged 45-74 years). Participants completed a validated questionnaire which included 138 food items. We followed participants from 1995 to 2016. Hazard ratios (HRs) and 95% confidence intervals (CIs) of prostate cancer mortality were calculated according to quintiles of soy products and isoflavones intake, using Cox hazard proportional hazards regression. Results During 16.9 years follow-up, we registered 221 deaths from prostate cancer. Isoflavones and soy products intake was associated with an increased risk of prostate cancer death, with multivariate HRQ5 vs. Q1=1.39, 95% CI = 0.87-2.20, p for trend = 0.04 for isoflavones and multivariate HRQ5 vs. Q1=1.76, 95% CI = 1.10-2.82, p for trend = 0.04 for soy food. Conclusions Our study suggested that high intake of soy and isoflavones might increase the risk of prostate cancer mortality.</description><subject>Aged</subject><subject>Diet</subject><subject>Humans</subject><subject>Isoflavones</subject><subject>Japan - epidemiology</subject><subject>Life Sciences &amp; Biomedicine</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Prostatic Neoplasms - epidemiology</subject><subject>Public Health</subject><subject>Public, Environmental &amp; Occupational Health</subject><subject>Risk Factors</subject><subject>Science &amp; Technology</subject><subject>Soy Foods</subject><subject>Surveys and Questionnaires</subject><issn>0300-5771</issn><issn>1464-3685</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkU9rFTEUxYMo9llduZesRJCxyeTfxJ0Mai0FC9X1kMncoakzyThJKvMJ-rUbfc92J65yIb9zuOdchF5S8o4SzU7cNZwMmzFUqUdoR7nkFZONeIx2hBFSCaXoEXoW4zUhlHOun6IjVmvZqIbv0O1l2LDxA3YxjJO5CR6wDT7meUku-D9fMfcRfmbwCa8u_sBhxMsaYjKpsMZbWPEc1mQml7b3OF0BPjOL8fgi95Oz-BTMlK5wW_SwVr2JMOCLol_AJncD-DLlYXuOnoxmivDi8B6j758-fmtPq_Ovn7-0H84ry2uWKtEoLq0kcuSUjNpIDZoQyQxjisqa8UHSkQgpOEjR077hVutBDDUVVHHds2P0Zu9bEpRIMXWzixamyXgIOXY150JLpRpa0Ld71JZl4wpjt6xuNuvWUdL9br4rzXeH5gv96mCc-xmGe_Zv1Q92v6APY7QOSnP3GCkpiFRU8DLVotDN_9OtK7co12pD9qlIX--lIS__XPkO2l-uuA</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Sawada, Norie</creator><creator>Iwasaki, Motoki</creator><creator>Yamaji, Taiki</creator><creator>Shimazu, Taichi</creator><creator>Inoue, Manami</creator><creator>Tsugane, Shoichiro</creator><general>Oxford University Press</general><general>Oxford Univ Press</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9936-1476</orcidid><orcidid>https://orcid.org/0000-0001-6000-9830</orcidid><orcidid>https://orcid.org/0000-0003-1276-2398</orcidid></search><sort><creationdate>20201001</creationdate><title>Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study</title><author>Sawada, Norie ; Iwasaki, Motoki ; Yamaji, Taiki ; Shimazu, Taichi ; Inoue, Manami ; Tsugane, Shoichiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c423t-58746c606f410f9a69e90063a33716234d61f05654e65b1b84c99d5d2151749b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Diet</topic><topic>Humans</topic><topic>Isoflavones</topic><topic>Japan - epidemiology</topic><topic>Life Sciences &amp; Biomedicine</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Prostatic Neoplasms - epidemiology</topic><topic>Public Health</topic><topic>Public, Environmental &amp; Occupational Health</topic><topic>Risk Factors</topic><topic>Science &amp; Technology</topic><topic>Soy Foods</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sawada, Norie</creatorcontrib><creatorcontrib>Iwasaki, Motoki</creatorcontrib><creatorcontrib>Yamaji, Taiki</creatorcontrib><creatorcontrib>Shimazu, Taichi</creatorcontrib><creatorcontrib>Inoue, Manami</creatorcontrib><creatorcontrib>Tsugane, Shoichiro</creatorcontrib><creatorcontrib>Japan Public Hlth Ctr-Based Prospe</creatorcontrib><creatorcontrib>Japan Public Health Center-based Prospective Study Group</creatorcontrib><creatorcontrib>for the Japan Public Health Center-based Prospective Study Group</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sawada, Norie</au><au>Iwasaki, Motoki</au><au>Yamaji, Taiki</au><au>Shimazu, Taichi</au><au>Inoue, Manami</au><au>Tsugane, Shoichiro</au><aucorp>Japan Public Hlth Ctr-Based Prospe</aucorp><aucorp>Japan Public Health Center-based Prospective Study Group</aucorp><aucorp>for the Japan Public Health Center-based Prospective Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study</atitle><jtitle>International journal of epidemiology</jtitle><stitle>INT J EPIDEMIOL</stitle><addtitle>Int J Epidemiol</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>49</volume><issue>5</issue><spage>1553</spage><epage>1561</epage><pages>1553-1561</pages><issn>0300-5771</issn><eissn>1464-3685</eissn><abstract>Abstract Background Although many epidemiological studies have reported the preventive effects of soy products and isoflavones on prostate cancer, our previous studies reported that the association between soy and isoflavones and prostate cancer incidence differed according to stage. It is more important to identify modifiable risk factors related to lethal prostate cancer. Here, we investigated the association between soy, soy products and isoflavones intake and prostate cancer mortality, in a prospective study in Japan. Methods We conducted a population-based prospective study in 43 580 Japanese men with no history of cancer or cardiovascular disease (aged 45-74 years). Participants completed a validated questionnaire which included 138 food items. We followed participants from 1995 to 2016. Hazard ratios (HRs) and 95% confidence intervals (CIs) of prostate cancer mortality were calculated according to quintiles of soy products and isoflavones intake, using Cox hazard proportional hazards regression. Results During 16.9 years follow-up, we registered 221 deaths from prostate cancer. Isoflavones and soy products intake was associated with an increased risk of prostate cancer death, with multivariate HRQ5 vs. Q1=1.39, 95% CI = 0.87-2.20, p for trend = 0.04 for isoflavones and multivariate HRQ5 vs. Q1=1.76, 95% CI = 1.10-2.82, p for trend = 0.04 for soy food. Conclusions Our study suggested that high intake of soy and isoflavones might increase the risk of prostate cancer mortality.</abstract><cop>OXFORD</cop><pub>Oxford University Press</pub><pmid>32968784</pmid><doi>10.1093/ije/dyaa177</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9936-1476</orcidid><orcidid>https://orcid.org/0000-0001-6000-9830</orcidid><orcidid>https://orcid.org/0000-0003-1276-2398</orcidid><oa>free_for_read</oa></addata></record>
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subjects Aged
Diet
Humans
Isoflavones
Japan - epidemiology
Life Sciences & Biomedicine
Male
Middle Aged
Prospective Studies
Prostatic Neoplasms - epidemiology
Public Health
Public, Environmental & Occupational Health
Risk Factors
Science & Technology
Soy Foods
Surveys and Questionnaires
title Soy and isoflavone consumption and subsequent risk of prostate cancer mortality: the Japan Public Health Center-based Prospective Study
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