Effects of Equol Supplement on Bone and Cardiovascular Parameters in Middle-Aged Japanese Women: A Prospective Observational Study

Objective: To examine changes in the bone and cardiovascular parameters and tolerability in middle-aged Japanese women taking equol supplement for a year. Design: This was a prospective observational study. Subjects and Setting: Participants were 74 women receiving outpatient care at Hamasite Medica...

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Veröffentlicht in:Journal of integrative and complementary medicine (Print) 2018-07, Vol.24 (7), p.71-708
Hauptverfasser: Yoshikata, Remi, Myint, Khin Zay Yar, Ohta, Hiroaki
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container_title Journal of integrative and complementary medicine (Print)
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creator Yoshikata, Remi
Myint, Khin Zay Yar
Ohta, Hiroaki
description Objective: To examine changes in the bone and cardiovascular parameters and tolerability in middle-aged Japanese women taking equol supplement for a year. Design: This was a prospective observational study. Subjects and Setting: Participants were 74 women receiving outpatient care at Hamasite Medical Clinic, Minato-ku, Tokyo, from 2013 to 2015. Interventions: Participants received per oral equol-containing supplement, 10 mg/day. Outcome measures: The primary outcome measures were percent changes in bone and cardiovascular parameters after 1 year supplementation with equol. The secondary measures included factors affecting the parameter changes and adverse effects associated with equol use for a year. Results: Reduction in arterial stiffness was observed after 12 months of equol supplement (1402.3 cm/s vs.1367.3 cm/s, p  
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Design: This was a prospective observational study. Subjects and Setting: Participants were 74 women receiving outpatient care at Hamasite Medical Clinic, Minato-ku, Tokyo, from 2013 to 2015. Interventions: Participants received per oral equol-containing supplement, 10 mg/day. Outcome measures: The primary outcome measures were percent changes in bone and cardiovascular parameters after 1 year supplementation with equol. The secondary measures included factors affecting the parameter changes and adverse effects associated with equol use for a year. Results: Reduction in arterial stiffness was observed after 12 months of equol supplement (1402.3 cm/s vs.1367.3 cm/s, p  &lt; 0.001). Significant reductions in respective parameters were observed in women with moderate and high risk for arteriosclerosis (median [95% confidence interval]: −3.2% [−5.79 to −0.74]; −12.65% [−18.52 to −4.28]; respectively); hypertriglyceridemia −45.53% [−70.24 to −5.58]; bone resorption risk (−15.15% [−23.71 to 1.56]; and bone fracture risk −26.68% [−76.43 to −5.99]. All 15 women with high baseline parathyroid hormone levels had achieved a median of 50% [−54.11 to −31.69] reduction from their baseline values. These associations were further confirmed in the results of multiple linear regression analysis. There were no reported adverse events or abnormal findings in the blood chemistry, Pap smear, mammography, and transvaginal ultrasound during periodic follow-ups. Conclusion: One year equol supplement was tolerable and induced improvement of certain bone and cardiovascular parameters, especially in higher risk groups. Further controlled studies are needed to explore long-term equol use for wellbeing of middle-aged women.</description><identifier>ISSN: 1075-5535</identifier><identifier>ISSN: 1326-3390</identifier><identifier>ISSN: 2768-3605</identifier><identifier>EISSN: 1557-7708</identifier><identifier>EISSN: 2768-3613</identifier><identifier>DOI: 10.1089/acm.2018.0050</identifier><identifier>PMID: 29722549</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Arteriosclerosis ; Bioflavonoids ; Bone diseases ; Bone resorption ; Cardiovascular diseases ; Care and treatment ; Collagen Type I - urine ; Dietary supplements ; Equol - administration &amp; dosage ; Equol - pharmacology ; Equol - therapeutic use ; Female ; Flavones ; Flavonoids ; Health aspects ; Health risks ; Humans ; Hypertriglyceridemia ; Lipids - blood ; Mammography ; Middle age ; Middle Aged ; Middle aged women ; Observational studies ; Original ; Original Articles ; Parathyroid ; Parathyroid hormone ; Parathyroid Hormone - blood ; Peptides - urine ; Prospective Studies ; Regression analysis ; Risk groups ; Smear ; Treatment Outcome ; Ultrasound ; Vascular Stiffness - drug effects</subject><ispartof>Journal of integrative and complementary medicine (Print), 2018-07, Vol.24 (7), p.71-708</ispartof><rights>Remi Yoshikata et al.</rights><rights>COPYRIGHT 2018 Australian Traditional-Medicine Society</rights><rights>COPYRIGHT 2018 Australian Traditional-Medicine Society</rights><rights>(©) © Remi Yoshikata et al.</rights><rights>Remi Yoshikata et al., 2018; Published by Mary Ann Liebert, Inc. 2018</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c695t-c33a4c4ced6be6a5511c4a141890e99941ddbde8aa553866b15cdff197e14a103</citedby><cites>FETCH-LOGICAL-c695t-c33a4c4ced6be6a5511c4a141890e99941ddbde8aa553866b15cdff197e14a103</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29722549$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yoshikata, Remi</creatorcontrib><creatorcontrib>Myint, Khin Zay Yar</creatorcontrib><creatorcontrib>Ohta, Hiroaki</creatorcontrib><title>Effects of Equol Supplement on Bone and Cardiovascular Parameters in Middle-Aged Japanese Women: A Prospective Observational Study</title><title>Journal of integrative and complementary medicine (Print)</title><addtitle>J Altern Complement Med</addtitle><description>Objective: To examine changes in the bone and cardiovascular parameters and tolerability in middle-aged Japanese women taking equol supplement for a year. Design: This was a prospective observational study. Subjects and Setting: Participants were 74 women receiving outpatient care at Hamasite Medical Clinic, Minato-ku, Tokyo, from 2013 to 2015. Interventions: Participants received per oral equol-containing supplement, 10 mg/day. Outcome measures: The primary outcome measures were percent changes in bone and cardiovascular parameters after 1 year supplementation with equol. The secondary measures included factors affecting the parameter changes and adverse effects associated with equol use for a year. Results: Reduction in arterial stiffness was observed after 12 months of equol supplement (1402.3 cm/s vs.1367.3 cm/s, p  &lt; 0.001). Significant reductions in respective parameters were observed in women with moderate and high risk for arteriosclerosis (median [95% confidence interval]: −3.2% [−5.79 to −0.74]; −12.65% [−18.52 to −4.28]; respectively); hypertriglyceridemia −45.53% [−70.24 to −5.58]; bone resorption risk (−15.15% [−23.71 to 1.56]; and bone fracture risk −26.68% [−76.43 to −5.99]. All 15 women with high baseline parathyroid hormone levels had achieved a median of 50% [−54.11 to −31.69] reduction from their baseline values. These associations were further confirmed in the results of multiple linear regression analysis. There were no reported adverse events or abnormal findings in the blood chemistry, Pap smear, mammography, and transvaginal ultrasound during periodic follow-ups. Conclusion: One year equol supplement was tolerable and induced improvement of certain bone and cardiovascular parameters, especially in higher risk groups. 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Myint, Khin Zay Yar ; Ohta, Hiroaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c695t-c33a4c4ced6be6a5511c4a141890e99941ddbde8aa553866b15cdff197e14a103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Arteriosclerosis</topic><topic>Bioflavonoids</topic><topic>Bone diseases</topic><topic>Bone resorption</topic><topic>Cardiovascular diseases</topic><topic>Care and treatment</topic><topic>Collagen Type I - urine</topic><topic>Dietary supplements</topic><topic>Equol - administration &amp; dosage</topic><topic>Equol - pharmacology</topic><topic>Equol - therapeutic use</topic><topic>Female</topic><topic>Flavones</topic><topic>Flavonoids</topic><topic>Health aspects</topic><topic>Health risks</topic><topic>Humans</topic><topic>Hypertriglyceridemia</topic><topic>Lipids - blood</topic><topic>Mammography</topic><topic>Middle age</topic><topic>Middle Aged</topic><topic>Middle aged women</topic><topic>Observational studies</topic><topic>Original</topic><topic>Original Articles</topic><topic>Parathyroid</topic><topic>Parathyroid hormone</topic><topic>Parathyroid Hormone - blood</topic><topic>Peptides - urine</topic><topic>Prospective Studies</topic><topic>Regression analysis</topic><topic>Risk groups</topic><topic>Smear</topic><topic>Treatment Outcome</topic><topic>Ultrasound</topic><topic>Vascular Stiffness - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yoshikata, Remi</creatorcontrib><creatorcontrib>Myint, Khin Zay Yar</creatorcontrib><creatorcontrib>Ohta, Hiroaki</creatorcontrib><collection>Mary Ann Liebert Online - Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of integrative and complementary medicine (Print)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yoshikata, Remi</au><au>Myint, Khin Zay Yar</au><au>Ohta, Hiroaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Equol Supplement on Bone and Cardiovascular Parameters in Middle-Aged Japanese Women: A Prospective Observational Study</atitle><jtitle>Journal of integrative and complementary medicine (Print)</jtitle><addtitle>J Altern Complement Med</addtitle><date>2018-07-01</date><risdate>2018</risdate><volume>24</volume><issue>7</issue><spage>71</spage><epage>708</epage><pages>71-708</pages><issn>1075-5535</issn><issn>1326-3390</issn><issn>2768-3605</issn><eissn>1557-7708</eissn><eissn>2768-3613</eissn><abstract>Objective: To examine changes in the bone and cardiovascular parameters and tolerability in middle-aged Japanese women taking equol supplement for a year. Design: This was a prospective observational study. Subjects and Setting: Participants were 74 women receiving outpatient care at Hamasite Medical Clinic, Minato-ku, Tokyo, from 2013 to 2015. Interventions: Participants received per oral equol-containing supplement, 10 mg/day. Outcome measures: The primary outcome measures were percent changes in bone and cardiovascular parameters after 1 year supplementation with equol. The secondary measures included factors affecting the parameter changes and adverse effects associated with equol use for a year. Results: Reduction in arterial stiffness was observed after 12 months of equol supplement (1402.3 cm/s vs.1367.3 cm/s, p  &lt; 0.001). Significant reductions in respective parameters were observed in women with moderate and high risk for arteriosclerosis (median [95% confidence interval]: −3.2% [−5.79 to −0.74]; −12.65% [−18.52 to −4.28]; respectively); hypertriglyceridemia −45.53% [−70.24 to −5.58]; bone resorption risk (−15.15% [−23.71 to 1.56]; and bone fracture risk −26.68% [−76.43 to −5.99]. All 15 women with high baseline parathyroid hormone levels had achieved a median of 50% [−54.11 to −31.69] reduction from their baseline values. These associations were further confirmed in the results of multiple linear regression analysis. There were no reported adverse events or abnormal findings in the blood chemistry, Pap smear, mammography, and transvaginal ultrasound during periodic follow-ups. Conclusion: One year equol supplement was tolerable and induced improvement of certain bone and cardiovascular parameters, especially in higher risk groups. Further controlled studies are needed to explore long-term equol use for wellbeing of middle-aged women.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>29722549</pmid><doi>10.1089/acm.2018.0050</doi><tpages>638</tpages><oa>free_for_read</oa></addata></record>
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subjects Arteriosclerosis
Bioflavonoids
Bone diseases
Bone resorption
Cardiovascular diseases
Care and treatment
Collagen Type I - urine
Dietary supplements
Equol - administration & dosage
Equol - pharmacology
Equol - therapeutic use
Female
Flavones
Flavonoids
Health aspects
Health risks
Humans
Hypertriglyceridemia
Lipids - blood
Mammography
Middle age
Middle Aged
Middle aged women
Observational studies
Original
Original Articles
Parathyroid
Parathyroid hormone
Parathyroid Hormone - blood
Peptides - urine
Prospective Studies
Regression analysis
Risk groups
Smear
Treatment Outcome
Ultrasound
Vascular Stiffness - drug effects
title Effects of Equol Supplement on Bone and Cardiovascular Parameters in Middle-Aged Japanese Women: A Prospective Observational Study
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