Effect of soybean protein on blood pressure in postmenopausal women: a meta-analysis of randomized controlled trials

The effect of soybean protein on blood pressure (BP) in postmenopausal women is controversial, so we aimed to conduct a systematic review and a meta-analysis of published randomized controlled trials (RCTs) to investigate whether supplementation with soy protein improves their blood pressure. PubMed...

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Veröffentlicht in:Food & function 2017-08, Vol.8 (8), p.2663-2671
Hauptverfasser: Kou, Tingyan, Wang, Qiuzhen, Cai, Jing, Song, Jiaqi, Du, Baoli, Zhao, Kun, Ma, Yan, Geng, Bo, Zhang, Yu, Han, Xiaohong, Jiang, Menglu, Guo, Haiyan, Hu, Baocui, Li, Zhaoying, Zhai, Yaoyao, Zhang, Chuan
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container_issue 8
container_start_page 2663
container_title Food & function
container_volume 8
creator Kou, Tingyan
Wang, Qiuzhen
Cai, Jing
Song, Jiaqi
Du, Baoli
Zhao, Kun
Ma, Yan
Geng, Bo
Zhang, Yu
Han, Xiaohong
Jiang, Menglu
Guo, Haiyan
Hu, Baocui
Li, Zhaoying
Zhai, Yaoyao
Zhang, Chuan
description The effect of soybean protein on blood pressure (BP) in postmenopausal women is controversial, so we aimed to conduct a systematic review and a meta-analysis of published randomized controlled trials (RCTs) to investigate whether supplementation with soy protein improves their blood pressure. PubMed and Embase were searched up to February 2016. Weighted mean differences were calculated for net changes in BP by using fixed-effect or random-effect models. Subgroup and meta-regression analyses were performed to clarify heterogeneity among the trials. A total of twelve trials (1551 postmenopausal women participants) were included in the present meta-analysis. The overall pooled estimates of the effect of soy protein indicated a significant effect on systolic blood pressure (SBP) (mean difference: −3.03 mmHg; 95% CI: −5.03, −1.02; P = 0.003) and diastolic blood pressure (DBP) (mean difference: −0.71 mmHg; 95% CI: −1.26, −0.16; P = 0.012). Subgroup analyses further demonstrated that soy protein intake ≥25 g d −1 significantly reduced BP, and the mean difference in SBP and DBP was −4.62 mmHg (95% CI: −8.42, −0.81; P = 0.04) and −1.63 mmHg (95% CI: −2.85, −0.41; P = 0.009), respectively. Soy isoflavone intake ≥100 mg d −1 had a better reduction effect both in SBP (−5.47 mmHg; 95% CI: −8.42, −2.51; P = 0.00) and DBP (−2.03 mmHg; 95% CI: −3.35, −0.72; P = 0.002). However, soy protein intake
doi_str_mv 10.1039/c6fo01845a
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PubMed and Embase were searched up to February 2016. Weighted mean differences were calculated for net changes in BP by using fixed-effect or random-effect models. Subgroup and meta-regression analyses were performed to clarify heterogeneity among the trials. A total of twelve trials (1551 postmenopausal women participants) were included in the present meta-analysis. The overall pooled estimates of the effect of soy protein indicated a significant effect on systolic blood pressure (SBP) (mean difference: −3.03 mmHg; 95% CI: −5.03, −1.02; P = 0.003) and diastolic blood pressure (DBP) (mean difference: −0.71 mmHg; 95% CI: −1.26, −0.16; P = 0.012). Subgroup analyses further demonstrated that soy protein intake ≥25 g d −1 significantly reduced BP, and the mean difference in SBP and DBP was −4.62 mmHg (95% CI: −8.42, −0.81; P = 0.04) and −1.63 mmHg (95% CI: −2.85, −0.41; P = 0.009), respectively. Soy isoflavone intake ≥100 mg d −1 had a better reduction effect both in SBP (−5.47 mmHg; 95% CI: −8.42, −2.51; P = 0.00) and DBP (−2.03 mmHg; 95% CI: −3.35, −0.72; P = 0.002). However, soy protein intake &lt;25 g d −1 or soy isoflavone intake &lt;100 mg d −1 had no such effects ( P &gt; 0.05). This meta-analysis suggests that ingestion of ≥25 g soy protein per day has BP-lowering effects, and the improvements in BP may be due to the isoflavones component of soy protein. More high-quality RCTs need to be carried out to confirm the present findings. Soy protein intakes ≥25 g d −1 significantly decreased SBP and DBP, which may be due to the isoflavones component.</description><identifier>ISSN: 2042-6496</identifier><identifier>EISSN: 2042-650X</identifier><identifier>DOI: 10.1039/c6fo01845a</identifier><identifier>PMID: 28675204</identifier><language>eng</language><publisher>England</publisher><subject>Blood Pressure ; Female ; Humans ; Middle Aged ; Postmenopause - physiology ; Randomized Controlled Trials as Topic ; Soybean Proteins - chemistry ; Soybean Proteins - metabolism</subject><ispartof>Food &amp; function, 2017-08, Vol.8 (8), p.2663-2671</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c401t-559da9a86991f7f5d25b1f4e30b5cb20d4d41205f96d0f2bc086c76270f1a8b13</citedby><cites>FETCH-LOGICAL-c401t-559da9a86991f7f5d25b1f4e30b5cb20d4d41205f96d0f2bc086c76270f1a8b13</cites><orcidid>0000-0001-5946-3884</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28675204$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kou, Tingyan</creatorcontrib><creatorcontrib>Wang, Qiuzhen</creatorcontrib><creatorcontrib>Cai, Jing</creatorcontrib><creatorcontrib>Song, Jiaqi</creatorcontrib><creatorcontrib>Du, Baoli</creatorcontrib><creatorcontrib>Zhao, Kun</creatorcontrib><creatorcontrib>Ma, Yan</creatorcontrib><creatorcontrib>Geng, Bo</creatorcontrib><creatorcontrib>Zhang, Yu</creatorcontrib><creatorcontrib>Han, Xiaohong</creatorcontrib><creatorcontrib>Jiang, Menglu</creatorcontrib><creatorcontrib>Guo, Haiyan</creatorcontrib><creatorcontrib>Hu, Baocui</creatorcontrib><creatorcontrib>Li, Zhaoying</creatorcontrib><creatorcontrib>Zhai, Yaoyao</creatorcontrib><creatorcontrib>Zhang, Chuan</creatorcontrib><title>Effect of soybean protein on blood pressure in postmenopausal women: a meta-analysis of randomized controlled trials</title><title>Food &amp; function</title><addtitle>Food Funct</addtitle><description>The effect of soybean protein on blood pressure (BP) in postmenopausal women is controversial, so we aimed to conduct a systematic review and a meta-analysis of published randomized controlled trials (RCTs) to investigate whether supplementation with soy protein improves their blood pressure. 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Soy isoflavone intake ≥100 mg d −1 had a better reduction effect both in SBP (−5.47 mmHg; 95% CI: −8.42, −2.51; P = 0.00) and DBP (−2.03 mmHg; 95% CI: −3.35, −0.72; P = 0.002). However, soy protein intake &lt;25 g d −1 or soy isoflavone intake &lt;100 mg d −1 had no such effects ( P &gt; 0.05). This meta-analysis suggests that ingestion of ≥25 g soy protein per day has BP-lowering effects, and the improvements in BP may be due to the isoflavones component of soy protein. More high-quality RCTs need to be carried out to confirm the present findings. Soy protein intakes ≥25 g d −1 significantly decreased SBP and DBP, which may be due to the isoflavones component.</description><subject>Blood Pressure</subject><subject>Female</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Postmenopause - physiology</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Soybean Proteins - chemistry</subject><subject>Soybean Proteins - metabolism</subject><issn>2042-6496</issn><issn>2042-650X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1LwzAYxoMoOqYX70q8iVBN0iZNvI2xqTDwouCtpPmAStvUJEXmX2_mNr35Xt6vHw-8zwvAOUa3GOXiTjHrEOYFlQdgQlBBMkbR2-G-LgQ7AWchvKMUuRBc8GNwQjgraQImIC6sNSpCZ2Fw69rIHg7eRdP00PWwbp3TaWBCGL2BaTi4EDvTu0GOQbbw06XmHkrYmSgz2ct2HZqwUfOy165rvoyGyvXRu7ZNZfSNbMMpOLIpmbNdnoLX5eJl_pitnh-e5rNVpgqEY0ap0FJIzoTAtrRUE1pjW5gc1VTVBOlCF5ggagXTyJJaIc5UyUiJLJa8xvkUXG9100kfowmx6pqgTNvK3rgxVFhgyjnhhCT0Zosq70LwxlaDbzrp1xVG1cboas6Wzz9GzxJ8udMd687oX3RvawKutoAP6nf796lq0DYxF_8x-TflY49v</recordid><startdate>20170816</startdate><enddate>20170816</enddate><creator>Kou, Tingyan</creator><creator>Wang, Qiuzhen</creator><creator>Cai, Jing</creator><creator>Song, Jiaqi</creator><creator>Du, Baoli</creator><creator>Zhao, Kun</creator><creator>Ma, Yan</creator><creator>Geng, Bo</creator><creator>Zhang, Yu</creator><creator>Han, Xiaohong</creator><creator>Jiang, Menglu</creator><creator>Guo, Haiyan</creator><creator>Hu, Baocui</creator><creator>Li, Zhaoying</creator><creator>Zhai, Yaoyao</creator><creator>Zhang, Chuan</creator><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/0000-0001-5946-3884</orcidid></search><sort><creationdate>20170816</creationdate><title>Effect of soybean protein on blood pressure in postmenopausal women: a meta-analysis of randomized controlled trials</title><author>Kou, Tingyan ; 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function</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kou, Tingyan</au><au>Wang, Qiuzhen</au><au>Cai, Jing</au><au>Song, Jiaqi</au><au>Du, Baoli</au><au>Zhao, Kun</au><au>Ma, Yan</au><au>Geng, Bo</au><au>Zhang, Yu</au><au>Han, Xiaohong</au><au>Jiang, Menglu</au><au>Guo, Haiyan</au><au>Hu, Baocui</au><au>Li, Zhaoying</au><au>Zhai, Yaoyao</au><au>Zhang, Chuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of soybean protein on blood pressure in postmenopausal women: a meta-analysis of randomized controlled trials</atitle><jtitle>Food &amp; function</jtitle><addtitle>Food Funct</addtitle><date>2017-08-16</date><risdate>2017</risdate><volume>8</volume><issue>8</issue><spage>2663</spage><epage>2671</epage><pages>2663-2671</pages><issn>2042-6496</issn><eissn>2042-650X</eissn><abstract>The effect of soybean protein on blood pressure (BP) in postmenopausal women is controversial, so we aimed to conduct a systematic review and a meta-analysis of published randomized controlled trials (RCTs) to investigate whether supplementation with soy protein improves their blood pressure. PubMed and Embase were searched up to February 2016. Weighted mean differences were calculated for net changes in BP by using fixed-effect or random-effect models. Subgroup and meta-regression analyses were performed to clarify heterogeneity among the trials. A total of twelve trials (1551 postmenopausal women participants) were included in the present meta-analysis. The overall pooled estimates of the effect of soy protein indicated a significant effect on systolic blood pressure (SBP) (mean difference: −3.03 mmHg; 95% CI: −5.03, −1.02; P = 0.003) and diastolic blood pressure (DBP) (mean difference: −0.71 mmHg; 95% CI: −1.26, −0.16; P = 0.012). Subgroup analyses further demonstrated that soy protein intake ≥25 g d −1 significantly reduced BP, and the mean difference in SBP and DBP was −4.62 mmHg (95% CI: −8.42, −0.81; P = 0.04) and −1.63 mmHg (95% CI: −2.85, −0.41; P = 0.009), respectively. Soy isoflavone intake ≥100 mg d −1 had a better reduction effect both in SBP (−5.47 mmHg; 95% CI: −8.42, −2.51; P = 0.00) and DBP (−2.03 mmHg; 95% CI: −3.35, −0.72; P = 0.002). However, soy protein intake &lt;25 g d −1 or soy isoflavone intake &lt;100 mg d −1 had no such effects ( P &gt; 0.05). This meta-analysis suggests that ingestion of ≥25 g soy protein per day has BP-lowering effects, and the improvements in BP may be due to the isoflavones component of soy protein. More high-quality RCTs need to be carried out to confirm the present findings. Soy protein intakes ≥25 g d −1 significantly decreased SBP and DBP, which may be due to the isoflavones component.</abstract><cop>England</cop><pmid>28675204</pmid><doi>10.1039/c6fo01845a</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-5946-3884</orcidid></addata></record>
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source MEDLINE; Royal Society Of Chemistry Journals 2008-
subjects Blood Pressure
Female
Humans
Middle Aged
Postmenopause - physiology
Randomized Controlled Trials as Topic
Soybean Proteins - chemistry
Soybean Proteins - metabolism
title Effect of soybean protein on blood pressure in postmenopausal women: a meta-analysis of randomized controlled trials
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