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Nutrition, Vitamins & Supplements for Seniors

Soy Food Helps Women with Breast Cancer Decrease Death Risk, Avoid Recurrence

Study including senior citizens suggests moderate soy food intake is safe and potentially beneficial for women with breast cancer

 

 
 

Soybeans have found their way into an eye-opening array of foods, according to the Agricultural Research Service. Starting with the basics, there's soy milk, Oriental staple tofu, soybean curd, soy yogurt, soyburgers, soy loaf, and soy sausage. Soy oil is the most widely used edible oil in the United States. Soy components such as protein and oil are ingredients in dozens of everyday foods-from granola bars to potato chips. You'll be hard put to find a chocolate treat that lacks soy lecithin.

Thanks to ARS research, soybeans have been incorporated into a host of nonfood products - from newspapers printed with so oil-based ink to lipstick, plastics. flooring, paints, and stain-removing cleaners. Photo by Scott Bauer, ARS  More below news report.

 

Dec. 9, 2009 - Although there is a concern regarding the safety of soy food consumption among breast cancer survivors, researchers have found that women in China who had breast cancer and a higher intake of soy food had an associated lower risk of death and breast cancer recurrence, according to a study in the December 9 issue of the Journal of the American Medical Association (JAMA).

(Note: Read more about Soy from MedlinePlus below this news report.)

"Soy foods are rich in isoflavones, a major group of phytoestrogens that have been hypothesized to reduce the risk of breast cancer. However, the estrogen-like effect of isoflavones and the potential interaction between isoflavones and tamoxifen have led to concern about soy food consumption among breast cancer patients," the authors write in explaining why they pursued this study.

Xiao Ou Shu, M.D., Ph.D., of Vanderbilt University Medical Center, Nashville, Tenn., and colleagues examined the association between soy isoflavone intake with breast cancer recurrence and survival.

 

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The researchers analyzed data from the Shanghai Breast Cancer Survival Study, a large, population-based study of 5,042 female breast cancer survivors in China. Women ages 20 to 75 years with diagnoses of breast cancer between March 2002 and April 2006 were recruited and followed up through June 2009.

Information on cancer diagnosis and treatment, lifestyle exposures after cancer diagnosis, and disease progression was collected at approximately 6 months after cancer diagnosis and was reassessed at three follow-up interviews conducted at 18, 36, and 60 months after diagnosis. A Shanghai Vital Statistics Registry database was used to obtain survival information for participants who were lost to follow-up.

> After a median (midpoint) follow-up of 3.9 years, 444 total deaths and 534 recurrences or breast cancer-related deaths were documented among the group of 5,033 surgically-treated breast cancer patients.

> Soy food intake, as measured by either soy protein or soy isoflavone intake, was inversely associated with mortality and recurrence.

> Patients in the group with the highest intake of soy protein had a 29 percent lower risk of death during the study period, and a 32 percent lower risk of breast cancer recurrence compared to patients with the lowest intake of soy protein.

> The adjusted 4-year mortality rates were 10.3 percent and 7.4 percent and the 4-year recurrence rates were 11.2 percent and 8.0 percent, respectively, for women with the lowest and highest groups of soy protein intake.

"The inverse association was evident among women with either estrogen receptor-positive or -negative breast cancer and was present in both users and nonusers of tamoxifen," the researchers write.

"In summary, in this population-based prospective study, we found that soy food intake is safe and was associated with lower mortality and recurrence among breast cancer patients.

”The association of soy food intake with mortality and recurrence appears to follow a linear dose-response pattern until soy food intake reached 11 grams/day of soy protein; no additional benefits on mortality and recurrence were observed with higher intakes of soy food. This study suggests that moderate soy food intake is safe and potentially beneficial for women with breast cancer."

Editorial: Clinicians can advise patients with breast cancer that soy foods are safe to eat and that these foods may offer some protective benefit for long-term health

An editorial in JAMA says that while this study provides important information, there are several concerns, including differences in the quality, type and quantity of soy food intake between China and the U.S. (47 mg/d vs. 1 to 6 mg/d, respectively, average isoflavone intake).

Rachel Ballard-Barbash, M.D., M.P.H., of the National Cancer Institute, Bethesda, Md., and Marian L. Neuhouser, Ph.D., of the Fred Hutchinson Cancer Research Center, Seattle, also, point out the relatively short median follow-up time of the study (4 years); that there likely are differences in screening rates in China compared with the U.S.; and a number of factors may make it difficult to compare stage- and treatment-specific results in China with outcomes in the U.S.

"Even though the findings by Shu et al suggest that consumption of soy foods among breast cancer patients is probably safe, studies in larger cohorts are required to understand the effects of these foods among diverse clinical subgroups of breast cancer patients and survivors.

“In the meantime, clinicians can advise their patients with breast cancer that soy foods are safe to eat and that these foods may offer some protective benefit for long-term health.

“Moreover, the potential benefits are confined to soy foods, and inferences should not be made about the risks or benefits of soy-containing dietary supplements. Patients with breast cancer can be assured that enjoying a soy latte or indulging in pad thai with tofu causes no harm and, when consumed in plentiful amounts, may reduce risk of disease recurrence."


All About Soy From MedlinePlus

This information was obtained from MedlinePlus, which brings together authoritative information from National Library of Medicine, the National Institutes of Health, and other government agencies and health-related organizations. (12/09/2009)

 click for more and updated information

Soy is a subtropical plant, native to southeastern Asia. This member of the pea family (Fabaceae) grows from one to five-feet tall and forms clusters of three to five pods, each containing two to four beans per pod. Soy has been a dietary staple in Asian countries for at least 5,000 years, and during the Chou dynasty in China (1134-246 B.C.), fermentation techniques were discovered that allowed soy to be prepared in more easily digestible forms such as tempeh, miso, and tamari soy sauce. Tofu was invented in 2nd-Century China.

Soy was introduced to Europe in the 1700s and to the United States in the 1800s. Large-scale soybean cultivation began in the United States during World War II. Currently, Midwestern U.S. states produce approximately half of the world's supply of soybeans.

Soy contains protein, isoflavones, and fiber, all thought to provide health benefits. Soy is an excellent source of dietary protein, including all essential amino acids. Soy is also a source of lecithin or phospholipid. Soy isoflavones and lecithin have been studied scientifically for numerous health conditions. Isoflavones such as genistein are believed to have estrogen-like effects in the body, and as a result are sometimes called "phytoestrogens."

Common sources of soy isoflavones include roasted soybean, green soybean, soy flour, tempeh, tofu, tofu yogurt, soy hot dogs, miso, soy butter, soy nut butter, soy ice cream, soy milk, soy yogurt, tofu pups®, soy cheese, bean curd, seitan, and soy noodles. Soybean flour is found in Spanish sausage products (chorizo, salchichon, mortadella, and boiled ham), doughnuts, and soup stock cubes. Although processed soy foods (e.g., veggie burgers, tofu pups®, meatless dinner entrees, chicken-free nuggets, soy "ice creams" and energy bars) are usually high in protein, they typically contain lower levels of isoflavones.

Soy protein has also been investigated for benefit in terms of other cardiovascular disease risk factors, reducing menopausal symptoms, weight loss, arthritis, brain function, and exercise performance enhancement.

Dietary soy may decrease the risk of breast cancer in women and prostate cancer in men, as well as other types of cancers.

In general, the supportive evidence for use of phytoestrogens as treatments for menopause, cardiovascular disease, osteoporosis (weak bone mass), and cancer is limited. The use of soy formula has been investigated in the treatment of diarrhea in infants and is an effective and safe alternative to cow's milk formula in most infants. Due to limited human study, there is currently not enough evidence to recommend for or against the use of soy for weight reduction.

These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Uses based on scientific evidence

Grade*

Dietary source of protein

Soy products, such as tofu, are high in protein and are an acceptable source of dietary protein.

A

High cholesterol

Numerous human studies report that adding soy protein to the diet can moderately decrease blood levels of total cholesterol and low-density lipoprotein ("bad" cholesterol). Small reductions in triglycerides may also occur, while high-density lipoprotein ("good" cholesterol) is altered in some, but not all, studies. Some scientists have proposed that specific components of soybean, such as the isoflavones genistein and daidzein, may be responsible for the cholesterol-lowering properties of soy. However, this has not been clearly demonstrated in research and remains controversial. It is not known if products containing isolated soy isoflavones have the same effects as regular dietary intake of soy protein. Dietary soy protein has not been proven to affect long-term cardiovascular outcomes, such as heart attack or stroke.

A

Diarrhea (acute) in infants and young children

Numerous studies report that infants and young children (2-36 months old) with diarrhea who are fed soy formulas experience fewer daily bowel movements and fewer days of diarrhea. This research suggests that soy has benefits over other types of formula, including cow milk-based solutions. The addition of soy fiber to soy formula may increase the effectiveness. Better quality research is needed before a strong recommendation can be made.Parents are advised to speak with qualified healthcare providers if their infants experience prolonged diarrhea, become dehydrated, develop signs of infections (such as fever), or have blood in the stool. A healthcare provider should be consulted for current breastfeeding recommendations and to suggest long-term formulas that provide enough nutrition.

B

Allergies (prevention of food allergies)

Soy formulas are commonly used by infants with sensitivities to milk-based formulas. There is currently little evidence to support the use of soy formulas for preventing food allergies. Further research is needed in this field.

C

Antioxidant

There is some evidence in support of soy increasing antioxidant status in humans. In general, diets high in plant foods may offer antioxidant benefits. Further research is required in this field before recommendations can be made.

C

Bowel/intestinal disorders

The effect of soy on erosive-ulcer lesions of the alimentary tract has been examined in limited study. Overall, the effects of soy products appear beneficial. Further study is required before recommendations can be made.

C

Cancer (prevention and treatment)

Several large population studies have asked people about their eating habits and reported that higher soy intake (such as dietary tofu) is associated with a decreased risk of developing various types of cancers, including breast, prostate, and colon cancer. However, other research suggests that soy does not have this effect. Until better research is available, it remains unclear if dietary soy or soy isoflavone supplements increase or decrease the risk of these cancers.

C

Cardiovascular disease

Dietary soy protein has not been shown to affect long-term cardiovascular outcomes, such as heart attack or stroke. Research does suggest cholesterol-lowering effects of dietary soy, which in theory, may reduce the risk of heart problems. Soy has also been studied for blood pressure-lowering and blood sugar-reducing properties in people with type 2 diabetes, although the evidence is not definitive in these areas. In women with suspected cardiac ischemia, high levels of the soy isoflavone genistein have been associated with blood vessel problems. Further investigation is needed before a strong recommendation can be made.

C

Cognitive function

It is unclear if soy isoflavone supplementation in postmenopausal women can improve cognitive function. Results from studies are mixed.

C

Crohn's disease

Due to limited human research, there is not enough evidence to recommend for or against the use of soy as a way to prevent Crohn's disease. Further research is needed before a recommendation can be made.

C

Cyclical breast pain

It has been theorized that the "phytoestrogens" (plant-based compounds with weak estrogen-like properties) in soy may be beneficial to premenopausal women with cyclical breast pain. However, due to limited human research, there is not enough evidence to recommend for or against the use of dietary soy protein as a therapy for this condition.

C

Diabetes

Several small studies have examined the effects of soy products on blood sugar levels in people with type 2 ("adult-onset") diabetes. Results are mixed, with some research reporting decreased blood glucose levels and other trials noting no effects. Overall, research in this area is not well designed or reported and better information is needed.

C

Exercise performance enhancement

Soy protein has been investigated as a source of protein with potential for benefit in exercise performance. In general, research findings suggest soy protein is better than no protein but is unlikely to be superior to other sources of protein. Further research is required in this field.

C

Gallstones (cholelithiasis)

Due to limited human research, there is not enough evidence to recommend for or against the use of soy as a therapy in cholelithiasis. Further research is needed before a strong recommendation can be made.

C

Gastrointestinal motility

In limited available studies, the addition of soy polysaccharide to non-regular diets increased the moisture content of stool and decreased the number of liquid stools. It is not clear if soy polysaccharide would be superior to other fiber sources in this regard.

C

High blood pressure

There is limited human research on the effects of dietary soy on blood pressure. Some research suggests that substituting soy nuts for non-soy protein may help improve blood pressure. Further research is needed before a firm recommendation can be made.

C

Infantile colic

There is currently a lack of scientific evidence to recommend for or against the use of soy formula for fussiness and gas in infants with cow's milk allergy over a partially hydrolyzed cow's milk protein formula.

C

Inflammation

There is currently a lack of scientific evidence to recommend for or against the use of soy protein on inflammation associated with hemodialysis (removal of waste products from the blood).

C

Iron deficiency anemia

There is currently a lack of sufficient evidence to recommend for or against the use of soy-based formula in the treatment of iron deficiency anemia in children.

C

Kidney disease (chronic renal failure, nephrotic syndrome, proteinuria)

Due to limited human study, there is not enough evidence to recommend for or against the use of soy in the treatment of kidney diseases, such as nephrotic syndrome. People with kidney disease should speak with their healthcare providers about the recommended amounts of dietary protein because soy is a high-protein food.

C

Menopausal symptoms

Overall, evidence suggests that soy products containing isoflavones may help reduce menopausal symptoms, such as hot flashes. More study is needed to confirm this use.

C

Menstrual migraine

A phytoestrogen combination may help prevent menstrual migraine attacks. Further research is needed before a strong recommendation can be made.

C

Metabolic syndrome

Treatment with soy protein and soy nuts was evaluated in patients with metabolic syndrome and benefits were found in terms of plasma lipids in patients consuming soy nuts as part of the DASH (Dietary Approaches to Stop Hypertension) diet. Further research is required in this field in terms of soy protein supplementation.

C

Obesity/weight reduction

Some research suggests that soy might be as effective as skim milk and more effective than a low-calorie diet alone in reducing weight. Other research has reported conflicting results. Further research is needed before a strong recommendation can be made.

C

Osteoarthritis

Osteoarthritis is a form of arthritis caused by the breakdown of cartilage. Early research suggests that intake of soy protein may be associated with reduced symptoms of osteoarthritis.

C

Osteoporosis

It has been theorized that "phytoestrogens in soy" (such as isoflavones) may increase bone mineral density in post-menopausal women and reduce the risk of fractures. However, more research is needed before a conclusion can be made.

C

Quality of life

The effect of soy on quality of life has been investigated in limited study. Further study is required before recommendations can be made.

C

Rheumatoid arthritis

There is currently insufficient evidence to recommend for or against the use of soy as a treatment for rheumatoid arthritis.

C

Skin aging

It is unclear if aglycones, a form of soy isoflavone, can improve aged skin in middle-aged women when it is taken by mouth. More research is needed.

C

Skin damage caused by the sun

A soy moisturizing cream may help improve signs of sun damage, including discoloration, blotchiness, dullness, fine lines, and overall texture. Because the cream contained other ingredients besides soy, more research with soy alone is needed.

C

Spinal cord injury

Whey protein has traditionally been used as a protein source to increase body strength. Limited available study investigated whether soy protein could be used to increase ambulation performance in patients with incomplete spinal cord injury. There is currently not enough evidence to recommend for or against the use of soy as a treatment for increased endurance in individuals with spinal cord injury.

C

Thyroid disorders

Early research suggests that soy supplements do not affect thyroid function. More research is needed.

C

Tuberculosis

It has been suggested that soy may be beneficial for tuberculosis when taken with standard medications. According to early research, soy may improve the process of detoxification, have positive effects on the liver, reduce cell damage, and decrease inflammation. Therefore, soy supplements may allow patients to safely take higher doses of antimicrobial drugs that are used to treat tuberculosis.

C

Weight gain (infants)

In limited study, weaning infants with cow's milk allergy to soy based formula resulted in reduced weight for age as compared with formulas containing hydrolyzed proteins (broken down). Further research is required in this field.

C

 

*Key to grades
A: Strong scientific evidence for this use;
B: Good scientific evidence for this use;
C: Unclear scientific evidence for this use;
D: Fair scientific evidence against this use;
F: Strong scientific evidence against this use.

Grading rationale

Uses based on tradition or theory

The below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider.

Alzheimer's disease, anorexia, anti-aging, antifungal, arthritis, atherosclerosis (hardening of the arteries), attention deficit hyperactivity disorder (ADHD), benign prostate hyperplasia, bone density, bone fractures, breast enlargement, colitis, constipation, cystic fibrosis, diabetic neuropathy, fall prevention, fever, growth, headache, hepatitis (chronic), immune function, improving health outcomes (general), infertility, insect repellant, kwashiorkor, malnutrition, melasma (skin discoloration), memory enhancement, nosebleed (chronic), osteosarcoma, polycystic ovary syndrome, respiratory problems (cough, phlegm), skin conditions, thrombosis (blood clotting), vaginitis, vasoregulator, wound healing.

 

Soy Benefits

 
 

From FDA Consumer Magazine, May-June 2000

The Food and Drug Administration determined that diets with four daily soy servings can reduce levels of low-density lipoproteins (LDLs), the so-called "bad cholesterol" that builds up in blood vessels, by as much as 10 percent.

Soy protein products can be good substitutes for animal products because, unlike some other beans, soy offers a "complete" protein profile. Soybeans contain all the amino acids essential to human nutrition, which must be supplied in the diet because they cannot be synthesized by the human body. Soy protein products can replace animal-based foods--which also have complete proteins but tend to contain more fat, especially saturated fat--without requiring major adjustments elsewhere in the diet.

From Soyfoods Assocation

According to the Soyfoods Association, the Food and Drug Administration approved a health claim for foods that contain at least 6.25 grams of soy. The health claim states that, “25 grams of soy protein a day, as part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease.”

Read the complete FDA article, click here

Visit Soyfoods Association, click here

 

Dosing

The below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy.

Adults (over 18 years old)

Soy is typically consumed as a protein drink, soy flour, isolated soy protein (e.g. Supro®), extract, fiber/cereal, or milk beverage. Studies have examined the effects of 10-106 grams of soy with an isoflavone content of about 40-120 milligrams taken daily for up to 12 months by mouth.

A dose of 20-106 grams of soy protein taken daily by mouth has been studied in people with high cholesterol. Isoflavone content has ranged from 60 to over 100 milligrams daily. Cholesterol and low-density lipoprotein levels have been reduced in people using these doses of soy protein. There is limited study of soymilk (400 milliliters daily) in pre-menopausal women, with reported benefits on cholesterol levels. Additional doses have been studied but are not recommended due to a lack of available scientific evidence.

Children (under 18 years old)

Due to potential safety concerns, a qualified healthcare provider should be consulted regarding the choice of infant formula.

Safety

The U.S. Food and Drug Administration does not strictly regulate herbs and supplements. There is no guarantee of strength, purity or safety of products, and effects may vary. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy. Consult a healthcare provider immediately if you experience side effects.

Allergies

Soy may act as a food allergen similar to milk, eggs, peanuts, fish, and wheat. Symptoms of an allergic reaction range from a runny nose to a sudden drop in blood pressure.

Side Effects and Warnings

Soy has been a dietary staple in many countries for more than 5,000 years and it does not appear to cause long-term toxicity. Aside from allergic reactions, limited side effects have been reported in infants, children, and adults.

Soy protein taken by mouth has been associated with stomach and intestinal difficulties, such as bloating, nausea, and constipation. Changes in stool quality have been reported. More serious intestinal side effects have been uncommonly reported in infants fed soy protein formula, including vomiting, diarrhea, growth failure, and damage/bleeding of the intestine walls. People who experience intestinal irritation (colitis) from cow's milk may also react to soy formula.

Based on human case reports and animal research, soy may affect thyroid hormone levels in infants. There have been rare reports of goiters (enlarged neck due to increased thyroid size). Hormone levels became normal again after stopping soy. Infants fed soy or cow's milk formula may also have higher rates of atopic eczema than infants who are breastfed.

Acute migraine headache has been reported with the use of a soy isoflavone product. Based on animal research, damage to the pancreas may theoretically occur from regularly eating raw soybeans or soy flour/protein powder made from raw, unroasted, or unfermented beans.

The use of soy is often discouraged in patients with hormone-sensitive cancers, such as breast, ovarian, or uterine cancer, due to concerns about possible estrogen-like effects (which theoretically may stimulate tumor growth). Other hormone-sensitive conditions, such as endometriosis, may also theoretically be worsened. In laboratory studies, it is not clear if isoflavones stimulate or block the effects of estrogen or both (acting as a "receptor agonist/antagonist"). Until additional research is available, patients with these conditions should be cautious and speak with a qualified healthcare practitioner before starting use.

It is not known if soy or soy isoflavones share the same side effects as estrogens, such as increased risk of blood clots. Early studies suggest that soy isoflavones, unlike estrogens, do not cause the lining of the uterus (endometrium) to build up.

There has been a case report of vitamin D deficiency rickets in an infant nursed with soybean milk (not specifically designed for infants). Patients should consult their qualified healthcare practitioners for current breastfeeding recommendations and use formulas with adequate nutritional value.

Pregnancy and Breastfeeding

Soy as a part of the regular diet is traditionally considered to be safe during pregnancy and breastfeeding, although scientific research is limited in these areas. The effects of high doses of soy or soy isoflavones in humans are not clear, and therefore are not recommended.

Recent study demonstrates that isoflavones, which may have estrogen-like properties, are transferred through breast milk from mothers to infants. High doses of isoflavones given to pregnant animals have resulted in tumors and reproductive changes in offspring, although this has not been tested in humans.

In one human study, male infants born to women who ingested soymilk or soy products during pregnancy experienced more frequent hypospadias (a birth defect in which the urethral meatus, the opening from which urine passes, is abnormally positioned on the underside of the penis). However, other human and animal studies have examined males or females fed soy formula as infants, and have not found abnormalities in infant growth, head circumference, height, weight, occurrence of puberty, menstruation, or reproductive ability.

Research in children during the first year of life has found that the substitution of soy formula for cow's milk may be associated with significantly lower bone mineral density. Parents considering the use of soy formula should speak with qualified healthcare practitioners to make sure the appropriate vitamins and minerals are provided in the formula.

Interactions

Most herbs and supplements have not been thoroughly tested for interactions with other herbs, supplements, drugs, or foods. The interactions listed below are based on reports in scientific publications, laboratory experiments, or traditional use. You should always read product labels. If you have a medical condition, or are taking other drugs, herbs, or supplements, you should speak with a qualified healthcare provider before starting a new therapy.

Interactions with Drugs

Soy contains "phytoestrogens" (plant-based compounds with weak estrogen-like properties), such as isoflavones. It is not clear if isoflavones stimulate or block the effects of estrogen or both (acting as a "receptor agonist/antagonist"). It is not known if taking soy or soy isoflavone supplements increases or decreases the effects of estrogen on the body, such as the risk of blood clots. It is unclear if taking soy alters the effectiveness of birth control pills containing estrogen.

It is not known what the effects of soy phytoestrogens are on the anti-tumor effects of selective estrogen receptor modulators (SERMs) such as tamoxifen. The effects of aromatase inhibitors such as anastrozole (Arimidex®), exemestane (Aromasin®), or letrozole (Femara®) may be reduced. Because of the potential estrogen-like properties of soy, people receiving these drugs should speak with their oncologists before taking soy in amounts greater than normally found in the diet.

Soy protein may interact with warfarin (Coumadin®), although this potential interaction is not well characterized. Patients taking warfarin should check with a doctor and pharmacist before taking soy supplementation.

Genistein, a major component of soy, may alter the way some drugs are broken down in the liver.

Soy may also potentially interact with agents taken for diabetes, diarrhea, high blood pressure, high cholesterol, obesity, or cardiovascular disorders. In theory, various types of soy may interact with antibiotics, diuretics (water pills), iron salts, immunosuppressants or thyroid hormones. Conclusive human data is lacking for these interactions. Patients are advised to check with a qualified healthcare professional, including a pharmacist.

Interactions with Herbs and Dietary Supplements

The effects of soy protein or flour on iron absorption are not clear. Studies in the 1980s reported decreases in iron absorption, although more recent research has noted no effects or increased iron absorption in people taking soy. People using iron supplements as well as soy products should consult their qualified healthcare practitioners to follow blood iron levels. Calcium and phosphate levels may be altered.

Some experts believe that there may be a potential interaction between soy extract and  Panax ginseng , although this possible interaction is not well understood.

Prebiotics (complex sugars) do not appear to affect how the body absorbs soy. It is unclear if probiotics (commonly found in cultured milk products like yogurt) affect the absorption of soy.

Soy may also potentially interact with herbs or supplements taken for cancer, diabetes, diarrhea, high blood pressure, high cholesterol, obesity, or cardiovascular disorders. In theory, various types of soy may interact with antibacterials, antioxidants, blood thinners, diuretics (water pills), immunomodulators, phytoestrogens, or thyroid hormones. Conclusive human data is lacking for these interactions. Patients are advised to check with a qualified healthcare professional, including a pharmacist.

Soy has been studied along with various foods, herbs and supplements, such as avocado, beta-sitosterol, black cohosh, branched chain amino acids, green tea, lecithin, lycopene, magnesium, magnolia bark extract, oats, seaweed, spirulina, and tomatoes. There is not enough scientific evidence to make a firm conclusion about the effects when taken together.

Theoretically, soy protein may inhibit phosphate and calcium absorption and increase the absorption of manganese. Soy may also lower zinc and selenium levels in the blood. Soy nuts may be able to reduce sugar levels in the blood, but the magnitude of this effect is unclear. Genistein, a major component of soy, may alter the way some herbs and supplements are broken down in the liver.

 

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