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newsletter. Twice a month you will receive a review of several studies on various supplements and natural medicine topics,
including the health benefit of phytoestrogens,
and their practical interpretation by Dr. Ray Sahelian, M.D.
Benefit of phytoestrogen
genistein supplement for heart health
Effects of the phytoestrogen genistein on some predictors of cardiovascular risk
in osteopenic, postmenopausal women: a two-year randomized, double-blind,
placebo-controlled study.
J Clin Endocrinol Metab. 2007 Aug. Department of Internal Medicine,
University of Messina, Italy.
Our objective was to assess the effects of phytoestrogen genistein
administration (54 mg/d) on some predictors of cardiovascular risk in osteopenic,
postmenopausal women. Participants were randomly assigned to receive genistein
or placebo daily for 24 months. Both intervention and placebo contained calcium
and vitamin D(3). Compared with placebo, genistein significantly reduced fasting
glucose and insulin as well as homeostasis model assessment for insulin
resistance after both 12 and 24 months of treatment. By contrast, genistein
administration did not affect blood lipid levels although fibrinogen,
F2-isoprostanes, soluble intercellular adhesion molecule-1, and soluble vascular
cellular adhesion molecule-1 decreased significantly compared with placebo after
24 months. Serum osteoprotegerin was higher in the genistein group compared with
placebo. At 24 months, the genistein group showed no change in endometrial
thickness compared with placebo. These results suggest that 54 mg genistein plus
calcium, vitamin D(3), and a healthy diet was associated with favorable effects
on both glycemic control and some cardiovascular risk markers in a cohort of
osteopenic, postmenopausal women.
Benefit of phytoestrogens
for blood pressure
The effects of phytoestrogen on blood pressure and lipids in healthy volunteers.
Zhonghua Xin Xue Guan Bing Za Zhi. 2006 Aug. Cardio-Lungs-Vascular
Center, Tongji University, Shanghai 200433, China.
To determine the effects of dietary soy containing phytoestrogens on blood
pressure and lipids in healthy volunteers. Two hundred thirteen healthy
volunteers (108 men and 105 post-menopausal women, 50 - 76 years old) received
either soy protein isolate (40 g soy protein, 118 mg isoflavones) or casein
placebo for 3 months in this randomized, double-blind trial. In normotensive men
and post-menopausal women, phytoestrogens intake improved blood pressure and
lipids status.
Hormone replacement therapy and menopause
Recent studies indicate that long term replacement with Premarin (horse
derived estrogens) and synthetic progesterone increases the risk for heart disease,
cancer, blood clots and gallbladder disease.
What is the opinion of the medical
establishment?
The field of hormone or herbal therapy during or after menopause is very
complicated and there is no consensus within the medical community regarding the
best option for long term therapy. The medical community seems to be shifting
its viewpoint on hormone replacement. It appears that most traditional doctors
now prefer using low doses of hormones for a brief period of time to treat
menopausal symptoms, but prefer not to continue hormone replacement therapy indefinitely as in the past.
Phytoestrogen Research Update
Adding to evidence of the potential benefits of so-called plant estrogens, a study suggests that isoflavone supplements may help reduce menopausal bone loss.
UK researchers found that, when taken for a year, the supplements appeared to
curb spinal bone loss in women between the ages of 49 and 65. Isoflavones,
compounds found in soybeans, chickpeas and other legumes, are similar to the
female hormone estrogen. Because of this, researchers have been studying whether
soy protein or supplements containing isoflavones might act as a sort of
"natural" hormone replacement therapy.
Studies have shown that Asian women, whose traditional diet is rich in soy, have a relatively low rate of hip fracture, as well as breast cancer and heart disease. In addition, animal research has suggested that isoflavones might lessen bone loss related to waning estrogen levels. Some studies of women, however, have found no evidence of bone benefits, and much of the research on isoflavones has involved only small groups of women followed for a relatively short time. The study followed 177 women for a year and is one of the largest and longest investigations of an isoflavone supplement to date, according to the authors. They found that compared with women randomly assigned to take a placebo, those who took a daily isoflavone tablet showed less bone loss in the lower spine.
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