Soy (Glycine max [L.] Merr.)
|
|
|
 |
| Soy |
|
-
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. growers produce approximately half of the
world's supply of soybeans.
-
Soy and components of soy called "isoflavones" 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." In laboratory studies, it is not
clear if isoflavones stimulate or block the effects of estrogen, or both
(acting as "mixed receptor agonists/antagonists").
-
Coumestrol, daidzein, edamame, frijol de soya, genistein, greater bean, haba
soya, hydrolyzed soy protein, isoflavone, isoflavonoid, legume, natto,
phytoestrogen, plant estrogen, shoyu, soja, sojabohne, soya, soya protein,
soybean, soy fiber, soy food, soy product, soy protein Ta-tou ,
texturized vegetable protein.
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) does not seem to be significantly
altered. 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 (ages 2 to 36
months) with diarrhea who are fed soy formula experience fewer bowel
movements per day and fewer days of diarrhea. This research suggests soy
to have 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 a qualified
healthcare provider if infants experience prolonged diarrhea, become
dehydrated, develop signs of infection such as fever, or experience
blood in the stool. A healthcare provider should be consulted for
current breastfeeding recommendations, and to suggest long-term formulas
with adequate nutritional value.
|
B |
| Menopausal hot flashes
Soy products containing isoflavones have been studied for the reduction
of menopausal symptoms such as hot flashes. The scientific evidence is
mixed in this area, with several human trials suggesting reduced number
of hot flashes and other menopausal symptoms, but more recent research
reporting no benefits. Overall, the scientific evidence does suggest
benefits, although better quality studies are needed in this area in
order to form a firm conclusion.
|
B |
| Breast cancer prevention
Several large population studies have asked women about their eating
habits, and reported higher soy intake (such as dietary tofu) to be
associated with a decreased risk of developing breast cancer. However,
this type of research can only be considered preliminary, because people
who choose to eat soy may also partake in other lifestyle decisions that
may lower the risk of cancer. These other habits, rather than soy, could
theoretically be the cause of the benefits seen in these studies (for
example, lower fat intake, more frequent exercise, lack of smoking).
Until better research is available, it remains unclear if dietary soy or
soy isoflavone supplements increase or decrease the risk of developing
breast cancer.
|
C |
| Cancer treatment
Genistein, an isoflavone found in soy, has been found in laboratory and
animal studies to possess anti-cancer effects, such as blocking new
blood vessel growth (anti-angiogenesis), acting as a tyrosine kinase
inhibitor (a mechanism of many new cancer treatments), or causing cancer
cell death (apoptosis). In contrast, genistein has also been reported to increase the
growth of pancreas tumor cells in laboratory research. Until reliable
human research is available, it remains unclear if dietary soy or soy
isoflavone supplements are beneficial, harmful, or neutral in people
with various types of cancer.
|
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 cardiovascular risk. 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.
Further investigation is needed before a recommendation can be made.
|
C |
| Cognitive function
A recent study suggests that isoflavone supplementation in
postmenopausal women may have favorable effects on cognitive function,
particularly verbal memory. Further research is necessary before a firm
conclusion can be drawn.
|
C |
| Colon cancer prevention
There is not enough scientific evidence to determine if dietary intake
of soy affects the risk of developing colon cancer. Study results are
mixed and more research is needed before a recommendation can be made.
|
C |
| Crohn's disease
Due to limited human study, there is not enough evidence to recommend
for or against the use of soy as a therapy in preventing Crohn's
disease. Further research is needed before a recommendation can be made.
|
C |
| Cyclical breast pain
It has been theorized that the presence in soy of "phytoestrogens"
(plant-based compounds with weak estrogen-like properties) such as
isoflavones may be beneficial to pre-menopausal women with cyclical
breast pain. However, due to limited human study, there is not enough
evidence to recommend for or against the use of dietary soy protein as a
therapy for this condition.
|
C |
| Diarrhea in adults
Due to limited human study, there is not enough evidence to recommend
for or against the use of soy-polysaccharide/fiber in the treatment of
diarrhea. Further research is needed before a recommendation can be
made.
|
C |
| Endometrial cancer prevention
There is not enough scientific evidence to determine if dietary intake
of soy affects the risk of developing endometrial cancer.
|
C |
| Gallstones (cholelithiasis)
Due to limited human study, 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 recommendation can be made.
|
C |
| High blood pressure
Due to limited human study, the effects of dietary soy on blood pressure
are not clear. Further research is necessary before any recommendation
can be made.
|
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 to their
healthcare provider about recommended amounts of dietary protein, and
should bear in mind that soy is a high protein food.
|
C |
| Menstrual migraine
One study of a phytoestrogen combination showed a reduced the number of
migraine attacks suffered. Further research is needed before a
recommendation can be made.
|
C |
| Obesity, weight reduction
Due to limited human study, there is not enough evidence to recommend
for or against the use of soy for weight reduction. Further research is
needed before a recommendation can be made.
|
C |
| Osteoporosis, post-menopausal bone loss
It has been theorized that the presence in soy of "phytoestrogens"
(plant-based compounds with weak estrogen-like properties) such as
isoflavones may increase bone mineral density in post-menopausal women
and reduce the risk of fractures. However, most studies have not been
well designed or reported. Until better research is available, a firm
conclusion cannot be drawn. Individuals at risk for osteoporosis should
speak with a qualified healthcare provider about the therapeutic options
for increasing bone mineral density.
|
C |
| Prostate cancer prevention
Preliminary research has examined the effects of dietary soy intake on
prostate cancer development in humans, but results have not been
conclusive. Better study is needed before a recommendation can be made.
|
C |
| Stomach cancer
Preliminary study suggests that intake of soy products may be associated
with a reduced risk of death from stomach cancer. Further investigation
is needed before a conclusion can be drawn.
|
C |
| Type 2 diabetes
Several small studies have examined the effects of soy products on blood
sugars 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 before
the effects of soy on blood sugars can be clearly described.
|
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.
Anemia, anorexia, antifungal, antioxidant, antithrombotic (preventing clots),
atherosclerosis, athletic endurance, attention deficit hyperactivity disorder
(ADHD), autoimmune diseases, breast enlargement, cancer prevention (general),
chronic respiratory problems (cough, phlegm), cystic fibrosis, diabetic
neuropathy, fever, gastric cancer, gastrointestinal motility, headache,
hepatitis (chronic), inflammation, insect repellant, lymphoma, memory
enhancement, nosebleed (chronic), osteosarcoma, pancreatic cancer, premature
ovarian failure, rheumatoid arthritis, urinary tract cancer, vaginitis,
vasoregulator.
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)
-
Studies have examined regular intake of dietary soy, or 40 to 80 milligrams of
isoflavones taken by mouth daily.
-
A soy protein drink (17 grams of soy protein per 200 milliliters) has
undergone limited study.
-
A fermented soybean-derived extract tea, various doses of soy protein (such as
Abalon®), and up to 7 grams of daily soya fibers taken by mouth have
undergone limited study in humans.
-
Soymilk (1,000 milliliters daily for three months) has undergone limited
study.
-
25 to 50 grams of soy protein taken daily by mouth has been studied in people
with high cholesterol. Isoflavone content has ranged from 60 to 90 milligrams
per day. Cholesterol and low-density lipoprotein levels have been reduced in
individuals using 28 grams daily of soy protein with a high isoflavone
content, or with Abacor®, a brand that contains 26 grams of soy protein.
There is limited study of soymilk (400 milliliters daily) in pre-menopausal
women, with reported benefits on cholesterol levels.
-
Isolated soy protein, such as Supro® (60 grams), soy flour (45 grams), and a
range of isoflavone products have been studied for menopausal symptoms. Doses
of 50 to 75 milligrams of isoflavones have been used in research.
-
Isoflavones/isoflavone-rich soy (60 to 80 milligrams daily by mouth) and soy
protein (for example, 40 grams daily of Supro 675®) have also been studied.
Children (under 18 years old)
-
Due to potential safety concerns, a qualified healthcare provider should be
consulted regarding the choice of infant formula.
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 can act as a food allergen similar to milk, eggs, peanuts, fish, and
wheat.
Side Effects and Warnings
-
Soy has been a dietary staple in many countries for over 5,000 years, and is
generally not regarded as having significant long-term toxicity. Limited side
effects have been reported in infants, children, and adults aside from
allergic reactions.
-
Soy protein taken by mouth has been associated with stomach and intestinal
difficulties such as bloating, nausea, and constipation. 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. Soy protein fed to infants recovering
from acute gastroenteritis may cause persistent intestinal damage and
diarrhea. People who experience intestinal irritation (colitis) from cow's
milk may also react to soy formula.
-
Based on human case reports and animal research, decreased thyroid hormone and
increased thyroid stimulating hormone (TSH) levels may occur during the use of
soy formula in infants. This includes rare reports of goiter (enlarged neck
due to increased thyroid size). Hormone levels have become 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 breast-fed.
-
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
malignancies 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. Preliminary 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 a qualified healthcare practitioner for current breastfeeding
recommendations, 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 rats have resulted in tumors in female
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 a qualified healthcare practitioner to make sure the
appropriate vitamins and minerals are provided in the formula.
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. In laboratory studies, 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 oral contraceptives 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 oncologist prior to 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.
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 a
qualified healthcare practitioner 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 potential
interaction is not well characterized.