Soyfood and isoflavone intake and risk of type 2 diabetes in Vietnamese adults
Background/Objectives: Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual...
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| Published in: | European journal of clinical nutrition Vol. 71; no. 10; pp. 1186 - 1192 |
|---|---|
| Main Authors: | , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
London
Nature Publishing Group UK
01.10.2017
Nature Publishing Group |
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| ISSN: | 0954-3007, 1476-5640, 1476-5640 |
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| Abstract | Background/Objectives:
Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults.
Subjects/Methods:
A hospital-based case-control study was conducted in Vietnam during 2013–2015. A total of 599 newly diagnosed diabetic cases (age 40–65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk.
Results:
Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21–0.46;
P
<0.001). An inverse dose–response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49;
P
<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident.
Conclusions:
Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. |
|---|---|
| AbstractList | Background/Objectives: Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. Subjects/Methods: A hospital-based case-control study was conducted in Vietnam during 2013-2015. A total of 599 newly diagnosed diabetic cases (age 40-65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk. Results: Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P<0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Conclusions: Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. Background/Objectives: Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. Subjects/Methods: A hospital-based case-control study was conducted in Vietnam during 2013-2015. A total of 599 newly diagnosed diabetic cases (age 40-65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk. Results: Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P [less than] 0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P [less than] 0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Conclusions: Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. European Journal of Clinical Nutrition (2017) 71, 1186-1192; doi: 10.1038/ejcn.2017.76; published online 10 May 2017 Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P [less than] 0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P [less than] 0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. A hospital-based case-control study was conducted in Vietnam during 2013-2015. A total of 599 newly diagnosed diabetic cases (age 40-65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk. Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P<0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. Background/Objectives: Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. Subjects/Methods: A hospital-based case-control study was conducted in Vietnam during 2013–2015. A total of 599 newly diagnosed diabetic cases (age 40–65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk. Results: Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21–0.46; P <0.001). An inverse dose–response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P <0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Conclusions: Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults. Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P<0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident. Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults.BACKGROUND/OBJECTIVESAnimal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique source of isoflavones, and type 2 diabetes remains inconclusive. This study assessed the relationship between habitual intakes of soyfoods and major isoflavones and risk of type 2 diabetes in Vietnamese adults.A hospital-based case-control study was conducted in Vietnam during 2013-2015. A total of 599 newly diagnosed diabetic cases (age 40-65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk.SUBJECTS/METHODSA hospital-based case-control study was conducted in Vietnam during 2013-2015. A total of 599 newly diagnosed diabetic cases (age 40-65 years) and 599 hospital-based controls, frequency matched by age and sex, were recruited in Hanoi, capital city of Vietnam. Information on frequency and quantity of soyfood and isoflavone intake, together with demographics, habitual diet and lifestyle characteristics, was obtained from direct interviews using a validated and reliable questionnaire. Unconditional logistic regression analyses were performed to examine the association between soy variables and type 2 diabetes risk.Higher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P<0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident.RESULTSHigher intake of total soyfoods was significantly associated with a lower risk of type 2 diabetes; the adjusted odds ratio (OR) for the highest versus the lowest intake was 0.31 (95% confidence interval (CI): 0.21-0.46; P<0.001). An inverse dose-response relationship of similar magnitude was also observed for total isoflavone intake (OR: 0.35; 95% CI: 0.24 to 0.49; P<0.001). In addition, inverse associations of specific soyfoods (soy milk, tofu and mung bean sprout) and major isoflavones (daidzein, genistein and glycitein) with the type 2 diabetes risk were evident.Soyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults.CONCLUSIONSSoyfood and isoflavone intake was associated with a lower type 2 diabetes risk in Vietnamese adults. |
| Audience | Professional Academic |
| Author | Do, V V Dang, D A Binns, C W Pham, N M Nguyen, C T Lee, A H Hoang, V M |
| Author_xml | – sequence: 1 givenname: C T surname: Nguyen fullname: Nguyen, C T organization: School of Public Health, Curtin University, National Institute of Hygiene and Epidemiology – sequence: 2 givenname: N M surname: Pham fullname: Pham, N M organization: School of Public Health, Curtin University, Thai Nguyen University of Medicine and Pharmacy – sequence: 3 givenname: V V surname: Do fullname: Do, V V organization: School of Public Health, Curtin University – sequence: 4 givenname: C W surname: Binns fullname: Binns, C W organization: School of Public Health, Curtin University – sequence: 5 givenname: V M surname: Hoang fullname: Hoang, V M organization: Hanoi University of Public Health – sequence: 6 givenname: D A surname: Dang fullname: Dang, D A organization: National Institute of Hygiene and Epidemiology – sequence: 7 givenname: A H surname: Lee fullname: Lee, A H email: Andy.Lee@curtin.edu.au organization: School of Public Health, Curtin University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28488690$$D View this record in MEDLINE/PubMed |
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| Publisher | Nature Publishing Group UK Nature Publishing Group |
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| References_xml | – reference: VillegasRGaoY-TYangGLiH-LElasyTAZhengWLegume and soy food intake and the incidence of type 2 diabetes in the Shanghai Women's Health StudyAm J Clin Nutr2008871621671:CAS:528:DC%2BD1cXmt1amtg%3D%3D10.1093/ajcn/87.1.162 – reference: KostelacDRechkemmerGBrivibaKPhytoestrogens modulate binding response of estrogen receptors alpha and beta to the estrogen response elementJ Agric Food Chem200351763276351:CAS:528:DC%2BD3sXovVOhtL4%3D10.1021/jf034427b – reference: NguyenCTPhamNMTranDVLeeAHBinnsCWLifestyle and diet in relation to risk of type 2 diabetes in Vietnam: a hospital-based case-control studySpringerplus2016568710.1186/s40064-016-2313-3 – reference: ZhangMLeeAHBinnsCWPhysical activity and epithelial ovarian cancer risk: a case-control study in ChinaInt J Cancer20031058388431:CAS:528:DC%2BD3sXltVSisb8%3D10.1002/ijc.11165 – reference: TalaeiMLeeBLOngCNvan DamRMYuanJMKohWPUrine phyto-oestrogen metabolites are not significantly associated with risk of type 2 diabetes: the Singapore Chinese health studyBr J Nutr2016115160716151:CAS:528:DC%2BC28XnsFWhs70%3D10.1017/S0007114516000581 – reference: Huong NT, Ward M Vietnam oilseeds and products soybean meal and vegetable oil update. GAIN Report Number: VM5019 (2015). – reference: TatsumiYMorimotoADeuraKMizunoSOhnoYWatanabeSEffects of soybean product intake on fasting and postload hyperglycemia and type 2 diabetes in Japanese men with high body mass index: The Saku StudyJ Diabetes Investig201346266331:CAS:528:DC%2BC3sXhvVOitL3I10.1111/jdi.12100 – reference: DingMPanAMansonJEWillettWCMalikVRosnerBConsumption of soy foods and isoflavones and risk of type 2 diabetes: a pooled analysis of three US cohortsEur J Clin Nutr201670138113871:CAS:528:DC%2BC28XhtFGjsLzF10.1038/ejcn.2016.117 – reference: KoKPKimCSAhnYParkSJKimYJParkJKPlasma isoflavone concentration is associated with decreased risk of type 2 diabetes in Korean women but not men: results from the Korean Genome and Epidemiology StudyDiabetologia2015587267351:CAS:528:DC%2BC2cXitFOgurfF10.1007/s00125-014-3463-x – reference: International Diabetes Federation IDF Diabetes Atlas 2015. – reference: N. C. D. 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Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between... Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between soyfood intake, a unique... Background/Objectives: Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between... Background/Objectives:Animal studies have demonstrated that soy isoflavones exert antidiabetic effects. However, evidence regarding the association between... |
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| SubjectTerms | 692/499 692/699/2743/137/773 Adult Adults Aged Antidiabetics Asian people Beansprouts Case-Control Studies Clinical Nutrition Confidence intervals Control methods Daidzein Demographics Demography Diabetes Diabetes mellitus Diabetes mellitus (non-insulin dependent) Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - etiology Diabetes Mellitus, Type 2 - prevention & control Disease prevention Epidemiology Feeding Behavior Female Genistein Glycine max Health aspects Health risk assessment Health risks Hospitals Humans Internal Medicine Isoflavones Isoflavones - administration & dosage Isoflavones - blood Male Medicine Medicine & Public Health Metabolic Diseases Middle Aged Nutrition research original-article Plant-based beverages Polyphenols Public Health Regression analysis Risk Risk Factors Soy products Soybean milk Soybean products Soybeans Statistical analysis Surveys and Questionnaires Tofu Type 2 diabetes Vietnam - epidemiology |
| Title | Soyfood and isoflavone intake and risk of type 2 diabetes in Vietnamese adults |
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