Summary Statement: This study examined the effect of soy isoflavones on overall and regional body composition taking into account appetitive hormones as potential mediators, as well as the direct effect of treatment on appetitive hormones. One year treatment with soy isoflavones did not alter body composition in healthy postmenopausal women.
NIH Public Access
Author ManuscriptMenopause. Author manuscript; available in PMC 2011 May 1.
AbstractObjective-One of the multiple health benefits of soy protein or its isoflavones may be its purported favorable affect on body composition. We examined the effect of isoflavones extracted from soy protein on overall and regional body composition taking into account appetitive hormones as potential mediators, as well as the direct effect on appetitive hormones.Design-This randomized, double-blind, placebo-controlled multi-center trial included 229 healthy postmenopausal women (45.8 to 65 years, body mass index 24.9±3.0) who consumed placebo or soy isoflavone (80 or 120 mg/day) tablets for 12 months. We used intent-to-treat analysis to examine body composition (whole body lean mass, whole body fat mass, androidal fat mass, androidal-togynoidal fat mass ratio) and appetitive hormones (insulin, leptin, ghrelin, adiponectin) in response to treatment.Results-Repeated measures analysis of variance (ANOVA) indicated that soy isoflavone treatment did not exert a significant effect on body composition measures (P value ranged from 0.36 to 0.79) or appetitive hormone concentrations; the inclusion of covariates in statistical models did not alter these results. Independently of treatment, leptin and ghrelin related inversely to each body composition measure (P values ranged from 0.044 to ≤0.0001). Adiponectin related inversely to all fat measures (P values from 0.0004 to <0.0001). Time since last menstrual period related directly to all fat measures (P values from 0.06 to 0.0055). Dietary fat contributed to whole body (P=0.028) and androidal (P=0.017) fat mass.Conclusions-Our findings do not support a favorable effect of soy isoflavone tablets on body composition in healthy postmenopausal women.