Evidence map›Paper›PMID 24939433›Full record

Trial reportEuropean journal of clinical nutrition2014

Large inter-individual variation in isoflavone plasma concentration limits use of isoflavone intake data for risk assessment.

V van der Velpen, P C Hollman, M van Nielen, E G Schouten, M Mensink, P Van't Veer, A Geelen

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

V van der VelpenDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
P C Hollman1] Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands [2] RIKILT, Wageningen University & Research Centre, Wageningen, The Netherlands.
M van NielenDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
E G SchoutenDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
M MensinkDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
P Van't VeerDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
A GeelenDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesIsoflavones are present in soy foods and soy-based supplements. Despite low plasma isoflavone concentrations in the general Western population, concentrations in supplement users exceed those suggested to be beneficial for health in Asian populations, raising concerns for adverse effects. To aid risk assessment, quantification of the relation between isoflavone intake and plasma concentrations is essential. SUBJECTS/

methodsPlasma samples were collected from postmenopausal women in three placebo-controlled crossover studies with 8-week periods for supplements (two studies, ~100 mg isoflavones/day, n=88) or 4-week periods for soy foods (one study, ~48 mg isoflavones/day, n=15). Plasma isoflavone concentrations (daidzein, equol, genistein and glycitein) were quantified using high-performance liquid chromatography and electrochemical detection. The association between plasma concentrations and isoflavone intake, equol producer status, intake-producer interaction and background dietary intake was assessed based on the assumption of a log-linear relation.

resultsMedian plasma total isoflavone concentrations after the soy food and supplement interventions were respectively 2.16 and 3.47 μmol/l for equol producers and 1.30 and 2.39 μmol/l for non-producers. Regression analysis showed that doubling isoflavone intake increased plasma concentrations by 55-62% (±s.e. 1-2%, R(2)>0.87) for daidzein, genistein, equol (only for producers) and total isoflavones; for glycitein the association was weaker (15±1%, R(2)=0.48). Adjustments for energy, carbohydrate and fat intake did not affect these estimates. Inter-individual variation, estimated based on repeated measures in one of the studies, was 30-96%.

conclusionsAlthough the relation between isoflavone intake and plasma concentrations was adequately quantified, the use of isoflavone intake data for risk assessment needs caution due to large inter-individual variation in plasma concentrations.

Indexed as

AgedAsian PeopleCross-Over StudiesDietary SupplementsEquolFemaleGenisteinHumansIsoflavonesMiddle AgedPostmenopauseRisk AssessmentSoy FoodsdaidzeinEquolGenisteinglyciteinIsoflavones

Identifiers

PMID24939433
PMCPMC4197455

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.