Evidence map›Paper›PMID 29183775›Full record

Trial reportClinical nutrition (Edinburgh, Scotland)2018

Novel effects of phytoestrogenic soy isoflavones on serum calcium and chloride in premenopausal women: A 2-year double-blind, randomized, placebo-controlled study.

Lee-Jane W Lu, Nai-Wei Chen, Fatima Nayeem, V-M Sadagopa Ramanujam, Yong-Fang Kuo, Donald G Brunder, Manubai Nagamani, Karl E Anderson

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical nutrition (Edinburgh, Scotland), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.7field-weighted citation impact, top 28% of its field
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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Impact ofNutrients · 2024
    Article
  7. Article
  8. Review
  9. Article
  10. Therapeutic Potential of Isoflavones with an Emphasis on Daidzein.Oxidative medicine and cellular longevity · 2021
    Review
  11. Review
  12. Article
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

8 authors at 1 institution in 1 country.

Lee-Jane W LuDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: llu@utmb.edu.
Nai-Wei ChenDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: nachen@utmb.edu.
Fatima NayeemDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: fanayeem@utmb.edu.
V-M Sadagopa RamanujamDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: sramanuj@autmb.edu.
Yong-Fang KuoDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: yokuo@utmb.edu.
Donald G BrunderDepartment of Academic Computing, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: dbrunder@outlook.com.
Manubai NagamaniDepartments of Obstetrics and Gynecology, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: mnagaman@gmail.com.
Karl E AndersonDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, Galveston, TX, USA. Electronic address: kanderso@utmb.edu.
The University of Texas Medical Branch at Galveston · US

Funding

UTMB Clinical and Translational Science AwardUL1TR001439 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI URBAN, RANDALL J · 2015 to 2024
$40.0M
Synthetic Organic Chemistry CoreP30ES006676 · NIEHS · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI ELFERINK, CORNELIS JOHAN · 1995 to 2017
$21.7M
UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Mammographic Density and Soy IsoflavonesR01CA095545 · NCI · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI LU, LEE-JANE W · 2003 to 2010
$2.6M
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1 TR001439NCI NIH HHS R01 CA095545NIEHS NIH HHS P30 ES006676
6 · The paper itself

Abstract

backgroundSoy phytoestrogens are potential alternatives to postmenopausal hormone replacement therapy (HRT). Adverse effects of HRT such as myocardial infarction, stroke, and pulmonary embolism are mediated by calcium-induced signaling.

objectiveTo determine whether soy isoflavones affect serum calcium in healthy female subjects.

designIn a double-blind trial, 197 premenopausal women were randomly assigned to either isoflavone (N = 99) or placebo pills (N = 98) 5 days per week for up to 2 years, plus prenatal vitamins. Isoflavone pills contained 60 mg genistein, 60 mg daidzein and 16.6 mg glycitein (expressed as aglycone equivalents). All pills contained 15 mg riboflavin as an adherence marker. Blood chemistries and urinary daidzein, genistein and riboflavin were measured multiple times during the luteal phase before and during treatment.

resultsAnalysis of the adherent population (N = 83 per group), revealed significantly strong associations between urinary levels of isoflavones and serum concentrations of calcium (regression coefficients 0.082 for daidzein and 0.229 for genistein, all P < 0.01) and chloride (regression coefficient, -1.537 for genistein, P < 0.0001), mediated in part by albumin. The effects amounted to mean changes of +0.24 mg/dL for calcium and -1.45 mEq/L for chloride, with each visit for subjects excreting the most vs. the least amounts of isoflavones. These associations were not evident in the intention-to-treat analysis (N = 197) that did not assess expected variations in isoflavone levels within and between subjects from metabolism and adherence.

conclusionsThese novel and strong effects of soy isoflavones on calcium homeostasis have important implications for long term effects of these natural substances on cardiovascular diseases.

Indexed as

AdultCalciumChloridesDouble-Blind MethodFemaleGenisteinGlycine maxHumansIsoflavonesPhytoestrogensPlacebosPremenopauseRiboflavinCalciumChloridesdaidzeinGenisteinIsoflavonesPhytoestrogensPlacebosRiboflavinAlbuminCalciumChlorideDaidzeinGenisteinPhytoestrogens

Identifiers

PMID29183775
PMCPMC5948121
OpenAlexW2767382296

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.