Evidence map›Paper›PMID 31535213›Full record

Trial reportEuropean journal of nutrition2020

Soy isoflavones interact with calcium and contribute to blood pressure homeostasis in women: a randomized, double-blind, placebo controlled trial.

Lee-Jane W Lu, Nai-Wei Chen, Fatima Nayeem, Manubai Nagamani, Karl E Anderson

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00204490 (Mammographic Density and Soy Isoflavones), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 15% 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.

NCT00204490 phase2completednot on this map

Mammographic Density and Soy Isoflavones

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2004 to 2023Enrolled197ConditionsBreast CancerArmsisoflavones, carbohydrate
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Targeting Breast Cancer Stem Cells Using Naturally Occurring Phytoestrogens.International journal of molecular sciences · 2022
    Review
  5. Review
  6. Production of Bovine Equol-Enriched Milk: A Review.Animals : an open access journal from MDPI · 2021
    Review
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

5 authors at 2 institutions in 1 country.

Lee-Jane W LuDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, 700 Harborside Dr., Galveston, TX, 77555-1109, USA. llu@utmb.edu.ORCID http://orcid.org/0000-0003-1382-9961
Nai-Wei ChenDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, 700 Harborside Dr., Galveston, TX, 77555-1109, USA.
Fatima NayeemDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, 700 Harborside Dr., Galveston, TX, 77555-1109, USA.
Manubai NagamaniDepartment of Obstetrics and Gynecology, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Karl E AndersonDepartment of Preventive Medicine and Community Health, The University of Texas Medical Branch, 700 Harborside Dr., Galveston, TX, 77555-1109, USA. kanderso@utmb.edu.
The University of Texas Medical Branch at Galveston · USHouston Fertility Institute · US

Funding

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
PHYTOESTROGENS AND BREAST CANCER PREVENTIONR01CA065628 · NCI · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI LU, LEE-JANE W · 1996 to 1998
–
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1TR000071NCI NIH HHS CA065628NCI NIH HHS CA095545NCI NIH HHS R01 CA095545NIEHS NIH HHS 2 P30 ES06676NIEHS NIH HHS P30 ES006676
6 · The paper itself

Abstract

backgroundEstrogens and calcium regulate vascular health but caused adverse cardiovascular events in randomized trials.

objectivesWhether phytoestrogenic soy isoflavones modulate the physiological effects of calcium on blood pressure was explored.

designA double-blind, randomized study assigned 99 premenopausal women to 136.6 mg isoflavones (as aglycone equivalents) and 98 to placebo for 5 days per week for up to 2 years. Blood pressure, serum calcium and urinary excretion of daidzein (DE) and genistein (GE) were measured repeatedly before and during treatment.

resultsIsoflavones did not affect blood pressure per intake dose assignment (i.e. intention-to-treat, n = 197), but significantly affected blood pressure per measured urinary excretion of isoflavones (i.e. per protocol analysis, n = 166). Isoflavones inversely moderated calcium effects on systolic blood pressure (SBP) (interaction term β-estimates: - 3.1 for DE, - 12.86 for GE, all P < 0.05), and decreased diastolic blood pressure (DBP) (β-estimates: - 0.84 for DE, - 2.82 for GE, all P < 0.05) after controlling for calcium. The net intervention effects between the maximum and no isoflavone excretion were - 17.7 and + 13.8 mmHg changes of SBP, respectively, at serum calcium of 10.61 and 8.0 mg/dL, and about 2.6 mmHg decrease of DBP.

conclusionsModeration by isoflavones of the physiological effect of calcium tends to normalize SBP, and this effect is most significant when calcium concentrations are at the upper and lower limits of the physiological norm. Isoflavones decrease DBP independent of calcium levels. Further studies are needed to assess the impact of this novel micronutrient effect on blood pressure homeostasis and cardiovascular health.

trial registrationwww.clinicaltrials.gov identifier: NCT00204490.

Indexed as

AdultBlood PressureCalciumDouble-Blind MethodFemaleGlycine maxHomeostasisHumansIsoflavonesPhytoestrogensCalciumIsoflavonesPhytoestrogensBlood pressure homeostasisDaidzeinGenisteinMicronutrientsSelective estrogen receptor modulator

Identifiers

PMID31535213
PMCPMC7416691
OpenAlexW2973246009

What OpenQuestion holds

Textmetadata
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Registered trials

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.