2016
Soy isoflavone consumption and colorectal cancer risk: a systematic review and meta-analysis
Abstract: Colorectal cancer (CRC) is one of the most predominant solid carcinomas in Western countries. However, there is conflicting information on the effects of soy isoflavone on CRC risk. Therefore, we performed a meta-analysis to assess the association between soy isoflavone consumption and CRC risk in humans using PubMed, Embase, Web of Science, and Cochrane Library databases. A total of 17 epidemiologic studies, which consisted of thirteen case-control and four prospective cohort studies, met the inclusion criter…
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Cited by 69 publications
(48 citation statements)
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“…Poor diet is a major contributor to CRC risk and has become a growing concern [ 92 ]. Our results are in line with those of other studies, which indicated that a high intake of meat was associated with a higher risk of CRC [ 93 - 95 ], while a high intake of fruits and vegetables [ 96 , 97 ], fibre [ 98 , 99 ], and legumes [ 100 , 101 ] was associated with a lower risk. Vitamins are known to have a strong antioxidant effect and can reduce free radical damage to the body [ 102 ].…”
Section: Discussionsupporting
confidence: 92%
“…Poor diet is a major contributor to CRC risk and has become a growing concern [ 92 ]. Our results are in line with those of other studies, which indicated that a high intake of meat was associated with a higher risk of CRC [ 93 - 95 ], while a high intake of fruits and vegetables [ 96 , 97 ], fibre [ 98 , 99 ], and legumes [ 100 , 101 ] was associated with a lower risk. Vitamins are known to have a strong antioxidant effect and can reduce free radical damage to the body [ 102 ].…”
Section: Discussionsupporting
confidence: 92%
“…We know from the previous studies that isoflavone-rich soy products may increase estradiol in postmenopausal women, 17 and higher isoflavone intake is associated with lower risk of CRC. 16 Assuming that our population with high SHBG levels had lower circulating levels of free estradiol and estrone, those with high isoflavone intake may have had a lower risk of developing CRC possibly by increasing estradiol levels despite high SHBG levels. In contrast, those with low isoflavone intake had a greater risk of developing CRC due to lower estradiol levels as a result.…”
Section: Discussionmentioning
confidence: 85%
“…We observed a significant positive association between SHBG levels and CRC risk among those with low isoflavone intake, while those with high isoflavone intake have a lower risk of CRC. We know from the previous studies that isoflavone‐rich soy products may increase estradiol in postmenopausal women, and higher isoflavone intake is associated with lower risk of CRC . Assuming that our population with high SHBG levels had lower circulating levels of free estradiol and estrone, those with high isoflavone intake may have had a lower risk of developing CRC possibly by increasing estradiol levels despite high SHBG levels.…”
Section: Discussionmentioning
confidence: 87%
“… 15 , Yu et al . 26 and Zhu et al . 49 reported that soy consumption had an inverse association with CRC.…”
Section: Discussionmentioning
confidence: 93%
