Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-24T09:04:04.102Z Has data issue: false hasContentIssue false

Dietary intake of soybean protein and menstrual cycle length in pre-menopausal Singapore Chinese women

Published online by Cambridge University Press:  27 September 2007

Rupert W Jakes*
Affiliation:
NMRC Clinical Trials & Epidemiology Research Unit, Ministry of Health, 10 College Road, Singapore 169851, Singapore
Lynn Alexander
Affiliation:
KK Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore
Stephen W Duffy
Affiliation:
MRC Biostatistics Unit, Institute of Public Health, University Forvie Site, Cambridge CB2 2SR, UK
Joy Leong
Affiliation:
NMRC Clinical Trials & Epidemiology Research Unit, Ministry of Health, 10 College Road, Singapore 169851, Singapore
Lin Han Chen
Affiliation:
KK Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore
Wei Hong Lee
Affiliation:
KK Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore
*
*Corresponding author: Email [email protected]
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background

Intake of soybean protein was associated with a reduced risk of breast cancer in a case–control study. It has also been demonstrated to increase menstrual cycle length in an experimental setting.

Objective

To ascertain whether the association of soybean protein intakes with menstrual cycle length persists in an uncontrolled community setting.

Design

Cross-sectional food frequency dietary survey, menstrual cycle survey and prospective collection of menstrual cycle data.

Setting

A hospital clinic and a nursing college.

Subjects

Two hundred menstruating women.

Results

An association (P=0.034) of higher intakes of soybean protein with increased menstrual cycle length, as recorded by self report and by prospectively recording three consecutive cycles, was observed. The risk of menstrual cycle length being greater than the median, when comparing the upper quartile (8.7–35.2 g day−1) of soybean intake and the lowest quartile (0.1–3.3 g day−1) was double, and this approached statistical significance (OR=2.02, 95% CI=0.88−4.64 and OR=1.93, 95% CI=0.82−4.56 for self-reported cycle length and cycle length as recorded by diary, respectively). In terms of the absolute association with cycle length, subjects in the upper quartile of soybean intake demonstrated a cycle length 1–2 days longer than did subjects in the lowest quartile.

Conclusions

It is likely that the association between dietary intake of soybean protein and length of menstrual cycle prevails in the community setting. This is shown using both self-reported cycle length and cycle length as recorded in a prospective diary.

Type
Research Article
Copyright
Copyright © CABI Publishing 2001

References

1Lee, HP, Gourley, L, Duffy, SW, Esteve, J, Lee, J, Day, NE. Dietary effects on breast-cancer risk in Singapore. Lancet 1991; 337: 1197–200.CrossRefGoogle ScholarPubMed
2Lee, HP, Gourley, L, Duffy, SW, Esteve, J, Lee, J, Day, NE. Risk factors for breast cancer by age and menopausal status: a case–control study in Singapore. Cancer Causes and Control 1992; 3: 313–22.Google Scholar
3Hirayama, T. Lifestyle and mortality. Basel: Karger, 1990.Google Scholar
4Nomura, AMY, Henderson, BE, Lee, J.Breast cancer and diet among the Japanese in Hawaii. Am. J. Clin. Nutr. 1978; 31: 2020–5.CrossRefGoogle ScholarPubMed
5Vatten, LJ, Solvoll, K, Loken, EB. Frequency of meat and fish intake and risk of breast cancer in a prospective study of 14,500 Norwegian women. Int. J. Cancer 1990; 46: 12–5.Google Scholar
6Hirose, K, Tajima, K, Hamajima, N, Inoue, M, Takezaki, T, Kuroishi, T, et al. A large-scale, hospital-based case–control study of risk factors of breast cancer according to menopausal status. Jpn. J. Cancer Res. 1995; 86(2): 146–54.CrossRefGoogle ScholarPubMed
7Yuan, JM, Wang, QS, Ross, RK, Henderson, BE, Yu, MC. Diet and breast cancer in Shanghai and Tianjin. China. Br. J. Cancer 1995; 71(6): 1353–8.Google Scholar
8Key, TJ, Sharp, GB, Appleby, PN, Beral, V, Goodman, MT, Soda, M.Soya foods and breast cancer risk: a prospective study in Hiroshima and Nagasaki. Japan. Br. J. Cancer 1999; 81(7): 1248–56.CrossRefGoogle Scholar
9Barnes, S, Grubbs, C, Setchell, KDR, Carlson, J. Soybeans inhibit mammary tumours in models of breast cancer. In: Pariza, MW, ed. Mutagens and Carcinogens in the Diet. New York: Wiley-Liss, 1990: 239–53.Google Scholar
10Hsieh, CY, Santell, RC, Haslam, SZ, Helferich, WG. Estrogenic effects of genistein on the growth of estrogen receptor-positive human breast cancer (MCF-7) cells in vitro and in vivo. Cancer Res. 1998; 58: 3833–8.Google Scholar
11Cassidy, A, Bingham, S, Setchell, KDR. Biological effects of a diet of soy protein rich in isoflavones on the menstrual cycle of premenopausal women. Am. J. Clin. Nutr. 1994; 60: 333–40.CrossRefGoogle Scholar
12Cassidy, A, Bingham, S, Setchell, KDR. Biological effects of isoflavones in young women – importance of the chemical composition of soy products. Br. J. Nutr. 1995; 74: 587601.Google Scholar
13Nagata, C, Takatsuka, N, Inaba, S, Kawakami, N, Hiroyuki, S.Effect of soymilk consumption on serum estrogen concentrations in premenopausal Japanese women. J. Natl. Cancer Inst. 1998; 90(23): 1830–5.Google Scholar
14Parkin, DM, Muir, CS, Whelan, SL, Gao, YT, Ferlay, J, Powell, J. Cancer Incidence in Five Continents. Lyon: International Agency for Research on Cancer, 1992Google ScholarPubMed
15McCullagh, P.Regression models for ordinal data. J. R. Stat. Soc. B 1980; 42: 109–27.Google Scholar
16Cooper, GS, Sandler, DP, Whelan, EASmith, KR. Association of physical and behavioral characteristics with menstrual cycle patterns in women aged 29–31 years. Epidemiology 1996; 7(6): 624–8.CrossRefGoogle Scholar
17Setchell, KDR, Aldercreutz, H. Mammalian ligands and phyto-oestrogens: recent studies on their formation, metabolism and biological role in health and disease. In: Rowland, IR, ed. Role of the Gut Flora in Toxicity and Cancer. New York: Academic Press, 1988; 315–45.Google Scholar
18Andrieu, N, Smith, T, Duffy, S, Zaridze, DG, Renaud, R, Rohan, T, et al. The effects of interaction between familial and reproductive factors on breast cancer risk: a combined analysis of seven case–control studies. Br. J. Cancer 1998; 77(9): 1525–36.Google Scholar