Does consuming soy affect hormone levels?Answered by
Mark Messina, PhD, MS SharePrint
Some
recent postings suggest that people avoid soy (tofu and soymilk) because of its effects on hormone levels. While confusion around this topic is certainly understandable, I can assure you as someone who has studied this area professionally for the past 20 years, when one considers the clinical (human intervention) data, there is no reason to be concerned about soyfoods.
Confusion arises only when one considers the results of animal studies. However, not only do these studies have little relevance to humans—in part because rodents metabolize soy differently than humans1—there is no reason to rely upon them for insight because of the wealth of clinical data available on soyfoods.
With respect to the effects of soy phytoestrogens (isoflavones) on hormone levels, a recently published meta-analysis that included 32 clinical studies showed that neither isoflavone-rich soy protein nor isoflavones affect reproductive hormone levels in men, including both total and free testosterone and total and free dihydrotestosterone.
2 Similarly, a meta-analysis that included 47 clinical studies showed neither soy nor isoflavones had meaningful effects on reproductive hormone levels in pre- or postmenopausal women.
3 Also, a recent comprehensive review found soy does not exert feminizing effects in men; this review included 9 studies that showed soy does not affect estrogen levels.
4 It is noteworthy that many of the studies included in the two meta-analyses and one review cited above involved interventions in which soy and isoflavone exposure far exceed that typical for Asia.
As to the
fermented vs. non-fermented soyfood issue, both foods are good choices. Both types contain
equivalent amounts of isoflavones, so if isoflavones are a concern, one type of food doesn’t hold an advantage over the other. Arguments that fermented soyfoods are superior to non-fermented ones are often based on claims that fermentation inactivates or destroys protease inhibitors (which inhibit protein digestion) and phytic acid (which inhibits mineral absorption), compounds which are naturally present in soybeans and many plant foods. However, the digestibility of soy protein from non-fermented soyfoods approaches 100%, so there is little room for improvement.
5-9 Furthermore, despite the presence of phytic acid and oxalate, current research indicates that daily soy consumption does not impact mineral absoroption over the long term.
10
Finally, there is a considerable amount of evidence indicating that soyfoods provide health benefits independent of their nutrient content. For example, there are both animal and epidemiologic data indicating soy consumption during childhood and/or adolescence reduces breast cancer risk. In addition, there is evidence indicating soy may be useful for both the prevention and treatment of prostate cancer, and for several reasons, soyfoods are very heart-healthy. One can have a healthy diet without ever eating soyfoods but it would be unfortunate for people to avoid these nutritious foods because of a misunderstanding about their health effects.