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Dietary Soy Linked to Lowered Risk of Breast Cancer Recurrence or Death

Friday, December 11, 2009
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The group of phytoestrogens called isoflavones, rich in soy foods are the causative factors that reduce the risk of breast cancer, however, the context of the estrogen-like effect of isoflavones and their potential interaction with tamoxifen is the area of concern in soy food consumption among breast cancer patients.

The goal of the study was to determine the association of dietary soy intake on women after they were diagnosed with breast cancer with total mortality and cancer recurrence. 5042 female breast cancer survivors between the ages of 20-75 yrs diagnosed with breast cancer were chosen for Shanghai Breast Cancer Survival Study of in China for three yrs (between March 2002 and April 2006) and followed-up through June 2009.

Participants were asked to provide information six months after their cancer diagnosis, on their treatment, lifestyle exposures and disease progression. Followed by, three month follow-up interviews at 18, 36, and 60 months to update the information. The food given for the study was soy protein or soy isoflavone to a maximum of 11 grams/day of and study showed that it was inversely associated with mortality and recurrence and it was found that soy food consumption was significantly associated with decreased risk of death and recurrence. No additional benefits on mortality and recurrence were observed with higher intakes of soy food. This study suggests that moderate soy food intake is safe and potentially beneficial for women with breast cancer as it lowered mortality and recurrence. Again the potential benefits were with reference to soy foods and nothing is known about the risks or benefits of soy-containing dietary supplements."

Rachel Ballard-Barbash, MD, MPH, from the National Cancer Institute in Bethesda, Maryland, and Marian L. Neuhouser, PhD, from the Fred Hutchinson Cancer Research Center in Seattle, Washington, note the differences between China and the United States in the quality, type, and quantity of soy food intake as well as differences in screening rates and other factors in China compared with the United States may also prevent comparisons of stage- and treatment-specific results. However doctors can advise their patients with breast cancer to safely eat soy foods as they may offer some protective benefit for long-term health.
 
By Vijayalakshmi Iyengar
Dietitian, NutritionVista.com

 

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User Comments

08 February, 2010 | Alena | Reply

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15 December, 2009 | Kanchan Saggi | Reply

Kanchan Saggi Soy Benefits:

It's believed that when right amounts of soy isoflavones are ingested, the bioactive compounds in them namely Geinstein is known to inhibit cell proliferation & angiogenesis of breast cancer cells which means that soy isoflavones are basically starving the breast cell to death. Having said this, I would definitely like to impress upon the fact that one should be clear about the quantity of natural soy food intake and the receptor status of the breast cancer cells just to avoid undue complications

Kanchan Saggi, Dietitian; NutritionVista

15 December, 2009 | Kanchan Saggi | Reply

Kanchan Saggi The Soy Debate:

Personally I believe that most breast cancer cells are hormone dependant (these cells have estrogen receptor on their cells that when attached to an estrogen molecule can cause growth & proliferation of cancer cell) and hence high estrogen levels in the body could probably increase the risk of breast cancer. Many believe that soy containing these isoflavones could stimulate the breast cancer cells as they act like estrogen in our body. But the truth is soy isoflavones are phytoestrogens” that look similar in chemical structure to estrogens, but, they act differently in the human body and should not be confused with the human hormone estrogen. Now the concern about soy is, will these estrogen-like substances (isoflavones) in soy stimulate the estrogen receptors of breast cancer cells and make them grow? While the scientists ponder about this... on the other hand some soy enthusiasts believe that soy may protect a woman from breast cancer. Why? Because the strength of the soy isoflavones' estrogen-like powers is weak — like 1/1000th of estradiol, your own body's regular estrogen. If the weaker soy isoflavones occupy the estrogen receptors instead of your body's stronger stuff, then the belief is that the receptors will be less "turned on," and the cells will be less likely to grow. This has led to the new school of thought that soy foods reduce the risk of breast cancer.

Kanchan Saggi, Dietitian; NutritionVista

15 December, 2009 | Kanchan Saggi | Reply

Kanchan Saggi Dietitian's Verdict:

I do agree with the fact that when soy protein or soy isoflavones are taken in recommended amounts, they don't cause any harmful effects in the body. In fact daily intake of 1 to 2 serving of soy foods containing 25 g of soy protein and 50 - 70 mgs of soy isoflavones have shown plenty of therapeutic benefits in the treatment of various chronic lifestyle disease. But, I would also like to mention that people with specific problems like hypothyroidism, erectile dysfunction & breast cancer should consult their doctors and dietitians before including soy in their diet.

Kanchan Saggi, Dietitian; NutritionVista

12 December, 2009 | Kanchan Saggi | Reply

Kanchan Saggi I do agree with the fact that when soy protein or soy isoflavones are taken in recommended amounts, they don't cause any harmful effects in the body. In fact daily intake of 1 to 2 serving of soy foods containing 25 g of soy protein and 50 - 70 mgs of soy isoflavones have shown plenty of therapeutic benefits in the treatment of various chronic lifestyle disease. But, I would also like to mention that people with specific problems like hypothyroidism, erectile dysfunction & breast cancer should consult their doctors and dietitians before including soy in their diet.
Personally I believe that most breast cancer cells are hormone dependant (these cells have estrogen receptor on their cells that when attached to an estrogen molecule can cause growth & proliferation of cancer cell) and hence high estrogen levels in the body could probably increase the risk of breast cancer. Many believe that soy containing these isoflavones could stimulate the breast cancer cells as they act like estrogen in our body. But the truth is soy isoflavones are phytoestrogens” that look similar in chemical structure to estrogens, but, they act differently in the human body and should not be confused with the human hormone estrogen. Now the concern about soy is, will these estrogen-like substances (isoflavones) in soy stimulate the estrogen receptors of breast cancer cells and make them grow? While the scientists ponder about this... on the other hand some soy enthusiasts believe that soy may protect a woman from breast cancer. Why? Because the strength of the soy isoflavones' estrogen-like powers is weak — like 1/1000th of estradiol, your own body's regular estrogen. If the weaker soy isoflavones occupy the estrogen receptors instead of your body's stronger stuff, then the belief is that the receptors will be less "turned on," and the cells will be less likely to grow. This has led to the new school of thought that soy foods reduce the risk of breast cancer. I would also like to mention that, when right amounts of soy isoflavones are ingested, the bioactive compounds in them namely Geinstein is known to inhibit cell proliferation & angiogenesis of breast cancer cells which means that soy isoflavones are basically starving the breast cell to death. Having said this, I would definitely like to impress upon the fact that one should be clear about the quantity of natural soy food intake and the receptor status of the breast cancer cells just to avoid undue complications.

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