soy: what it is and how it's used
Source: National Center for Complementary and Alternative Medicine
Soy, a plant in the pea family, has been common in Asian diets for thousands
of years. It is found in modern American diets as a food or food additive. Soybeans,
the high-protein seeds of the soy plant, contain isoflavones-compounds
similar to the female hormone estrogen. The following information highlights
what is known about soy when used by adults for health purposes.
Common Names—soy
Latin Names—Glycine max
What Soy Is Used For
People use soy products to prevent or treat a variety of health conditions,
including high cholesterol levels, menopausal symptoms such as hot
flashes, osteoporosis, memory problems, high blood pressure, breast cancer,
and prostate cancer.
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How Soy Is Used
- Soy is available in dietary supplements, in forms such as tablets
and capsules. Soy supplements may contain isoflavones or soy
protein or both.
- Soybeans can be cooked and eaten or used to make tofu, soy
milk, and other foods. Also, soy is sometimes used as an additive in
various processed foods, including baked goods, cheese, and pasta.
What the Science Says
- Research suggests that daily intake of soy protein may slightly lower
levels of LDL ("bad") cholesterol.
- Some studies suggest that soy isoflavone supplements may reduce
hot flashes in women after menopause. However, the results have been
inconsistent.
- There is not enough scientific evidence to determine whether soy supplements
are effective for any other health uses.
- NCCAM is supporting ongoing studies of soy, including its effects on
women's arteries and bones after menopause.
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Side Effects and Cautions
- Soy is considered safe for most people when used as a food or when
taken for short periods as a dietary supplement.
- Minor stomach and bowel problems such as nausea, bloating, and constipation are possible.
- Allergic reactions such as breathing problems and rash can occur in rare cases.
- The safety of long-term use of soy isoflavones has not been
established. Evidence is mixed on whether using isoflavone supplements,
over time, can increase the risk of endometrial hyperplasia (a thickening
of the lining of the uterus that can lead to cancer). Studies show no effect
of dietary soy on risk for endometrial hyperplasia.
- Soy's possible role in breast cancer risk is uncertain. Until more
is known about soy's effect on estrogen levels, women who have or who
are at increased risk of developing breast cancer or other hormone-sensitive
conditions (such as ovarian or uterine cancer) should be particularly careful
about using soy and should discuss it with their health care providers.
- Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.
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Sources
- Balk E, Chung M, Chew P, et al. Effects of Soy on Health Outcomes.
Evidence Report/Technology Assessment no. 126. Rockville, MD: Agency for Healthcare
Research and Quality; 2005. AHRQ publication no. 05-E024-1.
- Low Dog T. Menopause: a review of botanical dietary supplements. American Journal of Medicine. 2005;118(suppl 12B):98S–108S.
- Sacks FM, Lichtenstein A, Van Horn L, et al. Soy protein, isoflavones,
and cardiovascular health: an American Heart Association Science Advisory
for professionals from the Nutrition Committee. Circulation.
2006;113(7):1034–1044.
- Soy. Natural Medicines Comprehensive Database Web site. Accessed on
January 2, 2007.
- Soy (Glycine max [L.] Merr.). Natural Standard Database Web
site. Accessed on January 2, 2007.
For More Information
NCCAM Clearinghouse
Toll-free in the U.S.: 1-888-644-6226
TTY (for deaf and hard-of-hearing callers): 1-866-464-3615
E-mail: info@nccam.nih.gov
CAM on PubMed®
Web site: nccam.nih.gov/camonpubmed/
NIH Office of Dietary Supplements
Web site: ods.od.nih.gov
NIH National Library of Medicine's MedlinePlus
Soy Listing: www.nlm.nih.gov/medlineplus/druginfo/natural/patient-soy.html
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This publication is not copyrighted and is in the public domain. Duplication is encouraged.
NCCAM has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your primary health care provider. We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCAM.
NCCAM Publication No. D399
Created October 2007
Updated March 2008