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绝经后女性的年龄:大豆异黄酮对脂蛋白和炎症标志物的影响。

Age of Postmenopause Women: Effect of Soy Isoflavone in Lipoprotein and Inflammation Markers.

作者信息

Barrasa Gladys Roxana Rocha, González Cañete Natalia, Boasi Luis Emilio Valladares

机构信息

Institute of Nutrition and Food Technology (INTA), University of Chile, Santiago, Chile.

出版信息

J Menopausal Med. 2018 Dec;24(3):176-182. doi: 10.6118/jmm.2018.24.3.176. Epub 2018 Dec 31.

Abstract

OBJECTIVES

Menopause is associated with adverse metabolic changes in plasma lipoprotein and inflammation markers. Estrogens have beneficial effects on lipid metabolism and inflammation. Isoflavones (ISO) have structurally similar to estradiol. Our objective was analize the effect of soy-ISO on serum lipid and inflammatory markers (sP-selectin and sCD40L) in postmenopausal women.

METHODS

A 12-week randomized, double-blind, placebo-controlled intervention with soy-ISO (50 mg, twice daily) was conducted in 35 healthy postmenopausal women (55-72 years old). The women were divided in 2 groups: 20 were allocated to soy-ISO, and 15 to a placebo group.

RESULTS

The changes of total cholesterol (TC), triglycerides, low-density lipoproteins-cholesterol (LDL-C), high-density lipoprotein-cholesterol, Apo-A1, sP-selectin and sCD40L in 2 groups before and after 12-week treatment showed no statistical significance. In subgroup analysis, soy-ISO supplementation significantly decreased the levels of TC, LDL-C and sCD40L in women under 65 years old, and with null effects on serum lipid and inflammation markers in women over 65 years old.

CONCLUSIONS

Soy-ISO did not significantly favorable effects on the lipid profile and inflammatory markers in postmenopausal women. However, in women under 65 years of age, soy-ISO significantly decreased the TC, LDL-C and sCD40L, whereas, no effects on lipid profile and inflammation markers in women over 65 years old were observed.

摘要

目的

绝经与血浆脂蛋白和炎症标志物的不良代谢变化有关。雌激素对脂质代谢和炎症有有益作用。异黄酮(ISO)在结构上与雌二醇相似。我们的目的是分析大豆异黄酮对绝经后女性血清脂质和炎症标志物(可溶性P选择素和可溶性CD40配体)的影响。

方法

对35名健康绝经后女性(55 - 72岁)进行了为期12周的随机、双盲、安慰剂对照干预,给予大豆异黄酮(50毫克,每日两次)。这些女性被分为两组:20名被分配到大豆异黄酮组,15名被分配到安慰剂组。

结果

两组在12周治疗前后总胆固醇(TC)、甘油三酯、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇、载脂蛋白A1、可溶性P选择素和可溶性CD40配体的变化无统计学意义。在亚组分析中,补充大豆异黄酮显著降低了65岁以下女性的TC、LDL-C和可溶性CD40配体水平,而对65岁以上女性的血清脂质和炎症标志物无影响。

结论

大豆异黄酮对绝经后女性的血脂谱和炎症标志物没有显著的有益影响。然而,在65岁以下的女性中,大豆异黄酮显著降低了TC、LDL-C和可溶性CD40配体,而在65岁以上的女性中未观察到对血脂谱和炎症标志物的影响。

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