January 25, 2012
Many people trying to cut unhealthy animal fats and proteins from their diets have long turned to soy products. And recognition that soy-loving Japan saw lower incidences of breast and prostate cancer, hot flashes, and heart disease fueled American interest in soy as a possible mediator of good health. This also triggered a boon in soy research in the 1990s.
Soy is the only vegetable protein that contains all of the essential amino acids. It also is high in fiber and contains an abundance of vitamins and minerals with little saturated fat.
Many may recognize soy in its "whole" form – tofu, edamame and soy nuts – but it's an additive in many more common food items, too.
For example, soy flour (50% protein) is often used in baked goods and as a meat substitute. Soy concentrates (70% protein) are commonly added to nutrition bars, cereals, and yogurts. And soy isolates (90% protein) and isoflavones (phytoestrogens that mimic estrogen) are highly digestible, and easily added to sports drinks, health beverages, and infant formulas.
Since it's widely available, low in cost and nutrient-dense, the soybean has been the subject of ongoing scientific investigation.
Early studies suggested that isolated soy protein might lower low-density lipoprotein (LDL) cholesterol and blood pressure; potentially protect against breast cancer; maintain bone density; and decrease menopausal symptoms. Given what seemed to be compelling evidence of benefit, in 1999, the Food and Drug Administration approved labeling for food containing soy protein as protective against heart disease.
Shortly thereafter, the American Heart Association (AHA) released a statement concluding that "it is prudent to recommend including soy protein foods in a diet low in saturated fat and cholesterol." Food manufacturers eagerly diversified soy product offerings — including in the form of various soy supplements and additives — and grocery stores and consumers readily boosted their soy consumption.
But then, after a comprehensive review of the scientific studies available at that time, the Nutrition Committee of the American Heart Association released an updated statement in 2006, concluding that "the direct cardiovascular benefit of soy protein or isoflavone supplements is minimal at best."
The authors recommended against use of soy protein isolates (with isoflavones) in foods or pills, but went on to encourage consumption of whole soy products such as tofu, soy burgers and soy nuts that in addition to protein, contain high levels of non-protein nutrients — heart-healthy polyunsaturated fats, fiber, vitamins, minerals, and low levels of saturated fat.
Since the AHA's 2006 statement, the scientific research on soy in general and soy protein — and isoflavone in particular — continue to evolve, with mostly inconsistent findings.
In fact, just recently, two separate studies found that daily consumption of 40 grams of soy protein decreased systolic blood pressure and improved overall cholesterol profile when compared to consumption of the same amount of carbohydrate. These results seem to suggest that maybe soy does decrease heart disease risk.
What You Need to Know:
Once again, American consumers are left in the familiar situation of not knowing what evidence to believe. After all, the 1999 FDA health claim linking soy protein consumption to decreased cardiovascular disease is still on the books despite the AHA"s serious concerns about its validity. Meanwhile, it has been over five years — and hundreds of published research papers on the topic — since the AHA guidelines on soy were updated.
Taken together, it seems that while soy may not be the miracle food it was once touted to be, whole soy foods offer a generally healthy contribution to a varied and balanced eating plan. The fact remains that soy is loaded with high-quality protein, heart-healthy polyunsaturated fats, fiber, vitamins, minerals, and low levels of saturated fat.
- Erdman JW Jr (2000). AHA Science Advisory: Soy protein and cardiovascular disease: A statement for healthcare professionals from the Nutrition Committee of the AHA. Circulation., 102, (20):2555-9.
- He J, Wofford MR, Reynolds K, et al (2011). Effect of dietary protein supplementation on blood pressure: a randomized, controlled trial. Circulation,.124(5), 589-95.
- Hoffman JR, Falvo MJ (2004). Protein: Which is best? Journal of Sports Science and Medicine, 3:118-130.
- Sacks FM, Lichtenstein A, Van Horn L, et al (2006). Soy protein, isoflavones, and cardiovascular health: an American Heart Association Science Advisory for professionals from the Nutrition Committee. Circulation, 113(7):1034-1044
- Wofford MR, Rebholz CM, Reynolds K, et al (2011). Effect of soy and milk protein supplementation on serum lipid levels: a randomized controlled trial. Eur J Clin Nutr. doi: 10.1038/ejcn.2011.168. [Epub ahead of print]
By Natalie Digate Muth
Natalie Digate Muth, MD, MPH, RD, FAAPNatalie Digate Muth, MD, MPH, RD, FAAP is the Healthcare Solutions Director for the American Council on Exercise, a board-certified pediatrician and Fellow of the American Academy of Pediatrics, a Diplomat of the American Board of Obesity Medicine, registered dietitian and board-certified specialist in sports dietetics, and ACE-certified health coach. She is the author of "Eat Your Vegetables" and Other Mistakes Parents Make: Redefining How to Raise Healthy Eaters" and the upcoming textbook "Sports Nutrition for Health Professionals". She has been ACE certified since 1998.