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(Journal of Nutrition. 1999;129:758-767.)
© 1999 The American Society for Nutritional Sciences


Supplement

Dietary Isoflavones: Biological Effects and Relevance to Human Health1

Kenneth D. R. Setchell2 and Aedin Cassidy*

Clinical Mass Spectrometry, Children's Hospital Medical Center, Cincinnati, Ohio 45229 and * School of Biological Sciences, University of Surrey GU2 5XH

Substantial evidence indicates that diets high in plant-based foods may explain the epidemiologic variance of many hormone-dependent diseases that are a major cause of mortality and morbidity in Western populations. There is now an increased awareness that plants contain many phytoprotectants. Lignans and isoflavones represent two of the main classes of phytoestrogens of current interest in clinical nutrition. Although ubiquitous in their occurrence in the plant kingdom, these bioactive nonnutrients are found in particularly high concentrations in flaxseeds and soybeans and have been found to have a wide range of hormonal and nonhormonal activities that serve to provide plausible mechanisms for the potential health benefits of diets rich in phytoestrogens. Data from animal and in vitro studies provide convincing evidence for the potential of phytoestrogens in influencing hormone-dependent states; although the clinical application of diets rich in these estrogen mimics is in its infancy, data from preliminary studies suggest beneficial effects of importance to health. This review focuses on the more recent studies pertinent to this field and includes, where appropriate, the landmark and historical literature that has led to the exponential increase in interest in phytoestrogens from a clinical nutrition perspective.


KEY WORDS: • phytoestrogens • isoflavones • genistein • hormones • cancer • cardiovascular disease • bone




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