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Soy Supplementation Does Not Affect Serum Adiponectin Levels in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • Jahangir Karimian (Department of General Courses, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences) ;
  • Parivash Shekarchizadeh-Esfahani (Department of General Courses, School of Management and Medical Information Sciences, Isfahan University of Medical Sciences)
  • Received : 2024.03.26
  • Accepted : 2024.05.01
  • Published : 2024.04.30

Abstract

Numerous studies have indicated that low levels of serum adiponectin are linked with the development of various chronic diseases. While some recent research has suggested that soy has a positive impact on serum adiponectin levels, the results are inconsistent. Therefore, we aim to conduct a thorough systematic review and meta-analysis of randomized controlled trials (RCTs) that investigate the effects of soy on serum adiponectin levels in adults. The search was conducted until March 2024 on PubMed, Scopus, Web of Science, and Cochrane Library databases to identify RCTs that studied the effects of soy supplementation on serum adiponectin levels. A random-effects model was used to pool the weighted mean differences (WMDs). Ten and nine RCTs were selected for the systematic review and meta-analysis, respectively. After analyzing data from 9 eligible RCTs, it was found that soy supplementation did not significantly impact the concentrations of adiponectin (WMD = -0.24㎍/mL; 95% confidence interval, -1.56 to 1.09; p = 0.72). However, there was significant heterogeneity between the studies (I2 = 89.8%, p < 0.001). Sensitivity analysis showed that overall estimates were not affected by the elimination of any study. We did not observe any evidence regarding publication bias. In conclusion, soy supplementation did not have a significant effect on adiponectin levels in adults. However, further RCTs are needed with longer intervention duration, higher doses, and studies conducted in different countries.

Keywords

References

  1. Esmaili S, Hemmati M, Karamian M. Physiological role of adiponectin in different tissues: a review. Arch Physiol Biochem 2020;126:67-73.
  2. Oh DK, Ciaraldi T, Henry RR. Adiponectin in health and disease. Diabetes Obes Metab 2007;9:282-9.
  3. Kawano J, Arora R. The role of adiponectin in obesity, diabetes, and cardiovascular disease. J Cardiometab Syndr 2009;4:44-9.
  4. Choi HM, Doss HM, Kim KS. Multifaceted physiological roles of adiponectin in inflammation and diseases. Int J Mol Sci 2020;21:1219.
  5. Przybycinski J, Dziedziejko V, Puchalowicz K, Domanski L, Pawlik A. Adiponectin in chronic kidney disease. Int J Mol Sci 2020;21:9375.
  6. Simpson KA, Singh MA. Effects of exercise on adiponectin: a systematic review. Obesity (Silver Spring) 2008;16:241-56.
  7. Guerre-Millo M. Adiponectin: an update. Diabetes Metab 2008;34:12-8.
  8. Li FY, Lam KS, Xu A; YL Li F. Therapeutic perspectives for adiponectin: an update. Curr Med Chem 2012;19:5513-23.
  9. Askarpour M, Alizadeh S, Hadi A, Symonds ME, Miraghajani M, Sheikhi A, Ghaedi E. Effect of bariatric surgery on the circulating level of adiponectin, chemerin, plasminogen activator inhibitor-1, leptin, resistin, and visfatin: a systematic review and meta-analysis. Horm Metab Res 2020;52:207-15.
  10. Janiszewska J, Ostrowska J, Szostak-Wegierek D. The influence of nutrition on adiponectin: a narrative review. Nutrients 2021;13:1394.
  11. Silva FM, de Almeida JC, Feoli AM. Effect of diet on adiponectin levels in blood. Nutr Rev 2011;69:599-612.
  12. Clark CC, Ghaedi E, Arab A, Pourmasoumi M, Hadi A. The effect of curcumin supplementation on circulating adiponectin: a systematic review and meta-analysis of randomized controlled trials. Diabetes Metab Syndr 2019;13:2819-25.
  13. D'Adamo CR, Sahin A. Soy foods and supplementation: a review of commonly perceived health benefits and risks. Altern Ther Health Med 2014;20 Suppl 1:39-51.
  14. Rizzo G, Baroni L. Soy, soy foods and their role in vegetarian diets. Nutrients 2018;10:43.
  15. Lokuruka M. Soybean nutritional properties: the good and the bad about soy foods consumption: a review. Afr J Food Agric Nutr Dev 2010;10:2439-59.
  16. Tang J, Wan Y, Zhao M, Zhong H, Zheng JS, Feng F. Legume and soy intake and risk of type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies. Am J Clin Nutr 2020;111:677-88.
  17. Mosallanezhad Z, Mahmoodi M, Ranjbar S, Hosseini R, Clark CC, Carson-Chahhoud K, Norouzi Z, Abbasian A, Sohrabi Z, Jalali M. Soy intake is associated with lowering blood pressure in adults: a systematic review and meta-analysis of randomized double-blind placebo-controlled trials. Complement Ther Med 2021;59:102692.
  18. Luvian-Morales J, Varela-Castillo FO, Flores-Cisneros L, Cetina-Perez L, Castro-Eguiluz D. Functional foods modulating inflammation and metabolism in chronic diseases: a systematic review. Crit Rev Food Sci Nutr 2022;62:4371-92.
  19. Li N, Wu X, Zhuang W, Xia L, Chen Y, Zhao R, Yi M, Wan Q, Du L, Zhou Y. Soy and isoflavone consumption and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomized trials in humans. Mol Nutr Food Res 2020;64:e1900751.
  20. Man B, Cui C, Zhang X, Sugiyama D, Barinas-Mitchell E, Sekikawa A. The effect of soy isoflavones on arterial stiffness: a systematic review and meta-analysis of randomized controlled trials. Eur J Nutr 2021;60:603-14.
  21. Christie DR, Grant J, Darnell BE, Chapman VR, Gastaldelli A, Sites CK. Metabolic effects of soy supplementation in postmenopausal Caucasian and African American women: a randomized, placebo-controlled trial. Am J Obstet Gynecol 2010;203:153.e1-9.
  22. Charles C, Yuskavage J, Carlson O, John M, Tagalicud AS, Maggio M, Muller DC, Egan J, Basaria S. Effects of high-dose isoflavones on metabolic and inflammatory markers in healthy postmenopausal women. Menopause 2009;16:395-400.
  23. Nadadur M, Stanczyk FZ, Tseng CC, Kim L, Wu AH. The effect of reduced dietary fat and soy supplementation on circulating adipocytokines in postmenopausal women: a randomized controlled 2-month trial. Nutr Cancer 2016;68:554-9.
  24. Napora JK, Short RG, Muller DC, Carlson OD, Odetunde JO, Xu X, Carducci M, Travison TG, Maggio M, Egan JM, Basaria S. High-dose isoflavones do not improve metabolic and inflammatory parameters in androgen-deprived men with prostate cancer. J Androl 2011;32:40-8.
  25. Maskarinec G, Steude JS, Franke AA, Cooney RV. Inflammatory markers in a 2-year soy intervention among premenopausal women. J Inflamm (Lond) 2009;6:9.
  26. Llaneza P, Gonzalez C, Fernandez-Inarrea J, Alonso A, Diaz F, Arnott I, Ferrer-Barriendos J. Soy isoflavones, diet and physical exercise modify serum cytokines in healthy obese postmenopausal women. Phytomedicine 2011;18:245-50.
  27. Simao AN, Lozovoy MA, Bahls LD, Morimoto HK, Simao TN, Matsuo T, Dichi I. Blood pressure decrease with ingestion of a soya product (kinako) or fish oil in women with the metabolic syndrome: role of adiponectin and nitric oxide. Br J Nutr 2012;108:1435-42.
  28. Riesco E, Choquette S, Audet M, Lebon J, Tessier D, Dionne IJ. Effect of exercise training combined with phytoestrogens on adipokines and C-reactive protein in postmenopausal women: a randomized trial. Metabolism 2012;61:273-80.
  29. Mohammad-Shahi M, Mowla K, Haidari F, Zarei M, Choghakhori R. Soy milk consumption, markers of inflammation and oxidative stress in women with rheumatoid arthritis: a randomised cross-over clinical trial. Nutr Diet 2016;73:139-45.
  30. Rebholz CM, Reynolds K, Wofford MR, Chen J, Kelly TN, Mei H, Whelton PK, He J. Effect of soybean protein on novel cardiovascular disease risk factors: a randomized controlled trial. Eur J Clin Nutr 2013;67:58-63.
  31. Mahmudiono T, Khaydarov NK, Jasim SA, Hammid AT, Failoc-Rojas VE, Shalaby MN, Jannat B, Nouri M, Fadel A. Systematic review and meta-analysis of randomized, controlled trials on the effects of soy and soy products supplementation on serum adiponectin levels. Diabetes Metab Syndr 2022;16:102558.
  32. Hariri M, Amirkalali B, Mollanoroozy E, Gholami A. Can soy isoflavones in combination with soy protein change serum concentration of adiponectin and resistin? A systematic review and meta-analysis on randomized clinical trials. Food Sci Nutr 2022;10:4126-38.
  33. Tutunchi S, Koushki M, Amiri-Dashatan N, Khodabandehloo H, Hosseini H, Panahi G, Hashemi J, Karbalaee-Hasani A, Majidi Z, Rezaei-Tavirani M. Effect of soy isoflavones supplementation on adiponectin levels in postmenopausal women: a meta-analysis. J Pharm Nutr Sci 2021;11:184-95.
  34. Moosavian SP, Rahimlou M, Asbaghi O, Moradi S, Marx W, Paknahad Z. The effect of soy products on circulating adiponectin and leptin concentration in adults: a systematic review and meta-analysis of randomised controlled trials. Int J Clin Pract 2021;75:e14100.
  35. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med 2009;6:e1000097.
  36. Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA; Cochrane Bias Methods Group; Cochrane Statistical Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ 2011;343:d5928.
  37. DerSimonian R, Kacker R. Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials 2007;28:105-14.
  38. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. BMJ 2003;327:557-60.
  39. Egger M, Davey Smith G, Schneider M, Minder C. Bias in meta-analysis detected by a simple, graphical test. BMJ 1997;315:629-34.
  40. Engin A. Adiponectin-resistance in obesity. In: Engin A, Engin A, editors. Obesity and lipotoxicity. Cham: Springer; 2017. p. 415-41.
  41. Ricci R, Bevilacqua F. The potential role of leptin and adiponectin in obesity: a comparative review. Vet J 2012;191:292-8.
  42. Akhlaghi M, Zare M, Nouripour F. Effect of soy and soy isoflavones on obesity-related anthropometric measures: a systematic review and meta-analysis of randomized controlled clinical trials. Adv Nutr 2017;8:705-17.
  43. Mu Y, Kou T, Wei B, Lu X, Liu J, Tian H, Zhang W, Liu B, Li H, Cui W, Wang Q. Soy products ameliorate obesity-related anthropometric indicators in overweight or obese Asian and non-menopausal women: a meta-analysis of randomized controlled trials. Nutrients 2019;11:2790.
  44. Khoramipour K, Chamari K, Hekmatikar AA, Ziyaiyan A, Taherkhani S, Elguindy NM, Bragazzi NL. Adiponectin: Structure, physiological functions, role in diseases, and effects of nutrition. Nutrients 2021;13:1180.
  45. Morvaridzadeh M, Nachvak SM, Agah S, Sepidarkish M, Dehghani F, Rahimlou M, Pizarro AB, Heshmati J. Effect of soy products and isoflavones on oxidative stress parameters: a systematic review and meta-analysis of randomized controlled trials. Food Res Int 2020;137:109578.
  46. Sukalingam K, Ganesan K, Das S, Thent ZC. An insight into the harmful effects of soy protein: a review. Clin Ter 2015;166:131-9.
  47. Jargin SV. Soy and phytoestrogens: possible side effects. Ger Med Sci 2014;12:Doc18.
  48. Munro IC, Harwood M, Hlywka JJ, Stephen AM, Doull J, Flamm WG, Adlercreutz H. Soy isoflavones: a safety review. Nutr Rev 2003;61:1-33.