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The purpose of the present overview of meta-analysis is to summarize and critically assess the effect of isoflavones and genistein on glucose metabolism among the peri- and post-menopausal women. Two independent authors searched the databases of MEDLINE, Scopus and Cochrane Library for meta-analysis. Three databases were searched from inception to January 2018. Methodological quality of each meta-analysis of randomized controlled trials was evaluated using the AMSTAR (a measurement tool used to assess systematic reviews). Four meta-analyses were included to the current overview. Fasting insulin levels and homeostatic model assessment of insulin resistance (HOMA-IR) values were significantly lower in peri-menopausal and postmenopausal. Two meta-analyses showed that treatment with isoflavones could not alter fasting blood glucose. However, one meta-analysis depicted that isoflavones significantly improved blood glucose levels in non-Asian postmenopausal women. Treatment with genistein could have significant beneficial effects on fasting insulin, blood glucose and HOMA-IR in comparison to the control group. Regardless of the population, the treatment with genistein is effective in improving fasting insulin, HOMA-IR and glucose levels. Nevertheless, the high heterogeneity among studies and poor methodology of reviews made it difficult to draw a definite conclusion on the positive impacts of soy on glucose metabolism.
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참고문헌 (10)
참고문헌 신청
Zhang YB / 2013 / Soy isoflavone supplementation could reduce body weight and improve glucose metabolism in non-Asian postmenopausal women : a meta-analysis / Nutrition 29:8~14
Fang K / 2016 / Soy isoflavones and glucose metabolism in menopausal women : a systematic review and meta-analysis of randomized controlled trials / Mol Nutr Food Res 60:1602~1614
Sumino H / 2003 / Effects of hormone replacement therapy on weight, abdominal fat distribution, and lipid levels in Japanese postmenopausal women / Int J Obes Relat Metab Disord 27:1044~1051
Ishimi Y. / 2009 / Food factors for health promotion / Karger Publishers :104~116
Cheng SY / 2004 / The hypoglycemic effects of soy isoflavones on postmenopausal women / J Womens Health(Larchmt) 13:1080~1086
Fang K / 2016 / Soy isoflavones and glucose metabolism in menopausal women : a systematic review and meta-analysis of randomized controlled trials / Mol Nutr Food Res 60:1602~1614
Sumino H / 2003 / Effects of hormone replacement therapy on weight, abdominal fat distribution, and lipid levels in Japanese postmenopausal women / Int J Obes Relat Metab Disord 27:1044~1051
Ishimi Y. / 2009 / Food factors for health promotion / Karger Publishers :104~116
Cheng SY / 2004 / The hypoglycemic effects of soy isoflavones on postmenopausal women / J Womens Health(Larchmt) 13:1080~1086
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