Document Detail


Isoflavones reduce arterial stiffness: a placebo-controlled study in men and postmenopausal women.
MedLine Citation:
PMID:  12714433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: This study was undertaken to address the vascular effects of isolated isoflavones as potential contributors to their cardioprotective properties, focusing on biochanin and formononetin. METHODS AND RESULTS: In a randomized, double-blind trial, 80 healthy subjects, 46 men and 34 women, 45 to 75 years of age, received isoflavones enriched in either biochanin or formononetin (precursors of genistein and daidzein; 80 mg/d) crossed over randomly with placebo in two 6-week periods. The end points were measured at baseline and after each intervention and included large artery stiffness (systemic arterial compliance and pulse wave velocity), endothelial function in conduit arteries (flow-mediated vasodilation), 24-hour ambulatory blood pressure, and total peripheral resistance. Isoflavone intervention significantly reduced arterial stiffness with improved systemic arterial compliance (P=0.04; repeated-measures ANOVA, Bonferroni correction) attributable to a reduction in total peripheral resistance (P=0.03) and a corresponding reduction in central pulse wave velocity (P=0.02) compared with placebo. Isoflavones did not affect blood pressure (P=0.5) or flow-mediated vasodilation (P=0.44). Improvements seemed limited to formononetin-enriched isoflavones (adjusted P=0.06). Formononetin treatment also reduced circulating vascular adhesion cell molecule-1 (P<0.01). CONCLUSIONS: In normotensive men and postmenopausal women, red clover isoflavones enriched in formononetin reduced arterial stiffness and total vascular resistance but had no effect on blood pressure. These effects may partly explain the lower cardiovascular risk in populations eating isoflavone-rich diets.
Authors:
Helena J Teede; Barry P McGrath; Lakmini DeSilva; Marja Cehun; Andriana Fassoulakis; Paul J Nestel
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2003-04-24
Journal Detail:
Title:  Arteriosclerosis, thrombosis, and vascular biology     Volume:  23     ISSN:  1524-4636     ISO Abbreviation:  Arterioscler. Thromb. Vasc. Biol.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-06-16     Completed Date:  2004-02-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9505803     Medline TA:  Arterioscler Thromb Vasc Biol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1066-71     Citation Subset:  IM    
Affiliation:
Vascular Research Group, Department of Medicine, Monash University, Clayton, Australia. h.teede@southernhealth.org.au
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MeSH Terms
Descriptor/Qualifier:
Aged
Arm / blood supply
Blood Pressure / drug effects*
Cross-Over Studies
Diet
Double-Blind Method
Endothelium, Vascular / drug effects*,  physiology
Female
Genistein / pharmacology
Humans
Isoflavones / pharmacology*
Male
Middle Aged
Phytoestrogens
Plant Preparations / pharmacology*
Postmenopause
Reference Values
Regional Blood Flow
Trifolium / chemistry*
Vascular Cell Adhesion Molecule-1 / blood
Vascular Resistance / drug effects*
Vasodilation
Chemical
Reg. No./Substance:
0/Isoflavones; 0/Phytoestrogens; 0/Plant Preparations; 0/Vascular Cell Adhesion Molecule-1; 446-72-0/Genistein; 485-72-3/formononetin; 491-80-5/biochanin A

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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