Effect of soy protein-rich diet on renal function in young adults with insulin-dependent diabetes mellitus

T. J. Stephenson, K. D.R. Setchell, C. W.C. Kendall, D. J.A. Jenkins, J. W. Anderson, P. Fanti

Research output: Contribution to journalArticlepeer-review

40 Scopus citations

Abstract

Background: Diabetic nephropathy is the most frequent cause of end-stage renal disease in the Western world. Dietary intake, including protein amount and type, seems to affect the progression of renal disease. This pilot study tested the hypothesis that substituting soy protein for animal protein in the diets of diabetics would help correct glomerular hyperfiltration. Methods: Twelve young adults (aged 29.9 ± 2.4 years) with type 1 diabetes mellitus (duration of diabetes 15.1 ± 2.3 years) and hyperfiltration (glomerular filtration rate, GFR > 120 ml/min/1.73 m2) completed a crossover, dietary intervention trial. After a four-week assessment of baseline characteristics and dietary habits, subjects were assigned to either a control or soy diet for eight weeks after which each subject was crossed over to the alternative diet for another eight-week period. Results: Mean GFR was significantly reduced (p < 0.02) after eight weeks on the soy diet (143 ± 7.4 ml/min/1.73 m2) compared with baseline (159 ± 7.7 ml/min/1.73 m2) and control diets (161 ± 10.0 ml/min/1.73 m2). Urinary excretion of the soy isoflavones was significantly higher (p < 0.01) at the end of the soy diet (genistein 1,014.6 ± 274.1 nmol/h, daidzein 2,645.1 ± 989.6 nmol/h) compared with baseline (genistein 53.7 ± 31.1 nmol/h, daidzein 151.1 ± 74.1 nmol/h) and control diets (genistein 41.1 ± 13.3 nmol/h, daidzein 127.5 ± 54.0 nmol/h). The soy diet significantly reduced total and LDL cholesterol by 7% and 9%, respectively. Conclusions: Implementation of a soy-based diet appears to reduce the GFR and total and LDL cholesterol of young adults with type 1 diabetes and glomerular hyperfiltration, thus affecting positively their clinical profile.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalClinical Nephrology
Volume64
Issue number1
DOIs
StatePublished - Jul 2005

Keywords

  • Cholesterol
  • Daidzein
  • Diabetic nephropathy
  • Genistein
  • Glomerular filtration rate
  • LDL cholesterol
  • Microalbuminuria
  • Micronutrients
  • Phytochemicals
  • Soy isoflavones
  • Triglycerides

ASJC Scopus subject areas

  • Nephrology

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