Gender-specific associations between soy and risk of hip fracture in the Singapore Chinese Health Study.

Full Abstract

Although there is some epidemiologic evidence that soy may reduce risk of osteoporotic fracture in women, it is not known whether this risk reduction also occurs for men. The authors examined gender-specific associations between soy intake and hip fracture risk in the Singapore Chinese Health Study, a prospective cohort of 63,257 Chinese living in Singapore. At recruitment between 1993 and 1998, each subject was administered a food frequency questionnaire and questions on medical history and lifestyle factors. As of December 31, 2006, 276 incident cases of hip fracture in men and 692 cases in women were identified via linkage with hospital discharge databases. For both genders, hip fracture risk was positively associated with cigarette smoking and was inversely associated with body mass index. There was a statistically significant association of tofu equivalents, soy protein, and isoflavones with hip fracture risk among women but not among men. Compared with women in the lowest quartile of intakes for tofu equivalents (<49.4 g/day), soy protein (<2.7 g/day), and isoflavones (<5.8 mg/1,000 kcal/day), those in the second-fourth quartiles exhibited 21%-36% reductions in risk (all P < 0.036). Risk levels were comparable across the second, third, and fourth quartiles of soy intake categories.

Author information

Author/s: Koh, Woon-Puay (WP); Wu, Anna H (AH); Wang, Renwei (R); Ang, Li-Wei (LW); Heng, Derrick (D); Yuan, Jian-Min (JM); Yu, Mimi C (MC);

Affiliation: Department of Epidemiology and Public Health, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. ephkwp(-atsign-)nus.edu.sg

Grants: R01 CA55069 (Agency:NCI NIH HHS) ; R01 CA80205 (Agency:NCI NIH HHS) ; R35 CA53890 (Agency:NCI NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't

Journal: American journal of epidemiology (Am J Epidemiol), published in United States. (Language: eng)

Reference: 2009-Oct; vol 170 (issue 7) : pp 901-9

Dates: Created 2009/09/23; Completed 2009/10/06; Revised 2009/10/26;

PMID: 19720865, status: MEDLINE (last retrieval date: 10/27/2009, IMS Date: )

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