being reversed by removal of soya from the food. No
adverse effects of soya beans on human fertility have
been reported.
0018 More recently, it has been recognized that isofla-
vones may act either as weak estrogens or as anties-
trogens, competing for estradiol at the receptor
complex, yet failing to stimulate a full estrogenic
response after binding to the nucleus. This fact has
stimulated much research into whether isoflavones
may have a protective role in hormone-related
diseases such as breast cancer.
Role of Soya in the Diet
0019 Soya has been a staple in the diet of many Far Eastern
countries for centuries, e.g., foods such as tofu,
tempeh, and miso. In Western countries such as the
USA and UK, the amount of soya consumed is much
less than in countries such as Japan. In Western coun-
tries, these traditional soya foods are not very widely
consumed but are sometimes used as an alternative to
meat. Soya beans are, however, extremely versatile,
providing a wide range of ingredients that can be used
in foods for most meal occasions, e.g., soya flour,
soya protein, soya oil, soy sauce, and soya lecithin.
For this reason, consumption of foods containing
soya has increased in Western countries over the last
50 years. Nevertheless, soya still forms only a small
part of the total diet. It is noteworthy that of the soya
beans grown world-wide, only about 10% of the total
is used in foods for humans, the majority being used
as feed for animals.
0020 Soya beans can be an important component of a
normal healthy diet, as they are low in saturates,
provide a source of fiber, and contain a wide range
of other nutrients. Soya beans are also the main source
of phytoestrogens in the diet. In addition, soya beans
may have a number of potential health benefits, and
these are discussed in the following sections.
0021 For vegetarians, and particularly for vegans who
eat no animal products, soya beans play a very
important role in the diet. They provide a valuable
source of protein that can be of high quality if soya
beans are combined with cereals, since the amino acid
compositions are complementary. They also provide
an important source of iron. Low iron intake can lead
to iron-deficiency anemia. Ensuring adequate iron
status can be difficult for vegetarians as, in general,
iron from vegetable sources is less well absorbed than
that from animal sources. However, soya beans pro-
vide a source of iron that can be absorbed as well as
that in meat.
0022 For infants intolerant to cows’ milk protein or to
lactose, soya-based infant formulae can be an invalu-
able alternative to cows’ milk-based formulae. For
older children and adults who are allergic to cows’
milk or intolerant to lactose, drinks and other foods
made from soya can be very important components of
the diet, helping to ensure that nutrient intakes are
adequate for the maintenance of health.
0023In common with other legumes, soya beans are also
of agricultural importance, as they increase the nitro-
gen content of the soil. Although green plants cannot
utilize nitrogen in the atmosphere, there are several
species of bacteria, fungi, and blue–green algae that
are able to transform nitrogen in the air into a form
that can be used by plants. An important genus
of nitrogen-fixing bacteria is Rhizobium, which
forms nodules in the roots of legumes. These bacteria
live symbiotically with the legumes, the bacteria
obtaining food from the green plant, and the legumes
obtaining abundant usable nitrogen compounds from
the bacteria.
Soya and Coronary Heart Disease
0024Coronary heart disease (CHD) is a major cause of
death in many countries. For example, in the UK,
CHD accounts for about 30% of male deaths and
23% of female deaths.
0025The level of cholesterol in the blood is a major risk
factor for CHD. Soya protein substituted for animal
protein in the diet results in reductions in total plasma
cholesterol (by 9% on average), low-density lipopro-
tein cholesterol (LDL-C) (by 13% on average) and
triacylglycerols (by 11% on average). High-density
lipoprotein cholesterol (HDL-C) is unchanged or
may be slightly increased. The amount of reduction
in blood lipids tends to be greater among those with
the highest plasma cholesterol levels at baseline.
0026A great deal of research has been done to identify
the component(s) of soya protein responsible for its
effect on blood lipids. Studies using a mixture of
amino acids that duplicates the amino acid profile of
soya protein have found that this does not have the
same effect on blood lipids as the intact protein.
However, studies of soya protein with isoflavones
intact have shown that this has a lipid-lowering
effect, whereas soya protein with isoflavones re-
moved has no significant effect. It has been suggested,
therefore, that the isoflavones present in soya protein
are largely responsible for the lipid-lowering effect of
soya protein. The benefits of isoflavones present
in soya protein on cholesterol lowering have been
suggested to be mediated through upregulation of
LDL-receptor activity. Nevertheless, studies of isol-
ated and purified isoflavones have failed to show that
these have a lipid-lowering effect.
0027Soya may reduce the risk of CHD through several
mechanisms in addition to its ability to lower blood
SOY (SOYA) BEANS/Dietary Importance 5395