For
a variety of motivations, soy seems today to be cast either as the
cure or cause of nearly every ill known to man. On one side you
have nutritionists and researchers touting soy's many alleged benefits
(and yes -- some receive a lot of money from the soy industry, including
some of the best known vegetarian researchers on the subject). On
the other side are a few researchers who loudly repeat again and
again the results of one questionable study, or who latch onto and
look to amplify wherever possible some admittedly troubling but
highly preliminary research results, using these to try to create
an anti-soy hysteria.
By the way,
the same people and industries targeting soy are curiously silent
when it comes to broadcasting the known, far better documented and
generally more serious and far-reaching health problems associated
with consumption of meat and dairy products. As the saying goes
when reading releases and reports from either side: follow the money
to find the probable bias.
John McDougall,
MD, has a terrific article about soy in his latest newsletter. (You can subscribe from his website.
McDougall discusses
the high fat content of soybeans (46% fat, 38% protein). (Yes, eating
lots of soy can make you fat!)
And he talks
at length about phytoestrogens in soy, which he says are the key
to soy's health benefits -- and risks. After an explanation of what
is known about phytoestrogens, McDougall says the bottom line is
that not enough research has been done to allow us to fully understand
them and their effects on the body.
Soy isoflavones
are theorized to protect against cancers like breast cancer because
they lower estrogen in the body. Some animal research supports this
hypothesis, he says, but there have been no large, long-term clinical
human trials to support it.
While isflavones
may or may not turn out to protect against cancer, it may turn out
that the reverse is true, and plant estogens may work the other
way. He notes that some fear phytoestrogens may cause problems by
artificially altering the hormonal balance, and says there is cause
for concern. In the study of 48 women with benign or malignant breast
disease, for example, a daily supplement of 60 grams of soy (45
mg of isoflavones) was linked to breast-tissue proliferation (a
sign of increased risk of breast cancer). But McDougall says more
research is needed before we can conclusively say how these plant
estrogens affect the human body, and the jury is still out.
Many of soy's
purported health benefits are based on cicrumstantial evidence,
says McDougall, such as the fact that populations with a traditionally
high soy intake have lower rates of many "Western" diseases. Soy
*may* have something to do with it, he says, but then again it may
not. McDougall feels the focus on soy ignores the many other factors
that enter into the equation, such as fat and fiber intake, environmental
and chemical contaminants, and level of physical activity.
Regarding the
study in Hawaii that found that men were more likely to have cognitive
impariment or Alzheimer's disease if they ate tofu more than twice
a week, McDougall remarks that this is just one isolated study,
and further research is clearly needed to clarify the results.
Earlier this
year when considering whether it would permit health claims for
soy, the FDA rejected the abstract of the Hawaii study for a few
reasons, including the fact that if the study results were valid,
there would be more dementia and Alzheimers in Japan than in Hawaii
(because more soy is consumed in Japan) -- but the reverse is true,
suggesting it wasn't an effect from soy consumption the researchers
may have been seeing.
Bill Harris,
a vegan MD who lives in Hawaii, strongly suspects that if the results
of the Hawaii "brain-aging" study turn out to be valid, it may be
that aluminum -- used in the refining of some soy products in Hawaii
-- is the actual culprit. Harris went out and had soy products from
Hawaii tested against soy products from the mainland. He had a lab
do the tests and paid for them himself. The lab found the levels
of aluminum in the Hawaii products to be signifcantly higher. (See
http://www.vegsource.com/harris/brain_aging.htm
) Harris quotes a number of studies which support the relationship
between aluminum consumption and Alzheimers, and he recently sent
me another published in a French medical journal in July 2000 showing
that traces of aluminum in drinking water significantly increased
the risks of dementia and Alzheimer's disease. This was a large
study of 3,777 people with a followup after 8 years which suggested
a strong cause/effect between aluminum and the kinds of brain problems
reported in the Hawaii study and attributed by the researchers to
tofu.
The aluminum
factor currently seems like a very possible explanation for the
alleged "brain aging" properties of soy -- many Hawaiian tofu-eaters
are eating a lot of aluminum, too. Not so curiously, none of the
soy manufacturers which Dr. Harris contacted with the results of
his study ever responded. It would probably be very costly for those
Hawaiian soy manufacturers to replace their tubes and processing
equipment with non-aluminum parts. So what to do to be prudent?
Don't eat soy products from Hawaii...!
In his newsletter
McDougall also points out the fact that the health claims about
soy which are supported by the most evidence -- are the positive
effects of soy on cholesterol and cardiovascular health. There are
some 40 studies showing soy lowers cholesterol, even when you remove
the fiber.
McDougall's
bottom line is that soy *can* be part of a healthy diet, but he
says if you don't eat it already,don't start just because you think
it's "health food." He advises using soy like a condiment to add
variety and versatility to a plant-based diet. Sprinkle soy cheese
on your baked potato, pour soymilk on your cereal in the morning,
have a soy/veggie burger now and then, but stick to veggies, fruits
and whole grains as the foundation of your diet.