Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies

Background: The association between soy product consumption and cancer risk varies among studies. Therefore, this comprehensive meta-analysis of observational studies examines the association between soy product consumption and total cancer risk. Methods: This study was conducted following the PRISM...

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Main Authors: Chenting Wang, Keqing Ding, Xuanzhen Xie, Jinyue Zhou, Pengju Liu, Shuang Wang, Ting Fang, Guozhang Xu, Chunlan Tang, Hang Hong
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/7/986
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author Chenting Wang
Keqing Ding
Xuanzhen Xie
Jinyue Zhou
Pengju Liu
Shuang Wang
Ting Fang
Guozhang Xu
Chunlan Tang
Hang Hong
author_facet Chenting Wang
Keqing Ding
Xuanzhen Xie
Jinyue Zhou
Pengju Liu
Shuang Wang
Ting Fang
Guozhang Xu
Chunlan Tang
Hang Hong
author_sort Chenting Wang
collection DOAJ
description Background: The association between soy product consumption and cancer risk varies among studies. Therefore, this comprehensive meta-analysis of observational studies examines the association between soy product consumption and total cancer risk. Methods: This study was conducted following the PRISMA guidelines. Up to October 2023, all eligible published studies were searched through PubMed and Web of Science databases. Results: A total of 52 studies on soy product consumption were included in this meta-analysis (17 cohort studies and 35 case–control studies). High consumption of total soy products (RR: 0.69; 95% CI: 0.60, 0.80), tofu (RR: 0.78; 95% CI: 0.70, 0.86), and soymilk (RR: 0.75; 95% CI: 0.60, 0.93) were associated with reduced total cancer risk. No association was found between high consumption of fermented soy products (RR: 1.18; 95% CI: 0.95, 1.47), non-fermented soy products (RR: 0.95; 95% CI: 0.77, 1.18), soy paste (RR: 1.00; 95% CI: 0.88, 1.14), miso soup (RR: 0.99; 95% CI: 0.87, 1.12), or natto (RR: 0.96; 95% CI: 0.82, 1.11) and cancer risk. A 54 g per day increment of total soy products reduced cancer risk by 11%, a 61 g per day increment of tofu reduced cancer risk by 12%, and a 23 g per day increment of soymilk reduced cancer risk by 28%, while none of the other soy products were associated with cancer risk. Conclusion: Our findings suggest that high total soy product consumption, especially soymilk and tofu, is associated with lower cancer risk. More prospective cohort studies are still needed to confirm the causal relationship between soy product consumption and cancer risk.
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spelling doaj.art-a68044335f6e41888c10d2d0406a709f2024-04-12T13:24:17ZengMDPI AGNutrients2072-66432024-03-0116798610.3390/nu16070986Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational StudiesChenting Wang0Keqing Ding1Xuanzhen Xie2Jinyue Zhou3Pengju Liu4Shuang Wang5Ting Fang6Guozhang Xu7Chunlan Tang8Hang Hong9School of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaNingbo Center for Disease Control and Prevention, Ningbo 315010, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaSchool of Public Health, Health Science Center, Ningbo University, Ningbo 315211, ChinaBackground: The association between soy product consumption and cancer risk varies among studies. Therefore, this comprehensive meta-analysis of observational studies examines the association between soy product consumption and total cancer risk. Methods: This study was conducted following the PRISMA guidelines. Up to October 2023, all eligible published studies were searched through PubMed and Web of Science databases. Results: A total of 52 studies on soy product consumption were included in this meta-analysis (17 cohort studies and 35 case–control studies). High consumption of total soy products (RR: 0.69; 95% CI: 0.60, 0.80), tofu (RR: 0.78; 95% CI: 0.70, 0.86), and soymilk (RR: 0.75; 95% CI: 0.60, 0.93) were associated with reduced total cancer risk. No association was found between high consumption of fermented soy products (RR: 1.18; 95% CI: 0.95, 1.47), non-fermented soy products (RR: 0.95; 95% CI: 0.77, 1.18), soy paste (RR: 1.00; 95% CI: 0.88, 1.14), miso soup (RR: 0.99; 95% CI: 0.87, 1.12), or natto (RR: 0.96; 95% CI: 0.82, 1.11) and cancer risk. A 54 g per day increment of total soy products reduced cancer risk by 11%, a 61 g per day increment of tofu reduced cancer risk by 12%, and a 23 g per day increment of soymilk reduced cancer risk by 28%, while none of the other soy products were associated with cancer risk. Conclusion: Our findings suggest that high total soy product consumption, especially soymilk and tofu, is associated with lower cancer risk. More prospective cohort studies are still needed to confirm the causal relationship between soy product consumption and cancer risk.https://www.mdpi.com/2072-6643/16/7/986soy productcancermeta-analysisdose–responseobservational study
spellingShingle Chenting Wang
Keqing Ding
Xuanzhen Xie
Jinyue Zhou
Pengju Liu
Shuang Wang
Ting Fang
Guozhang Xu
Chunlan Tang
Hang Hong
Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
Nutrients
soy product
cancer
meta-analysis
dose–response
observational study
title Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
title_full Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
title_fullStr Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
title_full_unstemmed Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
title_short Soy Product Consumption and the Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies
title_sort soy product consumption and the risk of cancer a systematic review and meta analysis of observational studies
topic soy product
cancer
meta-analysis
dose–response
observational study
url https://www.mdpi.com/2072-6643/16/7/986
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