Soy milk consumption, markers of inflammation and oxidative stress in women with rheumatoid arthritis: A randomised cross-over clinical trial

作者：Mohammad Shahi Majid; Mowla Karim; Haidari Fatemeh; Zarei Mehdi; Choghakhori Razieh^*

来源：Nutrition and Dietetics, 2016, 73(2): 139-145.

DOI：10.1111/1747-0080.12174

• adipocytokine
• arthritis
• inflammation
• oxidative stress
• soy

Aim: The purpose of the present study was to determine the effects of soy milk consumption compared with cow's milk on inflammatory and oxidative stress markers among women with rheumatoid arthritis.
Methods: This randomised, cross-over clinical trial was conducted on 25 patients (mean age: 45.72 years) with rheumatoid arthritis. Subjects were randomly assigned to two groups and were asked to follow a diet containing cow's milk or soy milk for four weeks. After the interventional period, a washout period was conducted for two weeks. Then groups followed the alternate treatment for four weeks.
Results: Soy milk consumption compared with cow's milk resulted in a significant difference in percent changes regarding serum levels of hs-CRP (-13.81 5.39 vs 9.21 +/- 6.33%; P = 0.008) and tumour necrosis factor-alpha (TNF-alpha) (-15.35 +/- 4.30 vs 8.11 +/- 8.80%; P = 0.020). The results were not changed even after adjustment for weight. Soy milk consumption also reduced adiponectin levels significantly (baseline: 38.39 +/- 2.04, end: 30.71 +/- 1.93; P < 0.001). However, this reduction was not significant compared with cow's milk (P = 0.065). Soy milk consumption had no significant effects on other inflammatory factors and malondialdehyde levels.
Conclusions: Soy milk consumption for four weeks resulted in a significant improvement in some inflammatory markers (TNF-alpha and hs-CRP). However, further investigations are needed to confirm these effects.

• 出版日期2016-4