Soy isoflavones and bone

What 2 graded rows on soy isoflavones agree on for bone, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Soy isoflavones page, with its PubMed record.

Your question

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Soy isoflavones and bone

2 rows · 10,459 people

Split. 1 row found an improvement and 1 found no difference.

No difference
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside.
  • Grade B× 1
  • No effect× 1
Rows
2
Trials
75
People
10,459
Pooled reviews may count some twice

Where they differ

From the rows
Trial sizeWhen published

The best-graded row, grade B, is a meta-analysis of 9,026 people (2024) and found an improvement. 1 row is graded No effect, our grade for adequately powered trials that found no effect.

The row that found an improvement was larger: 9,026 people, against 1,433 people for the row that found no difference.

The row that found an improvement is newer (2024) than the row that found no difference (2010).

The rows

1 improved · 1 no difference
  1. Grade BBone mineral density after menopause · Improved

    Meta-analysis, 63 studies · n 9,026 · 2024 · Postmenopausal women in 63 RCTs (4,754 on isoflavones, 4,272 on placebo)

    Varied; benefit seen when genistein was at least 50 mg/day · Varied; benefit seen at 12 months or longer

    Bone density rose slightly vs placebo at the lumbar spine (MD 0.0175 g/cm²), femoral neck (0.0172 g/cm²) and distal radius (0.0138 g/cm²).

    Row on the Soy isoflavones page · PubMed 37875614 (opens PubMed)

  2. No effectLumbar spine bone mineral density · No difference

    Meta-analysis, 12 studies · n 1,433 · 2010 · Perimenopausal and postmenopausal Western women in 12 studies

    Varied across studies · Varied across studies

    No significant effect on spine bone density; excluding the genistein study, mixtures showed no bone-sparing effect. Higher doses or longer use did not change this.

    Row on the Soy isoflavones page · PubMed 20673147 (opens PubMed)

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