Abstract
Background and aims
Several studies have documented that consumption of legumes including soybean is inversely associated with systemic inflammation and oxidative stress. This study was done to assess the effects of soy beans or non-soy legumes consumption on C-reactive protein (CRP) and malondialdehyde (MDA) among Patients with Type 2 Diabetes (T2D).
Methods
75 persons with T2D participated in this randomized controlled clinical trial. Participants were randomized to one of the following 3 groups for 8 weeks: soy bean group (taking a cup of cooked soy beans three days a week), legumes group (taking a cup of cooked non-soy legumes three days a week) and control group (taking two servings of red meat three days a week). Anthropometric indices, dietary intakes, and serum MDA and CRP were measured at baseline and after intervention.
Results
A Significant decrease was observed in serum CRP of soy bean group (P = 0.01) which was significantly more than the controls (p = 0.001), while no significant changes of CRP was observed in legume group. Serum MDA changed significantly in none of the 3 groups.
Conclusions
In conclusion, we found that substitution of red meat with soybean but not non- soy legumes may reduce inflammatory factors with no effects on oxidative stress in diabetic patients.

Similar content being viewed by others
Explore related subjects
Discover the latest articles and news from researchers in related subjects, suggested using machine learning.References
Guariguata L, Whiting DR, Hambleton I, Beagley J, Linnenkamp U, Shaw JE. Global estimates of diabetes prevalence for 2013 and projections for 2035. Diabetes Res Clin Pract. 2014;103(2):137–49.
Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4–14.
Mannucci E, Dicembrini I, Lauria A, Pozzilli P. Is glucose control important for prevention of cardiovascular disease in diabetes? Diabetes Care. 2013;36(Suppl 2):S259–63.
Holman RR, Paul SK, Bethel MA, Matthews DR, Neil HAW. 10-year follow-up of intensive glucose control in type 2 diabetes. N Engl J Med. 2008;359(15):1577–89.
Committee PP, Classification A. Standards of medical care in diabetes-2010. Diabetes Care. 2010;33(Suppl 1):S11–61.
Jørgensen CH, Gislason GH, Ahlehoff O, Andersson C, Torp-Pedersen C, Hansen PR. Use of secondary prevention pharmacotherapy after first myocardial infarction in patients with diabetes mellitus. BMC Cardiovasc Disord. 2014;14:1–9.
Classification I. Standards of medical care in diabetes-2009. Diabetes Care. 2009;32(Suppl 1).
Jayagopal V, Albertazzi P, Kilpatrick ES, Howarth EM, Jennings PE, Hepburn DA, et al. Beneficial effects of soy phytoestrogen intake in postmenopausal women with type 2 diabetes. Diabetes Care. 2002;25(10):1709–14.
Mateos-Aparicio I, Redondo Cuenca A, Villanueva-Suárez MJ, Zapata-Revilla MA. Soybean, a promising health source. Nutr Hosp. 2008;23(4):305–12.
Anderson JW, Smith BM, Washnock CS. Cardiovascular and renal benefits of dry bean and soybean intake. Am J Clin Nutr. 1999;70(3 Suppl):464–74.
Bouchenak M, Lamri-Senhadji M. Nutritional quality of legumes, and their role in Cardiometabolic risk prevention: a review. J Med Food. 2013;16(3):185–98.
Saraf-Bank S, Esmaillzadeh A, Faghihimani E, Azadbakht L. Effect of non-soy legume consumption on inflammation and serum adiponectin levels among first-degree relatives of patients with diabetes: a randomized, crossover study. Nutrition. 2015;31(3):459–65.
Marventano S, Izquierdo Pulido M, Sánchez-González C, Godos J, Speciani A, Galvano F, et al. Legume consumption and CVD risk: a systematic review and meta-analysis. Public Health Nutr. 2017;20(2):245–54.
van Acker SA, van Balen GP, van den Berg DJ, Bast A, van der Vijgh WJ. Influence of iron chelation on the antioxidant activity of flavonoids. Biochem Pharmacol. 1998;56(8):935–43.
Ley SH, Sun Q, Willett WC, Eliassen AH, Wu K, Pan A, et al. Associations between red meat intake and biomarkers of inflammation and glucose metabolism in women 1–3. Am J Clin Nutr. 2014;99(2):352–60.
Bendinelli B, Palli D, Masala G, Sharp SJ, Schulze MB, Guevara M, et al. Association between dietary meat consumption and incident type 2 diabetes: the EPIC-InterAct study. Diabetologia. 2013;56(1):47–59.
Safaeiyan A, Pourghassem-Gargari B, Zarrin R, Fereidooni J, Alizadeh M. Randomized controlled trial on the effects of legumes on cardiovascular risk factors in women with abdominal obesity. ARYA Atheroscler. 2015;11(2):117–25.
Pearson D, Grace C. Appendix 10 estimated energy requirement ( EER ). 2012;
Azadbakht L, Kimiagar M, Mehrabi Y, Esmaillzadeh A, Hu FB, Willett WC. Soy consumption, markers of inflammation, and endothelial function: a cross-over study in postmenopausal women with the metabolic syndrome. Diabetes Care. 2007;30(4):967–73.
Hanson LN, Engelman HM, Alekel DL, Schalinske KL, Kohut ML, Reddy MB. Effects of soy isoflavones and phytate on homocysteine , C-reactive protein, and iron status in postmenopausal women 1-3. 2006;(2):774–80.
Bakhtiary A, Yassin Z, Hanachi P, Rahmat A, Ahmad Z, Jalali F. Effects of soy on metabolic biomarkers of cardiovascular disease in elderly women with metabolic syndrome. Arch Iran Med. 2012;15(8):462–8.
Dong J-Y, Wang P, He K, Qin L-Q. Effect of soy isoflavones on circulating C-reactive protein in postmenopausal women. Menopause. 2011;18(11):1256–62.
Pischon T, Hankinson SE, Hotamisligil GS, Rifai N, Willett WC, Rimm EB. Habitual dietary intake of n-3 and n-6 fatty acids in relation to inflammatory markers among US men and women. Circulation. 2003;108(2):155–60.
Montonen J, Boeing H, Fritsche A, Schleicher E, Joost HG, Schulze MB, et al. Consumption of red meat and whole-grain bread in relation to biomarkers of obesity, inflammation, glucose metabolism and oxidative stress. Eur J Nutr. 2013;52(1):337–45.
Micha R, Michas G, Mozaffarian D, Lauwers E, Kaluza J, Wolk A, et al. Unprocessed red and processed meats and risk of coronary artery disease and type 2 diabetes – an updated review of the evidence. Clin Nutr. 2012;14(6):515–24.
Hokanson JE, Austin MA. Plasma triglyceride level is a risk factor for cardiovascular disease independent of high-density lipoprotein cholesterol level: a Metaanalysis of population-based prospective studies. Eur J Cardiovasc Prev Rehabil. 1996;3(2):213–9.
Jamilian M, Asemi Z. The effect of soy intake on metabolic profiles of women with gestational diabetes mellitus. J Clin Endocrinol Metab. 2015;100(12):4654–61.
Celec P, Hodosy J, Pálffy R, Gardlík R, Halčák L, Ostatníková D. The short-term effects of soybean intake on oxidative and carbonyl stress in men and women. Molecules. 2013;18(5):5190–200.
Crujeiras AB, Parra D, Abete I, Martínez JA. A hypocaloric diet enriched in legumes specifically mitigates lipid peroxidation in obese subjects. Free Radic Res. 2007;41(4):498–506.
Acknowledgements
The authors would like to thank all participants for their kind cooperation. This article was extracted from an MSc thesis written by Zeinab Hemmatdar which was funded by Shiraz University of Medical Sciences with the grant No 94-01-84-9916.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declared that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Hematdar, Z., Ghasemifard, N., Phishdad, G. et al. Substitution of red meat with soybean but not non- soy legumes improves inflammation in patients with type 2 diabetes; a randomized clinical trial. J Diabetes Metab Disord 17, 111–116 (2018). https://doi.org/10.1007/s40200-018-0346-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40200-018-0346-6