Sunday 17 April 2011 Y 07:01

Protect Against Diabetes-related Kidney and Heart Disease

A small clinical trial conducted on type 2 diabetes patients with nephropathy (diabetes-related kidney damage) suggests that soy protein can help protect diabetics¡¯ hearts and kidneys from damage caused by the disease. The study, a randomized crossover clinical trial, was conducted on 14 type 2 diabetes male and female patients receiving medical care at an educational university hospital and private kidney disease clinic. For the first seven weeks, patients followed a diet typically recommended to control nephropathy, which included 0.8 grams/kilogram of protein, based on 70% animal and 30% vegetable protein. After a washout period during which study subjects ate their pre-study diet, they were readmitted for another 7-week cycle, this time consuming a diet containing 35% soy protein and 30% vegetable protein.
Following the soy diet, all patients experienced significant reductions in total cholesterol, triglyceride and LDL-cholesterol, while levels of beneficial HDL cholesterol remained stable and renal function improved. Specifically, the patients' urinary urea nitrogen (a protein component that is not normally leaked into the urine) and proteinuria (protein in the urine, another indicator that the kidneys are beginning to fail) were both much lower on the soy protein diet. Researchers concluded, "Soy inclusion in the diet can modify the risk factors of heart disease and improve kidney function in these patients."
Another study, this one conducted at the University of Illinois and published in the Journal of Nutrition, provides more evidence that soy protein helps persons with diabetes prevent kidney disease and improve their cholesterol profile. This study, a seven month crossover trial, involved 14 men with type 2 diabetes and kidney disease. After the first month, during which baseline measurements were established for each man, they were divided into two groups, one of which received a daily serving of vanilla flavored protein powder made from soy protein while the other group was given protein powder containing casein (the primary protein in cow's milk). After eight weeks, the men were given no protein powder for four weeks and then switched over to the other protein powder for eight weeks. Serving size of both types of protein was 0.5g/kg/day.
While on the soy protein, the men's urinary albumin concentrations decreased by 9.5% but increased by 11.1% while on the casein diet. Higher amounts of albumin in the urine are a marker for deterioration in kidney function.
In addition, blood levels of beneficial HDL-cholesterol increased by 4.3% after the soy protein diet but tended to be lower after casein consumption.
Why were these beneficial effects seen with soy? The authors suggest that soy's isoflavones may be responsible for the improvement in cholesterol profile, while soy's higher levels of the amino acid arginine, a chemical precursor to a molecule called nitric oxide that dilates arteries, are responsible for improving blood flow in the kidney and thus kidney function.
Their conclusion: a simple dietary modification¡ªadding soy protein foods to the diet¡ªcould help persons with diabetes prevent kidney disease and improve their cholesterol profile.