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. 2012 Mar;26(2):163-75.
doi: 10.1111/j.1365-3016.2011.01244.x. Epub 2011 Dec 16.

Early-life soy exposure and age at menarche

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Early-life soy exposure and age at menarche

Margaret A Adgent et al. Paediatr Perinat Epidemiol. 2012 Mar.

Abstract

This study examines the timing of menarche in relation to infant-feeding methods, specifically addressing the potential effects of soy isoflavone exposure through soy-based infant feeding. Subjects were participants in the Avon Longitudinal Study of Parents and Children (ALSPAC). Mothers were enrolled during pregnancy and their children have been followed prospectively. Early-life feeding regimes, categorised as primarily breast, early formula, early soy and late soy, were defined using infant-feeding questionnaires administered during infancy. For this analysis, age at menarche was assessed using questionnaires administered approximately annually between ages 8 and 14.5. Eligible subjects were limited to term, singleton, White females. We used Kaplan-Meier survival curves and Cox proportional hazards models to assess age at menarche and risk of menarche over the study period. The present analysis included 2920 girls. Approximately 2% of mothers reported that soy products were introduced into the infant diet at or before 4 months of age (early soy). The median age at menarche [interquartile range (IQR)] in the study sample was 153 months [144-163], approximately 12.8 years. The median age at menarche among early soy-fed girls was 149 months (12.4 years) [IQR, 140-159]. Compared with girls fed non-soy-based infant formula or milk (early formula), early soy-fed girls were at 25% higher risk of menarche throughout the course of follow-up (hazard ratio 1.25 [95% confidence interval 0.92, 1.71]). Our results also suggest that girls fed soy products in early infancy may have an increased risk of menarche specifically in early adolescence. These findings may be the observable manifestation of mild endocrine-disrupting effects of soy isoflavone exposure. However, our study is limited by few soy-exposed subjects and is not designed to assess biological mechanisms. Because soy formula use is common in some populations, this subtle association with menarche warrants more in-depth evaluation in future studies.

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Figures

Figure 1
Figure 1
Study Sample and Exposure Characterization. Subjects were classified into four mutually exclusive feeding groups (primarily breast, early formula, early soy, late soy) based on age and duration of formula, milk and breastmilk feeding. Boxes contain the final study sample size, by exposure group, for subjects with complete exposure and outcome data. aother: formula/baby milk, goat’s milk, hypo-allergenic formula, follow-on milk, and cow’s milk. bunknown: data was insufficient to determine breast feeding duration or milk/formula use through 6 months. csoy: soy milk or soy formula. m: months.
Figure 2
Figure 2
Crude (a) and counfounding-adjusted (b) Kaplan Meier survival curves for each feeding group are shown above. Censored observations are indicated by ◦. Survival for each feeding group is incidated as follows: formula image early formula; formula image early soy; formula image late soy; formula image primarily breast. Confounding-adjusted curves are adjusted for pre-pregnancy BMI, maternal age at menarche, and prenatal smoking using inverse probability of treatment weights estimated with polytomous logistic regression.

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