Table 1 Study features of soy consumption and gastrointestinal cancer risk.

From: Meta-analysis of Soy Consumption and Gastrointestinal Cancer Risk

Reference

Location

Cancer type

Study years

Age

Cancer Size/Cohort Size

Intake measurements

Validity of FFQ

Soy consumption assessed

Cancer & death ascertainment

Incidence

Umesawa12

Japan

Gastric cancer

1988–2009

40–79

787/40, 729

Self-administered FFQ

Yes

Miso soup

Population-based cancer registries; systematic review of death certificates

Hedelin42

Sweden

Colorectal cancer

1991–2010

30–49

Female: 206/48, 268

Self-administered FFQ

No

Isoflavonoids

Swedish cancer registry; total population register

Wada6

Japan

Gastric cancer

1992–2008

≥35

Male: 441/14, 219 Female: 237/16, 573

Self-administered FFQ

Yes

Miso soup, tofu (soy bean curd), deep-fried tofu, freeze-dried tofu, natto, houba-miso, soymilk, and boiled soy beans.

Regional population-based cancer registries; death certificate-only registration

Ko41

Korea

Gastric cancer

1993–2008

≥35

166/9724

Self-administered FFQ

No

Soybean/tofu, soybean pasta (miso soup)

Korean Central Cancer Registry; National Death Certificate databases

Kweon46

China

Gastric cancer

M: 2002–2006 F: 1996–2004

M:40–74 F: 40–70

Male: 324/61, 482 Female: 354/74, 941

In-person interview

Yes

Soy milk, Tofu, dry bean, fresh bean, bean sprout

Shanghai cancer registry; death certificate registries and confirmation through home visit.

Hara40

Japan

Gastric cancer

1995–2006

45–74

Male: 899/39,569 F: 350/45, 312

Self-administered FFQ

Yes

Miso soup, soymilk, tofu for miso soup, tofu for other dishes, yushidofu (predrained tofu), koyadofu (freeze-dried tofu), aburaage (deep-fried tofu), and natto (fermented soybeans)

Population-based cancer registries;

Yang39

China

Colorectal cancer

1997–2005

40–70

Female: 321/68, 412

In-person interview

Yes

Soy milk, tofu, fried tofu, dried or pressed tofu, fresh green soy beans, dry soy beans, soy sprouts, and other soy products

Population-based Shanghai Cancer Registry; Shanghai Municipal Center for Disease Control and Prevention

Wang38

USA

Colorectal cancer

1992–2005

≥45

Female: 3234/38, 408

Self-administered semi-quantitative FFQ

Yes

Tofu

Medical record review; death certificates

Butler37

Singapore Chinese

Colorectal cancer

1993–2005

45–74

Total: 961/61, 321

Self-administered Quantitative FFQ + Interview

Yes

Tofu in soups mixed dishes or alone, other tau kwa, foojook vegetarian meats, yong tau foo, other tau pok in soups

Population-based Singapore Cancer Registry; Singapore Registry of Births and Deaths

Akhter36

Japan

Colorectal cancer

1995–2004

45–74

Total: 886/83, 063

Self-administered FFQ

Yes

Miso soup, tofu (soybean curd) for miso soup, tofu (boiled or cold) for other dishes, yushidofu (predrained tofu), koyadofu or shimitofu (freeze-dried tofu), aburaage (deep-fried tofu), natto (fermented soybean), and soymilk (soybean as major ingredient).

Population-based cancer registries;

Oba35

Japan

Colon cancer

1992–2000

≥35

Male: 111/13,894 Female: 102/16, 327

Self-administered FFQ

Yes

Tofu, miso, soybeans, natto, soymilk, okara, dried tofu, fried tofu, deepfried tofu, and fried tofu with minced vegetables/seaweed

Regional population-based cancer registries; death certificate-only registration

Sauvaget45

Japan

Gastric cancer

1980–1999

34–98

1270/38, 576

Self-administered FFQ

Yes

Tofu (soybean curd), miso soup (soup made of a fermented and cooked soybeans paste)

Hospital records, physician notification and pathology records; Japanese family registration system

Galanis28

Hawaii, USA,

Gastric cancer

1975–1994

≥18

Male: 64/5, 610 Female: 44/6, 297

Interview FFQ

No

Miso soup

Hawaii Tumor Registry

Inoue 1996

Japan

Gastric cancer

1985–1995

NA

69/5, 373

Self-administered FFQ

No

Soybean-paste soup (miso soup)

Aichi prefectural cancer registry and death certificates

Ward47 (NCC)

European

Colorectal cancer

1993–2006

40–79

Male: 125/505 Female: 96/381

Self-administered healthy and lifestyle questionnaire

No

Isoflavones

Ease Anglia Cancer Registry

Mortality

Iso34

Japan

Gastric cancer Colon cancer Rectal cancer

1988–2003

40–79

Male: 317/42,696 Female: 228/58, 494

Self-administered FFQ

Yes

Miso soup

Annually collected Death certifications with permission of Management and Coordination Agency of the Japanese Government

Kurosawa33

Japan

Gastric cancer

1989–1999

≥30

76/8, 035

Self-administered FFQ

No

Bean and bean products (cooked beans and bean curd and natto)

Population registries in the municipalities

Tokui32

Japan

Gastric cancer

1988–2003

40–79

859/110, 792

Self-administered FFQ

Yes

Bean curd, miso soup

Annually collected Death certifications with permission of Management and Coordination Agency of the Japanese Government

Khan31

Japan,

Gastric cancer Colorectal cancer

1984–2002

≥40

Male: 51/1, 524 F: 29/1,634

Staffs of the 45 health centers executed baseline survey and collected information

No

Tofu, miso soup, soybean curd, miso soup

By follow-up survey

Ngoan30

Japan,

Gastric cancer

1986–1994

≥15

Male: 77/5, 917 Female: 39/7,333

Self-administered FFQ

No

Tofu, soymilk, miso soup

Death forms from local health center with permission of the Management and Coordination Agency of the Japanese Government.

Nagata29

Japan

Gastric cancer

1992–1999

≥35

Male: 81/13, 880 Female: 40/16,424

Self-administered semi-quantitative FFQ

Yes

Tofu, miso, soybeans, natto, soymilk, okara, dried-tofu, deep-fried tofu, fried-tofu, fried tofu and minced vegetables/seaweed

Data from office of national vital statistics

Kato 1992

Japan

Gastric cancer

1985–1991

M: ≥40 F: ≥30

57/9,753

Self-administered FFQ

No

Miso soup

Examination of death certificates

  1. FFQ: Food Frequency Questionnaire; NA: Not Available.