Skip to main content
British Journal of Cancer logoLink to British Journal of Cancer
. 1999 Jul;80(9):1470–1475. doi: 10.1038/sj.bjc.6690546

Oestradiol and sex hormone-binding globulin in premenopausal and post-menopausal meat-eaters, vegetarians and vegans

H V Thomas 1,2, G K Davey 1, T J Key 1
PMCID: PMC2363084  PMID: 10424753

Abstract

Endogenous oestradiol is strongly associated with breast cancer risk but its determinants are poorly understood. To test the hypothesis that vegetarians have lower plasma oestradiol and higher sex hormone-binding globulin (SHBG) than meat-eaters we assayed samples from 640 premenopausal women (153 meat-eaters, 382 vegetarians, 105 vegans) and 457 post-menopausal women (223 meat-eaters, 196 vegetarians, 38 vegans). Vegetarians and vegans had lower mean body mass indices (BMI) and lower plasma cholesterol concentrations than meat-eaters, but there were no statistically significant differences between meat-eaters, vegetarians and vegans in pre- or post-menopausal plasma concentrations of oestradiol or SHBG. Before adjusting for BMI there were small differences in the direction expected, with the vegetarians and vegans having higher SHBG and lower oestradiol (more noticeable amongst post-menopausal women) than the meat-eaters. These small differences were essentially eliminated by adjusting for BMI. Thus this study implies that the relatively low BMI of vegetarians and vegans does cause small changes in SHBG and in post-menopausal oestradiol, but that the composition of vegetarian diets may not have any additional effects on these hormones. © 1999 Cancer Research Campaign

Keywords: vegetarian, vegan, oestradiol, sex hormone-binding globulin, body mass index, breast cancer

Full Text

The Full Text of this article is available as a PDF (67.9 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adlercreutz H., Hämäläinen E., Gorbach S. L., Goldin B. R., Woods M. N., Dwyer J. T. Diet and plasma androgens in postmenopausal vegetarian and omnivorous women and postmenopausal women with breast cancer. Am J Clin Nutr. 1989 Mar;49(3):433–442. doi: 10.1093/ajcn/49.3.433. [DOI] [PubMed] [Google Scholar]
  2. Appleby P. N., Thorogood M., Mann J. I., Key T. J. Low body mass index in non-meat eaters: the possible roles of animal fat, dietary fibre and alcohol. Int J Obes Relat Metab Disord. 1998 May;22(5):454–460. doi: 10.1038/sj.ijo.0800607. [DOI] [PubMed] [Google Scholar]
  3. Armstrong B. K., Brown J. B., Clarke H. T., Crooke D. K., Hähnel R., Masarei J. R., Ratajczak T. Diet and reproductive hormones: a study of vegetarian and nonvegetarian postmenopausal women. J Natl Cancer Inst. 1981 Oct;67(4):761–767. [PubMed] [Google Scholar]
  4. Barbosa J. C., Shultz T. D., Filley S. J., Nieman D. C. The relationship among adiposity, diet, and hormone concentrations in vegetarian and nonvegetarian postmenopausal women. Am J Clin Nutr. 1990 May;51(5):798–803. doi: 10.1093/ajcn/51.5.798. [DOI] [PubMed] [Google Scholar]
  5. Dowsett M., Goss P. E., Powles T. J., Hutchinson G., Brodie A. M., Jeffcoate S. L., Coombes R. C. Use of the aromatase inhibitor 4-hydroxyandrostenedione in postmenopausal breast cancer: optimization of therapeutic dose and route. Cancer Res. 1987 Apr 1;47(7):1957–1961. [PubMed] [Google Scholar]
  6. Fentiman I. S., Caleffi M., Wang D. Y., Hampson S. J., Hoare S. A., Clark G. M., Moore J. W., Bruning P., Bonfrer J. M. The binding of blood-borne estrogens in normal vegetarian and omnivorous women and the risk of breast cancer. Nutr Cancer. 1988;11(2):101–106. doi: 10.1080/01635588809513976. [DOI] [PubMed] [Google Scholar]
  7. Franks S., Kiddy D. S., Hamilton-Fairley D., Bush A., Sharp P. S., Reed M. J. The role of nutrition and insulin in the regulation of sex hormone binding globulin. J Steroid Biochem Mol Biol. 1991 Nov;39(5B):835–838. doi: 10.1016/0960-0760(91)90033-2. [DOI] [PubMed] [Google Scholar]
  8. Friedewald W. T., Levy R. I., Fredrickson D. S. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem. 1972 Jun;18(6):499–502. [PubMed] [Google Scholar]
  9. Goldin B. R., Adlercreutz H., Gorbach S. L., Warram J. H., Dwyer J. T., Swenson L., Woods M. N. Estrogen excretion patterns and plasma levels in vegetarian and omnivorous women. N Engl J Med. 1982 Dec 16;307(25):1542–1547. doi: 10.1056/NEJM198212163072502. [DOI] [PubMed] [Google Scholar]
  10. Gray G. E., Williams P., Gerkins V., Brown J. B., Armstrong B., Phillips R., Casagrande J. T., Pike M. C., Henderson B. E. Diet and hormone levels in Seventh-Day Adventist teenage girls. Prev Med. 1982 Jan;11(1):103–107. doi: 10.1016/0091-7435(82)90009-3. [DOI] [PubMed] [Google Scholar]
  11. Hankinson S. E., Willett W. C., Manson J. E., Colditz G. A., Hunter D. J., Spiegelman D., Barbieri R. L., Speizer F. E. Plasma sex steroid hormone levels and risk of breast cancer in postmenopausal women. J Natl Cancer Inst. 1998 Sep 2;90(17):1292–1299. doi: 10.1093/jnci/90.17.1292. [DOI] [PubMed] [Google Scholar]
  12. Judd H. L., Shamonki I. M., Frumar A. M., Lagasse L. D. Origin of serum estradiol in postmenopausal women. Obstet Gynecol. 1982 Jun;59(6):680–686. [PubMed] [Google Scholar]
  13. Key T. J., Chen J., Wang D. Y., Pike M. C., Boreham J. Sex hormones in women in rural China and in Britain. Br J Cancer. 1990 Oct;62(4):631–636. doi: 10.1038/bjc.1990.344. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Key T. J., Fraser G. E., Thorogood M., Appleby P. N., Beral V., Reeves G., Burr M. L., Chang-Claude J., Frentzel-Beyme R., Kuzma J. W. Mortality in vegetarians and non-vegetarians: a collaborative analysis of 8300 deaths among 76,000 men and women in five prospective studies. Public Health Nutr. 1998 Mar;1(1):33–41. doi: 10.1079/phn19980006. [DOI] [PubMed] [Google Scholar]
  15. Key T., Davey G. Prevalence of obesity is low in people who do not eat meat. BMJ. 1996 Sep 28;313(7060):816–817. doi: 10.1136/bmj.313.7060.816. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Persky V. W., Chatterton R. T., Van Horn L. V., Grant M. D., Langenberg P., Marvin J. Hormone levels in vegetarian and nonvegetarian teenage girls: potential implications for breast cancer risk. Cancer Res. 1992 Feb 1;52(3):578–583. [PubMed] [Google Scholar]
  17. Pike M. C., Spicer D. V., Dahmoush L., Press M. F. Estrogens, progestogens, normal breast cell proliferation, and breast cancer risk. Epidemiol Rev. 1993;15(1):17–35. doi: 10.1093/oxfordjournals.epirev.a036102. [DOI] [PubMed] [Google Scholar]
  18. Potischman N., Swanson C. A., Siiteri P., Hoover R. N. Reversal of relation between body mass and endogenous estrogen concentrations with menopausal status. J Natl Cancer Inst. 1996 Jun 5;88(11):756–758. doi: 10.1093/jnci/88.11.756. [DOI] [PubMed] [Google Scholar]
  19. Resnicow K., Barone J., Engle A., Miller S., Haley N. J., Fleming D., Wynder E. Diet and serum lipids in vegan vegetarians: a model for risk reduction. J Am Diet Assoc. 1991 Apr;91(4):447–453. [PubMed] [Google Scholar]
  20. Riboli E., Kaaks R. The EPIC Project: rationale and study design. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol. 1997;26 (Suppl 1):S6–14. doi: 10.1093/ije/26.suppl_1.s6. [DOI] [PubMed] [Google Scholar]
  21. Rose D. P. Dietary fiber and breast cancer. Nutr Cancer. 1990;13(1-2):1–8. doi: 10.1080/01635589009514040. [DOI] [PubMed] [Google Scholar]
  22. Shultz T. D., Leklem J. E. Nutrient intake and hormonal status of premenopausal vegetarian Seventh-day Adventists and premenopausal nonvegetarians. Nutr Cancer. 1983;4(4):247–259. doi: 10.1080/01635588209513765. [DOI] [PubMed] [Google Scholar]
  23. Shultz T. D., Wilcox R. B., Spuehler J. M., Howie B. J. Dietary and hormonal interrelationships in premenopausal women: evidence for a relationship between dietary nutrients and plasma prolactin levels. Am J Clin Nutr. 1987 Dec;46(6):905–911. doi: 10.1093/ajcn/46.6.905. [DOI] [PubMed] [Google Scholar]
  24. Thomas H. V., Key T. J., Allen D. S., Moore J. W., Dowsett M., Fentiman I. S., Wang D. Y. Re: Reversal of relation between body mass and endogenous estrogen concentrations with menopausal status. J Natl Cancer Inst. 1997 Mar 5;89(5):396–398. doi: 10.1093/jnci/89.5.396. [DOI] [PubMed] [Google Scholar]
  25. Thomas H. V., Reeves G. K., Key T. J. Endogenous estrogen and postmenopausal breast cancer: a quantitative review. Cancer Causes Control. 1997 Nov;8(6):922–928. doi: 10.1023/a:1018476631561. [DOI] [PubMed] [Google Scholar]
  26. Thorogood M., Carter R., Benfield L., McPherson K., Mann J. I. Plasma lipids and lipoprotein cholesterol concentrations in people with different diets in Britain. Br Med J (Clin Res Ed) 1987 Aug 8;295(6594):351–353. doi: 10.1136/bmj.295.6594.351. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Journal of Cancer are provided here courtesy of Cancer Research UK

RESOURCES