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. 2018 Nov 21;9(6):726–740. doi: 10.1093/advances/nmy048

TABLE 3.

Subgroup analysis for phytoestrogen intake and risk of T2D in studies conducted in women only1

Subgroups by study characteristics Number of studies Participants, n T2D cases, n RR (95% CI)
Study design
 Nested case-control 2 7950 425 0.97 (0.78, 1.20)
 Cohort 4 186,323 8218 0.89 (0.81, 0.99)
Type of phytoestrogen
 Isoflavones 4 105,096 3128 0.88 (0.76, 1.02)
 Other phytoestrogens 2 89,227 5515 0.95 (0.86, 1.05)
Difference between phytoestrogen intake in
highest vs. lowest quantile
 Median or less (≤5.33-fold) 3 73,037 1321 0.86 (0.68, 1.10)
 Higher than median (>5.33-fold) 3 110,832 6796 0.93 (0.88, 0.99)
Location
 Asia 3 73,087 1321 0.86 (0.68, 1.10)
 Other 3 121,236 7322 0.93 (0.88, 0.99)
Age, y
  Median or less (≤53.35) 3 105,669 2827 0.87 (0.69, 1.09)
 Higher than median (>53.35) 3 78,200 5290 0.93 (0.88, 0.99)
BMI, kg/m2
  Median or less (≤25.69) 3 39,959 2232 0.93 (0.86, 0.99)
 Higher than median (>25.69) 3 143,910 5885 0.87 (0.74, 1.03)

1“Study population” indicates studies conducted only in women: investigation performed only among female population, after excluding studies [Muller et al. (14), and Zamora-Ros et al. (15)] that reported overall results for male and female subjects but stated that they tested the interaction term with sex. “Study design”: only prospective cohort and nested case-control studies were included. “Type of phytoestrogen”: “Soy products” estimates were pooled together for soy beans, soy milk, soy flour, and other soy products. “Location”: “Asia” (South Korea, Japan, and 2 studies from China; “Other”: Europe and 2 studies from the United States). T2D, type 2 diabetes.