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Soybeans, legumes, and type 2 diabetes

Readers of a certain age may recall the old rhyme:
"Beans, beans, they're good for your heart
the more you eat, the more you..."
We'll just leave it at that.

It's true that legumes, which include beans like black beans or Great Northern beans as well as soybeans, green beans, and okra, can help you improve your cholesterol scores and your blood pressure as well as reducing your risk of heart disease. Soybeans have been of particular interest because they are an important source of protein in large portions of the world's population. Consuming soybeans and processed soy has been linked with improvements in the elements of Metabolic Syndrome, and while there's been some concern that the phytoestrogens soybeans contain might increase the risk of breast cancer, the best research we have now indicates that eating more soy might actually reduce your risk of breast cancer.

Today's spotlighted research looks at soy intake and diabetes. Chinese researchers recruited nearly 65,000 Chinese women between the ages of 40 and 70 who lived in 7 urban areas in Shanghai, China to participate in the prospective (following people over time) study (Am J Clin Nutr 2008;87:162-7). At the start of the study, trained interviewers administered detailed dietary, health, and demographic questionnaires as well as measuring height, weight, and waist and hip circumferences. Women who had been diagnosed with diabetes, heart disease, or cancers were excluded from participation.

Two years later the participants were visited again and dietary and health questionnaires were again administered, noting if any of the women had been diagnosed with type 2 diabetes in the interim. After another two years the authors again noted any women who had been diagnosed with type 2 diabetes in the intervening period and the study ended.

The authors analyzed the participants' intake of legumes in general and soybeans and soy products in particular and grouped that intake into five increasing levels of consumption. They then compared the diets of those who developed type 2 diabetes with those who did not, after taking into account such variables as Body Mass Index, Waist to Hip Ratio, physical activity, vegetable intake, total caloric intake, education, smoking status, and menopausal status.

Compared to those who ate the least amount of legumes (including soybeans and peanuts), those who ate the most legumes were 38% less likely to develop type 2 diabetes. Soybeans alone seemed to be more powerful, however: those who ate the most soybeans were 47% less likely to develop diabetes than those who ate the least soybeans, while those who ate the most soy protein were only 12% less likely to develop diabetes than those who consumed the least soy protein. Interestingly, those in the second quintile of intake of soy protein were 25% less likely than those who ate the least - suggesting that it's the soybeans as a whole and not just the soy protein they contain that is what we might call the active ingredient.

What this means for you

The average Westerner is unlikely to consume as much soy as those who live in Asian countries. That said, it's clear that soybeans (also known as edamame) are great for you - but so are other legumes. Kids love to eat edamame in pods, steamed and sprinkled with a bit of salt, or try one of these Dr. Gourmet recipes to add some edamame to your diet.

Ginger Chicken with Edamame
Asian Peanut Chicken with Noodles
Asian Yam Salad
Seared Tuna with Asian Vinaigrette
Shrimp Fried Rice | Low Sodium Version

First posted: November 16, 2016