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BMJ 2004;329 (2 October), doi:10.1136/bmj.329.7469.0-f
| The first 150 words of the full text of this article appear below. |
Question Do isoflavones improve cognitive function, bone mineral density, and plasma lipids in postmenopausal women?
Synopsis Recent trials have not shown a benefit of postmenopausal oestrogen in improving cognitive function, reducing cardiovascular complications, or maintaining long term protection against fractures. These authors evaluated whether naturally occurring plant isoflavones (phytoestrogens) can be used as an effective alternative for traditional oestrogen therapy. They assigned 202 healthy postmenopausal women aged 60 to 75 years in a double blind fashion (uncertain allocation concealment) to receive 25.6 g of soy protein containing 99 mg of isoflavones (52 mg genistein, 41 mg daidzein, and 6 mg glycetein) or matching placebo on a daily basis for 12 months. Although not specifically stated in the manuscript, contact with the authors clarified that outcomes were assessed by individuals blinded to treatment group assignment. Follow up was complete for 86% of the original participants. On intention to treat analysis, cognitive
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