Effects of soy isoflavones on mammographic density and breast parenchyma in postmenopausal women: A randomized, double-blind, placebo-controlled clinical trial

OBJECTIVE: This study aims to evaluate the effects of soy isoflavones on breast tissue in postmenopausal women. METHODS: In this randomized, double-blind, placebo-controlled study, 80 women (aged ≥45 y and with amenorrhea >12 mo) with vasomotor symptoms were randomized to receive either 250 mg of standardized soy extract corresponding to isoflavone 100 mg/day (n = 40) or placebo (n = 40) for 10 months. Breasts were evaluated through mammographic density and breast parenchyma using ultrasound (US) at baseline and 10-month follow-up. Independent t test, analysis of variance, Mann-Whitney U test, and χ2 trend test were used in statistical analysis. RESULTS: Baseline clinical characteristics showed no significant differences between the isoflavone group and the placebo group, with mean (SD) age of 55.1 (6.0) and 56.2 (7.7) years, mean (SD) menopause duration of 6.6 (4.8) and 7.1 (4.2) years, and mean (SD) body mass index of 29.7 (5.0) and 28.5 (4.9) kg/m2, respectively (P > 0.05). The study was completed by 32 women on isoflavone and 34 women on placebo. The groups did not differ in mammographic density or breast parenchyma by US (P > 0.05). Within each group, the baseline and final moments did not differ in mammography or US parameters significantly (P > 0.05). CONCLUSIONS: The use of soy isoflavone extract for 10 months does not affect breast density, as assessed by mammography and US, in postmenopausal women. © 2013 by The North American Menopause Society.

Holocene millenial-scale productivity record in the Mediterranean Sea

The calcareous nannofossil assemblages of Ocean Drilling Program Hole 963D from the central Mediterranean Sea have been investigated to document oceanographic changes in surface waters. The studied site is located in an area sensitive to large-scale atmospheric and climatic systems and to high- and low-latitude climate connection. It is characterized by a high sedimentation rate (the achieved mean sampling resolution is <70 years) that allowed the Sicily Channel environmental changes to be examined in great detail over the last 12 ka BP. We focused on the species Florisphaera profunda that lives in the lower photic zone. Its distribution pattern shows repeated abundance fluctuations of about 10-15%. Such variations could be related to different primary production levels, given that the study of the distribution of this species on the Sicily Channel seafloor demonstrates the significant correlation to productivity changes as provided by satellite imagery. Productivity variations were quantitatively estimated and were interpreted on the basis of the relocation of the nutricline within the photic zone, led by the dynamics of the summer thermocline. Productivity changes were compared with oceanographic, atmospheric, and cosmogenic nuclide proxies. The good match with Holocene master records, as with ice-rafted detritus in the subpolar North Atlantic, and the near-1500-year periodicity suggest that the Sicily Channel environment responded to worldwide climate anomalies. Enhanced Northern Hemisphere atmospheric circulation, which has been reported as one of the most important forcing mechanisms for Holocene coolings in previous Mediterranean studies, had a remarkable impact on the water column dynamics of the Sicily Channel.