Review Article

Mitochondria- and Oxidative Stress-Targeting Substances in Cognitive Decline-Related Disorders: From Molecular Mechanisms to Clinical Evidence

Table 4

Clinical trials on the effects of phytoestrogens.

Study designPhytoestrogens dose/preparationDurationSubjectsPurposeMain resultsReferences

Healthy individuals and postmenopausal women
Randomized control trialHigh soya (100 mg total isoflavones/day) or a low soya (0.5 mg total isoflavones/day) diet10 weeks(27)
Young healthy adults (15 men, 12 women)
Effects on memory, attention, and frontal lobe functionImprovements in short-term memory, long-term memory and mental flexibilityFile et al., 2015 [159]
DB, CO, PC4 capsules/day containing soya isoflavones (116 mg isoflavone equivalents/day: 68 mg daidzein, 12 mg genistein, and 36 mg glycitin) or placebo6 weeks(34)
Men aged 30-80 years
Effects on cognitive functionImprovements of spatial working memory but no effect on auditory and episodic memory and executive function and visual-spatial processingThorp et al., 2009 [160]
18
R, DB, CO, PC
Isoflavone supplementation 60 mg/day or placebo6 months(78)
Postmenopausal women (mean age 49.5 years)
Effects of soy isoflavones on mood and cognitive function in postmenopausal womenImprovements in mental flexibility, attention, mood, and lower depressive symptomsCasini et al., 2006 [161]
R, DB, PC100 mg/day soy isoflavones (glycoside weight) or matching placebo tablets6 monthsOlder nondemented men and women (age 62-89 years)Examination of safety, feasibility, and cognitive efficacy of soy isoflavone administrationImprovements of visual-spatial memory and construction of verbal fluency and speeded dexterityGleason et al., 2009 [162]
R, DB, PC20 g of soy protein containing 160 mg of total isoflavones12 weeks(93)
Healthy postmenopausal women (mean age 56 years)
Effect of a high-dose isoflavones on cognition, quality of life, lipoproteins, and androgen status in postmenopausal womenSignificant improvement in the quality of life versus placebo. No significant effects in cognition. The testosterone and HDL levels were significantly lower at the end of the study.Basaria et al., 2009 [163]

The number of patients involved in the trials is indicated in parentheses.