Estrogen excretion patterns and plasma levels in vegetarian and omnivorous women
Abstract
We studied 10 vegetarian and 10 nonvegetarian premenopausal women on four occasions approximately four months apart. During each study period, the participants kept three-day dietary records, and estrogens were measured in plasma, urinary, and fecal samples. Vegetarians consumed less total fat than omnivores did (30 per cent of total calories, as compared with 40 per cent) and more dietary fiber (28 g per day, as compared with 12 g). There was a positive correlation between fecal weight and fecal excretion of estrogens in both groups (P less than 0.001), with vegetarians having higher fecal weight and increased fecal excretion of estrogens. Urinary excretion of estriol was lower in vegetarians (P less than 0.05), and their plasma levels of estrone and estradiol were negatively correlated with fecal excretion of estrogen (P = 0.005). Among the vegetarians the beta-glucuronidase activity of fecal bacteria was significantly reduced (P = 0.05). We conclude that vegetarian women have an increased fecal output, which leads to increased fecal excretion of estrogen and a decreased plasma concentration of estrogen.
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The high-fiber content of the traditional Mediterranean diet can enhance fecal mass and the excretion of estrogens, resulting in reduced plasma concentrations of estrone and estradiol.
“Moreover, it has been shown that the high-fiber content of the traditional Mediterranean diet can enhance fecal mass and the excretion of estrogens, resulting in reduced plasma concentrations of estrone and estradiol (71).”
From Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms (2018) · cites this paper as [71]
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Health Benefits of the Mediterranean Diet: Metabolic and Molecular Mechanisms
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- Authors
- Goldin, B. R., Adlercreutz, H., Gorbach, S. L., Warram, J. H., Dwyer, J. T., Swenson, L., & Woods, M. N.
- ORCID
- Dwyer, Johanna T.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1982-12-16
- Volume
- 307
- Issue
- 25
- Pages
- 1542-1547
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2020203135
- Cited by
- 474
- References
- 37
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 10 · 2021: 10 · 2020: 9 · 2019: 12 · 2018: 7 · 2017: 8 · 2016: 8 · 2015: 13 · 2014: 2 · 2013: 6 · 2012: 5
- FWCI
- 8.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Phytoestrogen effects and research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Menopause: Health Impacts and Treatments
- Keywords
- vegetarian diet, estrogen excretion, fecal estrogen, urinary estriol, plasma estradiol, fecal weight, dietary fiber, dietary fat, beta-glucuronidase, fecal bacteria, premenopausal women, estrogen metabolism
- MeSH terms
- Adult, Energy Intake, Diet, Dietary Fats, Estradiol, Estrogens, Estrone, Feces, Female, Glucuronidase, Humans, Diet, Vegetarian
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