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Flax Lignans for Womens Health PDF Print E-mail

Menopause

Flax lignans provide significant health benefits for women. Because lignans are phytoestrogens, they have the potential to help reduce symptoms of menopause. One study found that 40 grams of crushed flaxseed per day was as effective as HRT in alleviating mild menopausal systems.

Breast Health

Early research also suggests lignans may protect against hormone related cancer such as breast cancer. Protective effects have been shown in rats fed flaxseed or purified SDG from flax. As previously discussed, SDG is the main lignan found in flaxseed and when consumed is converted to mammalian lignans, enterolactone and enterodiol, that are responsible for administering the many health benefits to the body.

Studies in humans are also suggestive of protective effects but are not conclusive at this point. Observation studies have found that breast cancer patients and people at high risk of breast cancer excrete less mammalian lignans than people with a lower risk of breast cancer. A study in Finland found that women with high enterolactone levels in their blood had a lower risk of breast cancer. High levels of enterolactone (a mammalian lignan) indicate increased dietary intake of plant lignans, such as SDG. These studies suggest that eating a diet rich in lignans may be protective against breast cancer.

A recent human clinical trial examined the effects of flaxseed on estrogen metabolism in 28 postmenopausal women. Researchers looked at two pathways of estrogen metabolism involving the production of different estrogen metabolites. The ratio of these metabolites is used as a marker for breast cancer risk. The women were given 0, 5 or 10 grams of ground flaxseed a day for seven weeks. Those who ate flaxseed had an improved ratio of estrogen metabolites, suggesting that flaxseed has protective effects against cancer in postmenopausal women. The higher doses of flax led to a greater positive response. A similar study was carried out, this time in 16 premenopausal women. Again ten grams of flaxseed per day was given and found to improve the ratio of estrogen metabolites, suggesting a chemoprotective effect in premenopausal women.

A preliminary study of 39 women with newly-diagnosed breast tumors examined the effects of flaxseed on breast cancer growth. Women were randomized to eat daily a muffin containing 0 or 25 grams of flaxseed for a little over a month. The women who ate flaxseed muffins demonstrated reductions in breast cell proliferation and tumor growth at a rate similar to effects seen with tamoxifen (a breast cancer drug) treatments.

Authors of the above studies indicate that lignans played a role, although it was not directly proven that lignans were the only compounds producing the beneficial effects. However, lignans have been shown to inhibit estrogenstimulated growth of breast cancer cells in a test tube. In addition, purified lignans from flax (SDG) were shown to inhibit tumor growth in rats. These results suggest that lignans do play a significant role in the anticancer activity of flaxseed. These studies discussed are not concrete proof that women who eat flaxseed are less likely to get breast cancer. However, evidence is accumulating that lignans do contribute to breast health.

Flax lignans may promote breast health by acting as a phytoestrogens and also by acting as antioxidants. In addition, research also suggests that flax and its lignans may decrease angiogenesis or the growth of blood vessels that supply oxygen and nutrients to tumors for growth.

Bone Health

Research further indicates that lignans may promote and support bone health. It is known that hormone deficiency is a risk factor for osteoporosis in postmenopausal women. As phytoestrogens, lignans are reported to possesses both weak estrogenic and antiestrogenic activities and may be a natural alternative for women in preserving bone health. A study to examine the effects of flaxseed on bone metabolism in postmenopausal women who were not on hormone replacement therapy stated that, “observations suggest flaxseed may exert positive effects on bone metabolism by reducing the rate of bone reabsorption, resulting in a net bone gain.” Additionally, its positive effects on bone metabolism may be through improved antioxidant status. However, in a followup study, there was no effect of flaxseed on bone metabolism in postmenopausal women. Therefore, more research is needed to determine whether longer term studies with lignans will have a positive influence on other bone measurements such as bone mineral density.
 
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