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Soja et grossesse : bienfaits, risques et alternatives

Soya and pregnancy: benefits, risks and alternatives

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Soya and pregnancy compatibility is a question many mothers ask themselves. Is it safe for pregnant women? ANSES recommends that pregnant women in particular limit soya-based foods in their diet. It can be consumed in various forms, including: sprouts, tofu, plant-based drinks, yoghurts, tempeh, vegetable steaks, processed foods, substitutes, sauces, etc.

What are its potential benefits and risks? This article takes stock of the question.

The benefits of soya during pregnancy

Soya is an excellent source of essential nutrients that are especially beneficial during pregnancy. It is, for example, rich in plant-based protein. This makes it ideal for pregnant women following a vegetarian or vegan diet. During pregnancy, protein requirements increase, particularly to support the baby's growth.

It also has notable nutritional benefits. It is rich in vitamin B9 (folates). This is one of the essential vitamins for pregnant women. It contributes in particular to reducing the risk of neural tube defects in the baby. It is the food supplement for pregnant women essential. 

It is a source of iron and calcium. These are two essential minerals, particularly for foetal development and maternal health.

It also contains omega-3, alpha-linolenic acid. This can be converted by the body into DHA. DHA is one of the essential fatty acids for your baby's brain and vision development.

Furthermore, unlike red meat and dairy products that are high in saturated fats, soya is low in saturated fats and contains no cholesterol. It therefore fits well within a varied and balanced diet. 

Its nutritional benefits do, however, depend on how soya is consumed: fermented, processed, and so on. 

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The potential risks of soya during pregnancy

Although soy has nutritional benefits, excessive intake should be avoided, as we shall see below.

Soy phyto-oestrogens

The general population recommendation not to exceed 1 mg/kg/day of phyto-oestrogens per day should be particularly observed in pregnant women (and during breastfeeding) [1].

Phyto-oestrogens (particularly isoflavones) are substances naturally present in certain plants, particularly soy. They are considered endocrine disruptors. Indeed, they share a structural similarity with oestradiol (an oestrogen) and are capable of binding to oestrogen receptors. 

Studies increasingly show that soy isoflavones not only affect fertility but also impact the reproductive organs of the foetus and pregnancy outcomes (including miscarriage) [2].

According to animal studies, this could also have an impact on breast or testicular cancer in children later in life [3]. However, this has not been proven in humans. 

Soy contains anti-nutrients

Anti-nutrients are compounds that interfere with the absorption of nutrients. 

Soy is particularly rich in phytic acid. This is a substance that binds to certain minerals and thereby prevents their intestinal absorption. This applies to calcium, magnesium, copper, iron and zinc, for example [4]. 

However, some soy-based foods may contain less phytic acid. This is the case for fermented foods. Indeed, phytic acid decreases by 30.7% during fermentation [5]. Soy sauce, tempeh, miso and natto are fermented products and therefore contain lower levels of phytic acid. 

Soy also contains an inhibitor of an enzyme that enables protein absorption [6].

Soy can affect the thyroid

Maternal and foetal thyroid hormones regulate key processes in the development of the foetus's brain and nervous system, including nerve cell growth and neuron formation [7]. 

Iodine deficiency significantly increases the anti-thyroid effects of soy, whereas iodine supplementation is protective. Therefore, its effects on the thyroid will partly depend on iodine status [8]. 

Soy contains pesticides

Even in the case of non-genetically modified soy, the majority of it is grown on large farms that use glyphosate. This is a pesticide used to control weeds. It is also used to dry the plant before it does so naturally, in order to achieve a faster harvest. Consuming soy containing pesticides is particularly harmful during pregnancy. Indeed, exposure to glyphosate during the first trimester has been linked to a higher risk of gestational diabetes [9].

Furthermore, glyphosate has been linked to congenital abnormalities and other reproductive problems, including hormonal and placental abnormalities [10]. It also impacts embryonic development [11].

Of course, if you consume organic soy, the risks are much lower. First, it will not be genetically modified. Secondly, its cultivation does not involve the use of pesticides. There may be residues that could result from contamination by neighbouring non-organic crops, but the levels will be considerably lower.

Soy contains aluminium

To manufacture soy protein isolate — the high-protein derivative of soy used in snacks, infant formula, protein bars, breakfast cereals, baked goods, ice cream and yoghurt — soy beans undergo washing in aluminium tanks, among other processes. This results in high levels of aluminium in the final product. Consequently, soy-based formula may contain around 1,000% more aluminium than standard milk-based formula [12]. 

A major example of this contamination issue is soy-based infant formula. It is notably considered to contain too much aluminium [13]. 

Aluminium preferentially accumulates in the brain and has been linked to neurological problems [14]. Aluminium also crosses the placenta with ease. In mouse studies, it has shown toxicity to placental and uterine cells [15].

Based on an average intake of two servings of soy drink per day (250 ml per serving), this results in a significant daily aluminium intake, though one that remains below the recommended maximum amount. However, higher consumption could exceed the recommended maximum value for aluminium [16].

Soya and pregnancy: official recommendations

The guidance on soya during pregnancy is clear. Indeed: 

The French Agency for Food, Environmental and Occupational Health & Safety (ANSES) recommends moderate consumption of soya during pregnancy, limiting isoflavone intake. "During pregnancy and breastfeeding, limit soya-based foods (no more than one per day). The general population recommendation not to exceed 1 mg/kg/day of phyto-oestrogens should be particularly observed during pregnancy and breastfeeding. Consumption of food supplements containing phytoestrogens should be avoided."

The nutrition guide during pregnancy from the National Nutrition and Health Programme (PNNS) makes the same recommendation. 

The key is therefore not to eat large quantities of soya on a daily basis. It is important to vary your diet to avoid any hormonal imbalance.

Furthermore, regular consumption in children under 3 years of age is advised against.

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Alternatives to soy during pregnancy

If you wish to limit or avoid soya during your pregnancy, several alternatives exist. For example:

Other sources of plant-based protein: lentils, chickpeas, kidney beans. If you can eat them, eggs are an excellent alternative. Eggs also contain choline — a key nutrient during pregnancy for your baby's development. They also provide vitamin D and DHA. Other alternatives? Our supplements omega-3 pregnancy and choline pregnancy.

Some plant-based milks: almond, coconut or oat milk.

Alternative fermented foods: lacto-fermented vegetables, yoghurts.

Seeds and nuts: almonds, walnuts, chia seeds and flaxseeds for a good intake of healthy fats and proteins.

Pregnancy food challenge

Our step-by-step advice for your diet during pregnancy

Soya and pregnancy: benefits, risks and alternatives

Soy and pregnancy: a summary

Soya contains many compounds that can be harmful, particularly during pregnancy (phyto-oestrogens, phytic acid, pesticides, aluminium, etc.). Intake should be moderated during pregnancy. Natural forms such as tofu, miso or tempeh are preferable. Choose organic soya. It is recommended to seek advice from your doctor or dietitian before incorporating soya into your diet.

<p><a href="https://www.anses.fr/fr/system/files/NUT2017SA0141.pdf">Source 1</a>: « AVIS révisé de l'Anses relatif à l'actualisation des repères alimentaires du PNNS – Femmes enceintes et allaitantes | Anses – Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail », 2019</p><p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0303720711007374?via%3Dihub">Source 2</a>: « Soy, Phytoestrogens and Their Impact on Reproductive Health », 2012</p><p><a href="https://www.anses.fr/fr/system/files/NUT-Sy-phytoestrogenes.pdf">Source 3</a>: « Sécurité et bénéfices des phyto-estrogènes apportés par l'alimentation – Recommandations », 2005</p><p><a href="https://ifst.onlinelibrary.wiley.com/doi/10.1046/j.1365-2621.2002.00618.x">Source 4</a>: « Minerals and Phytic Acid Interactions: Is It a Real Problem for Human Nutrition? », 2002</p><p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0260877402002625?via%3Dihub">Source 5, 6</a>: « Effect of Soaking, Dehulling, Cooking and Fermentation with Rhizopus Oligosporus on the Oligosaccharides, Trypsin Inhibitor, Phytic Acid and Tannins of Soybean (Glycine Max Merr.), Cowpea (Vigna Unguiculata L. Walp) and Groundbean (Macrotyloma Geocarpa Harms) », 2003</p><p><a href="https://www.mdpi.com/2072-6643/11/2/443">Source 7</a>: « Macronutrient and Micronutrient Intake during Pregnancy: An Overview of Recent Evidence », 2019</p><p><a href="https://ehp.niehs.nih.gov/doi/10.1289/ehp.02110s3349">Source 8</a>: « Goitrogenic and estrogenic activity of soy isoflavones. », 2002</p><p><a href="https://diabetesjournals.org/care/article/30/3/529/25531/Pesticide-Exposure-and-Self-Reported-Gestational">Source 9</a>: « Pesticide Exposure and Self-Reported Gestational Diabetes Mellitus in the Agricultural Health Study », 2007</p><p><a href="https://link.springer.com/article/10.1007/s00244-006-0154-8">Source 10</a>: « Time- and Dose-Dependent Effects of Roundup on Human Embryonic and Placental Cells », 2007</p><p><a href="https://pubs.acs.org/doi/10.1021/tx1001749">Source 11</a>: « Glyphosate-Based Herbicides Produce Teratogenic Effects on Vertebrates by Impairing Retinoic Acid Signaling », 2010</p><p><a href="https://theecologist.org/2009/jan/06/behind-label-soya">Source 12</a>: « Behind the Label: Soya », 2009</p><p><a href="https://onlinelibrary.wiley.com/doi/10.1097/01.mpg.0000189358.38427.cd">Source 13</a>: « Soy Protein Infant Formulae and Follow-on Formulae: A Commentary by the ESPGHAN Committee on Nutrition », 2006</p><p><a href="https://www.sciencedirect.com/science/article/abs/pii/S0013935102943525?via%3Dihub">Source 14</a>: « Aluminum: Impacts and Disease », 2002</p><p><a href="https://jbums.org/article-1-2648-en.html">Source 15</a>: « Toxicity Effects of Aluminum Chloride on Uterus and Placenta of Pregnant Mice », 2005</p><p><a href="https://www.sciencedirect.com/science/article/pii/S0362028X22055387?via%3Dihub">Source 16</a>: « Human Exposure to Potentially Toxic Elements from the Consumption of Soybean Beverages Commercialized in Spain », 2021</p>

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