Little is known about the bioavailability of isoflavones in children. Previous studies have shown that children excrete more isoflavone in urine compared with adults. Thus we examined the relationship between usual dietary isoflavone intake and the urinary excretion of isoflavonoids in Korean girls of pubertal age. Twelve girls each were selected from the lowest and the highest quartiles of isoflavone intake among 252 Korean girls aged 8 -11 years. Age, BMI and sexual maturation stage were matched between the two groups. Dietary intakes for 3 d by diet record and overnight urine samples were collected at baseline and at 6 and 12 months. Total and individual isoflavone (daidzein, genistein and glycitein) intakes were calculated from diet records. The parent isoflavone compounds (daidzein, genistein and glycitein) and their metabolites (equol, O-desmethylangolensin (O-DMA), dihydrodaidzein and dihydrogenistein) present in the urine samples were analysed using liquid chromatography -MS. Intake levels of total and individual isoflavone compounds were significantly higher in the high isoflavone (HI) group than the levels in the low isoflavone (LI) group (P,0·05). Urinary excretion of all isoflavone parent compounds was significantly higher in the HI group than in the LI group (P,0·0001). Among isoflavone metabolites, only O-DMA and total metabolites were significantly different (P,0·05). Total isoflavone intake was highly correlated with the urinary excretion of total parent compounds (r 0·68; P,0·01), parent compounds plus their metabolites (r 0·66-0·69; P,0·01) and total isoflavonoids (r 0·72; P,0·0001). In conclusion, overnight urinary excretion of total isoflavonoids is a reliable biomarker of usual isoflavone intake in Korean girls of pubertal age.
Young Korean girls: Isoflavone intake: Isoflavone metabolites: Overnight urinary excretionIsoflavones have been associated with a lower risk of chronic diseases, including prostate, breast and colorectal cancer, CHD, osteoporosis and menopausal symptoms (1 -3) . Isoflavones are present in soya foods, mainly as glycosides. The major dietary isoflavones are daidzein, genistein and glycitein. Isoflavone glucosides are hydrolysed by intestinal b-glucosidases to produce aglycones (daidzein, genistein and glycitein) in the small intestine (4) . These aglycones are then absorbed by diffusion through the enterocyte and across the intestinal wall (5) and are further metabolised by the intestinal microflora in the large intestine. Daidzein is converted into dihydrodaidzein (DHDE), equol and O-desmethylangolensin (O-DMA), and genistein is converted into dihydrogenistein (DHGE) and p-ethylphenol, which are less predominant metabolites (6) . These compounds and metabolites circulate through the blood and are excreted in urine usually within 48 h after ingestion (7,8) .In several studies, urinary isoflavones were found to be reliable biomarkers for isoflavone consumption (9 -14) , and the urinary appearance of isoflavonoids accurately reflected circulating levels when the timin...