Understanding Sex Hormone-Binding Globulin (SHBG)
Sex hormone-binding globulin (SHBG) is a protein produced by the liver that binds to sex hormones, primarily testosterone and estrogen, and transports them in the blood. The amount of these hormones that are 'bound' by SHBG is not available for the body's tissues to use, while the 'free' or unbound hormones are readily available. Therefore, having high SHBG levels means that more sex hormones are bound, resulting in lower levels of free, biologically active hormones. A number of dietary factors can influence the liver's production of this protein, impacting overall hormonal balance.
Dietary Patterns Linked to Increased SHBG
Several broad dietary approaches have been associated with higher SHBG levels, though the effects can sometimes be contradictory and depend on individual physiology.
Vegetarian and Vegan Diets
Research has consistently shown that men on vegetarian and vegan diets have higher SHBG levels compared to those who eat meat. This is thought to be a result of a combination of factors typical in these diets:
- Higher Fiber Intake: As seen in numerous studies, higher fiber intake is correlated with increased SHBG.
- Lower Protein Intake: Some studies suggest that lower protein intake, often a characteristic of these diets, can lead to elevated SHBG, particularly in men.
- Lower Fat Intake: Similarly, low-fat diets have been linked to an increase in SHBG levels.
Low-Protein and Low-Fat Diets
Diets characterized by low protein and low-fat content are frequently cited as contributing to higher SHBG. This may be particularly relevant in cases of malnutrition or disorders like anorexia nervosa, where extreme caloric restriction and low protein intake lead to significantly elevated SHBG levels. A high-protein diet, conversely, has been shown to potentially lower SHBG.
Specific Foods and Compounds That May Cause High SHBG
Beyond general dietary patterns, certain foods and compounds have been shown to influence SHBG production more directly.
Phytoestrogen-Rich Foods, like Soy and Flaxseed
- Soy Products: Soy contains phytoestrogens, plant-derived compounds that can mimic estrogen in the body. The effect of soy on SHBG is not entirely clear, with some studies showing an increase, others no effect, and some even showing a decrease depending on the form and quantity consumed. However, the estrogen-like effects are often cited as a possible reason for increased SHBG levels observed in some individuals.
- Flaxseed: Flaxseed is a notable source of lignans, which are a type of phytoestrogen. Studies have shown that lignans can increase the synthesis of SHBG, and flaxseed supplementation has been linked to decreased testosterone levels in women with PCOS, suggesting an increase in SHBG is at play.
Excessive Alcohol Consumption
While moderate alcohol intake may not have a significant impact or could even lower SHBG, excessive and chronic alcohol consumption is strongly associated with a marked, several-fold increase in SHBG levels, particularly in men. This effect is pronounced even in the absence of severe liver damage and is a potential marker for heavy drinking.
Caffeinated Beverages
Studies on caffeine have shown a positive correlation between caffeine consumption and plasma SHBG levels. Research suggests that caffeine may increase SHBG indirectly by influencing other processes in the body, such as increasing adiponectin production in adipose tissue, which subsequently increases hepatic SHBG production.
Specific Nuts
Some nuts, such as walnuts and almonds, are rich in specific types of fatty acids that have been linked to increased SHBG production. A 2011 study on women with PCOS found that consuming walnuts increased SHBG by 12.5% and almonds by 16%, possibly due to their high content of polyunsaturated and monounsaturated fatty acids, respectively.
Low-Carbohydrate Diets (can also cause high SHBG)
While some diets suggest reducing carbohydrates to lower SHBG, extreme caloric restriction or very low-carbohydrate diets can actually lead to an increase in SHBG, especially when coupled with low fat intake. This highlights the complex interplay between different macronutrients and their effects on hormonal regulation. A diet balanced in protein, fat, and carbohydrates is generally recommended for maintaining hormonal health.
Influences on SHBG Levels: A Comparison
| Factor | Effect on SHBG | Explanation | 
|---|---|---|
| High Fiber Diet | Increase | Increases liver production and may be linked to lower circulating estrogens and androgens. | 
| Low Protein Diet | Increase | Less protein intake is associated with higher SHBG concentration. | 
| Excessive Alcohol | Significant Increase | High consumption impairs liver function and massively raises SHBG. | 
| Underweight/Anorexia | Increase | Extreme low caloric intake and malnutrition leads to elevated SHBG. | 
| Soy/Flaxseed | Potential Increase | Phytoestrogens and lignans can influence estrogen and SHBG levels, though results are mixed. | 
| High Protein Diet | Decrease | Higher protein intake is associated with lower SHBG levels. | 
| Refined Carbs/Sugar | Decrease | Spikes insulin, which inhibits SHBG synthesis. | 
| Resistance Training | Variable | Can increase SHBG with intense training, but effects vary. | 
What to Eat for Optimal SHBG Balance
For those aiming to influence their SHBG levels, a balanced and moderate approach is often best. Rather than focusing solely on foods that increase or decrease SHBG, prioritizing overall health is key.
Increase Protein Intake
Incorporating sufficient protein from sources like lean meats, fish, eggs, and legumes can help regulate SHBG levels. A higher protein diet has been shown to be associated with lower SHBG levels.
Moderate Fiber and Phytoestrogens
If you have high SHBG, you may consider moderating your intake of very high-fiber foods and potent phytoestrogen sources like flaxseed. A balanced intake of vegetables, whole grains, and fruits is still crucial for health, but extremes may need to be addressed.
Increase Healthy Fats
While low-fat diets can increase SHBG, incorporating healthy fats from sources like olive oil and avocado can support hormonal health. A Mediterranean diet, which includes healthy fats, has been associated with beneficial hormonal changes.
Conclusion: Seeking Balance for Hormonal Health
Understanding what foods cause high SHBG involves recognizing how dietary patterns, macronutrient ratios, and specific food compounds impact this liver-produced protein. Diets high in fiber, low in protein and fat, and vegetarian or vegan diets are all consistently linked to higher SHBG levels. Additionally, heavy alcohol consumption and certain phytoestrogen-rich foods like flaxseed can also play a role. Conversely, increasing protein and moderating excessive fiber can help lower SHBG levels. For personalized advice, it is always recommended to consult with a healthcare provider or a registered dietitian. Monitoring dietary intake and making gradual, sustainable changes is the most effective strategy for managing SHBG and achieving overall hormonal balance.
For more detailed research, refer to studies like the one on dietary components and SHBG levels in men.