Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women
Young Indian women may be at risk of poor bone health due to malnutrition. The aim of this study was to examine the effects on bone metabolism of a nutritional supplement in women aged 25 to 44. The nutritional supplement was a protein-rich beverage powder fortified with multi-micronutrients includi...
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doaj-9604486f98ec453b8a0ba8d83164cda32021-01-27T00:00:24ZengMDPI AGNutrients2072-66432021-01-011336436410.3390/nu13020364Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal WomenPramod B. Umarji0Pankaj Verma1Vivek Garg2Marian Schini3Richard Eastell4Umarji Healthcare, Pune, Maharashtra 411045, IndiaHindustan Unilever Limited R&D, Gurugram, Haryana 122002, IndiaHindustan Unilever Limited R&D, Gurugram, Haryana 122002, IndiaAcademic Unit of Bone Metabolism, University of Sheffield, Sheffield S10 2NR, UKAcademic Unit of Bone Metabolism, University of Sheffield, Sheffield S10 2NR, UKYoung Indian women may be at risk of poor bone health due to malnutrition. The aim of this study was to examine the effects on bone metabolism of a nutritional supplement in women aged 25 to 44. The nutritional supplement was a protein-rich beverage powder fortified with multi-micronutrients including calcium (600 mg), vitamin D (400 IU), and vitamin K (55 mcg) per daily serving, while a placebo supplement was low-protein non-fortified isocaloric beverage powder. This 6-month randomised, controlled trial showed favorable changes in bone turnover markers (decreased) and calcium homeostasis; such changes in older adults have been associated with slowing of bone loss and reduced fracture risk. For example, serum CTX decreased by about 30% and PINP by about 20% as a result of the increase in calcium intake. There were also changes in the ratio of carboxylated to undercarboxylated osteocalcin and such changes have been linked to a slowing of bone loss in older subjects. For example, the ratio increased by about 60% after 3 months as a result in the improvement in vitamin K status. Finally, there were improvements in the status of B vitamins, and such changes have been associated with reductions in homocysteine, but it is uncertain whether this would affect fracture risk. The product was generally well tolerated. This study shows the nutritional supplement holds promise for improved bone health among young Indian women.https://www.mdpi.com/2072-6643/13/2/364osteoporosisbone turnover markersvitamin Dvitamin Kvitamin B6vitamin B12 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Pramod B. Umarji Pankaj Verma Vivek Garg Marian Schini Richard Eastell |
spellingShingle |
Pramod B. Umarji Pankaj Verma Vivek Garg Marian Schini Richard Eastell Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women Nutrients osteoporosis bone turnover markers vitamin D vitamin K vitamin B6 vitamin B12 |
author_facet |
Pramod B. Umarji Pankaj Verma Vivek Garg Marian Schini Richard Eastell |
author_sort |
Pramod B. Umarji |
title |
Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women |
title_short |
Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women |
title_full |
Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women |
title_fullStr |
Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women |
title_full_unstemmed |
Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women |
title_sort |
randomised controlled trial of nutritional supplement on bone turnover markers in indian premenopausal women |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-01-01 |
description |
Young Indian women may be at risk of poor bone health due to malnutrition. The aim of this study was to examine the effects on bone metabolism of a nutritional supplement in women aged 25 to 44. The nutritional supplement was a protein-rich beverage powder fortified with multi-micronutrients including calcium (600 mg), vitamin D (400 IU), and vitamin K (55 mcg) per daily serving, while a placebo supplement was low-protein non-fortified isocaloric beverage powder. This 6-month randomised, controlled trial showed favorable changes in bone turnover markers (decreased) and calcium homeostasis; such changes in older adults have been associated with slowing of bone loss and reduced fracture risk. For example, serum CTX decreased by about 30% and PINP by about 20% as a result of the increase in calcium intake. There were also changes in the ratio of carboxylated to undercarboxylated osteocalcin and such changes have been linked to a slowing of bone loss in older subjects. For example, the ratio increased by about 60% after 3 months as a result in the improvement in vitamin K status. Finally, there were improvements in the status of B vitamins, and such changes have been associated with reductions in homocysteine, but it is uncertain whether this would affect fracture risk. The product was generally well tolerated. This study shows the nutritional supplement holds promise for improved bone health among young Indian women. |
topic |
osteoporosis bone turnover markers vitamin D vitamin K vitamin B6 vitamin B12 |
url |
https://www.mdpi.com/2072-6643/13/2/364 |
work_keys_str_mv |
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