1. Prunes preserve cortical density and estimated strength of the tibia in a 12-month randomized controlled trial in postmenopausal women: The Prune Study.
- Author
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Koltun, Kristen J., Strock, Nicole C. A., Weaver, Connie, Lee, Hang, Williams, Nancy I., Rogers, Connie J., Damani, Janhavi, Ferruzzi, Mario G., Nakatsu, Cindy H., and De Souza, Mary Jane
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TIBIA physiology , *FRUIT , *BONES , *BONE density , *RESEARCH funding , *COMPUTED tomography , *POSTMENOPAUSE , *PSYCHOLOGY of women , *RANDOMIZED controlled trials , *DESCRIPTIVE statistics , *OSTEOPOROSIS , *COMPARATIVE studies , *DIETARY supplements , *REGRESSION analysis - Abstract
Summary: Non-pharmacological therapies, such as whole-food interventions, are gaining interest as potential approaches to prevent and/or treat low bone mineral density (BMD) in postmenopausal women. Previously, prune consumption preserved two-dimensional BMD at the total hip. Here we demonstrate that prune consumption preserved three-dimensional BMD and estimated strength at the tibia. Purpose: Dietary consumption of prunes has favorable impacts on areal bone mineral density (aBMD); however, more research is necessary to understand the influence on volumetric BMD (vBMD), bone geometry, and estimated bone strength. Methods: This investigation was a single center, parallel arm 12-month randomized controlled trial (RCT; NCT02822378) to evaluate the effects of 50 g and 100 g of prunes vs. a Control group on vBMD, bone geometry, and estimated strength of the radius and tibia via peripheral quantitative computed tomography (pQCT) in postmenopausal women. Women (age 62.1 ± 5.0yrs) were randomized into Control (n = 78), 50 g Prune (n = 79), or 100 g Prune (n = 78) groups. General linear mixed effects (LME) modeling was used to assess changes over time and percent change from baseline was compared between groups. Results: The most notable effects were observed at the 14% diaphyseal tibia in the Pooled (50 g + 100 g) Prune group, in which group × time interactions were observed for cortical vBMD (p = 0.012) and estimated bone strength (SSI; p = 0.024); all of which decreased in the Control vs. no change in the Pooled Prune group from baseline to 12 months/post. Conclusion: Prune consumption for 12 months preserved cortical bone structure and estimated bone strength at the weight-bearing tibia in postmenopausal women. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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