Evidence map›Paper›PMID 33530298›Full record

Trial reportNutrients2021

Randomised Controlled Trial of Nutritional Supplement on Bone Turnover Markers in Indian Premenopausal Women.

Pramod B Umarji, Pankaj Verma, Vivek Garg, Marian Schini, Richard Eastell

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Effects of vitamin DEndocrine · 2025
    Article
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Pramod B UmarjiUmarji Healthcare, Pune, Maharashtra 411045, India.
Pankaj VermaHindustan Unilever Limited R&D, Gurugram, Haryana 122002, India.
Vivek GargHindustan Unilever Limited R&D, Gurugram, Haryana 122002, India.
Marian SchiniAcademic Unit of Bone Metabolism, University of Sheffield, Sheffield S10 2NR, UK.
Richard EastellAcademic Unit of Bone Metabolism, University of Sheffield, Sheffield S10 2NR, UK.ORCID 0000-0002-0323-3366
Unilever (India) · INUniversity of Sheffield · GB

Funding

Hindustan Unilever Limited 207192Medical Research Council MR/P020941/1
6 · The paper itself

Abstract

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.

Indexed as

Bone RemodelingDietary SupplementsPremenopauseAdultBone Diseases, MetabolicCalciumCalcium, DietaryDouble-Blind MethodFemaleFolic AcidFractures, BoneHomeostasisHumansIndiaOsteocalcinOsteoporosisCalciumCalcium, DietaryFolic AcidOsteocalcinVitamin B 12Vitamin DVitamin Kbone turnover markersfolateosteoporosisvitamin B12vitamin B6vitamin Dvitamin K

Identifiers

PMID33530298
PMCPMC7912479
OpenAlexW3125671061

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.