Evidence map›Paper›PMID 41754122›Full record

Trial reportNutrients2026

Effects of Eggshell Calcium- and Vitamin D-Fortified HMR Combined with Aerobic Exercise on Bone Mineral Density in Postmenopausal Women: A Pilot Randomized Controlled Trial.

Susie Jung, So-Hui Shin, Yoon-Suk Kim, Nam-Seok Joo, Kyung-Jin Yeum

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Susie JungDepartment of Family Practice and Community Health, Ajou University School of Medicine, Suwon 16499, Republic of Korea.ORCID 0000-0003-3317-4405
So-Hui ShinDepartment of Food and Nutrition, College of Biomedical and Health Science, Konkuk University, Chungju 27478, Republic of Korea.
Yoon-Suk KimDepartment of Food and Nutrition, College of Biomedical and Health Science, Konkuk University, Chungju 27478, Republic of Korea.
Nam-Seok JooDepartment of Family Practice and Community Health, Ajou University School of Medicine, Suwon 16499, Republic of Korea.ORCID 0000-0001-5895-1800
Kyung-Jin YeumDepartment of Food and Nutrition, College of Biomedical and Health Science, Konkuk University, Chungju 27478, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAdequate calcium and vitamin D intake, along with regular physical activity, is essential for maintaining skeletal health in postmenopausal women. In populations with low dairy consumption, sustainable and bioavailable calcium sources are required to support bone integrity. Eggshell powder offers a highly bioavailable, eco-friendly, and cost-effective calcium source consistent with environmental sustainability goals. This pilot randomized, double-blind, controlled trial investigated the effects of calcium- and vitamin D-fortified home meal replacements (HMRs) made with eggshell powder, combined with weight-bearing aerobic exercise, on bone mineral density (BMD) and bone turnover markers in postmenopausal women.

methodsThirty-six women aged 50-59 years were randomly assigned (1:2 ratio) to a control group (regular HMR) or an intervention group (HMR fortified with 418 mg eggshell-derived calcium and 837 IU vitamin D). Participants consumed one HMR daily, five days per week, and were encouraged to engage in weight-bearing aerobic exercise for 30-60 min, five times weekly, over six months.

resultsHigh adherence was observed for both dietary (94%) and exercise regimens. No significant differences were found between groups in overall BMD or bone metabolic markers after six months. Exploratory post hoc subgroup analysis suggested possible exercise-nutrition interactions in lumbar spine BMD.

conclusionsNo significant overall BMD effect was found. Fortified HMRs achieved excellent adherence and corrected nutrient deficiencies, demonstrating feasibility. Future large-scale trials with adequate power based on realistic effect sizes are warranted to evaluate reproducibility of these exploratory findings.

Indexed as

Bone DensityCalciumCalcium, DietaryEgg ShellExerciseFood, FortifiedPostmenopauseVitamin DDietary SupplementsDouble-Blind MethodFemaleHumansMiddle AgedPilot ProjectsCalciumCalcium, DietaryVitamin Dbone densitycalciumdietary supplementsexercisepostmenopausevitamin D

Identifiers

PMID41754122
PMCPMC12942995

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Registered trials

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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.