Evidence mapPaperPMID 37526672Full record

SynthesisOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2023

The skeletal safety of milk-derived proteins: A meta-analysis of randomized controlled trials.

Khemayanto Hidayat, Xing Tong, René Rizzoli, Jing-Bo Fan, Yu-Jie Shi, Hong-Wen Su, Biao Liu, Li-Qiang Qin

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Effects of combined protein and exercise interventions on bone health in middle-aged and older adults - A systematic literature review and meta-analysis of randomized controlled trials.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Pooled it
  3. 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

8 authors at 3 institutions in 2 countries.

Khemayanto HidayatDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, 215123, China. khemzie_khem@yahoo.com.ORCID http://orcid.org/0000-0002-4095-6969
Xing TongLaboratory Center, Medical College of Soochow University, Suzhou, 215123, China.
René RizzoliDivision of Bone Diseases, Department of Internal Medicine, Geneva University Hospitals and Faculty of Medicine, 1211, Geneva, Switzerland.
Jing-Bo FanLaboratory Center, Medical College of Soochow University, Suzhou, 215123, China.
Yu-Jie ShiBranch Company, Inner Mongolia Yili Industrial Group Co., Ltd., Hohhot, 010110, China.
Hong-Wen SuBranch Company, Inner Mongolia Yili Industrial Group Co., Ltd., Hohhot, 010110, China.
Biao LiuBranch Company, Inner Mongolia Yili Industrial Group Co., Ltd., Hohhot, 010110, China. bliu@yili.com.
Li-Qiang QinDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou, 215123, China. qinliqiang@suda.edu.cn.ORCID http://orcid.org/0000-0002-5231-2562
Soochow University · CNInner Mongolia Yili Industrial Group (China) · CNUniversity Hospital of Geneva · CH

Funding

National Natural Science Foundation of China 82150410453National Natural Science Foundation of China 82173502
6 · The paper itself

Abstract

purposeThere has been a persistent claim that dairy products contain calcium-leaching proteins, although the soundness of such a claim has been challenged. A meta-analysis of randomized controlled trials (RCTs) on the effects of milk-derived protein supplementation on bone health indices in adults was performed to reconcile the controversy surrounding the potential skeletal safety concerns of proteins of dairy origin.

methodsThe PubMed and Web of Science databases were searched for relevant RCTs. A random-effects model was used to generate pooled effect sizes and 95% confidence intervals.

resultsMilk-derived protein supplementation did not significantly affect whole-body BMD (n = 7 RCTs) and BMD at the lumbar spine (n = 10), hip (n = 8), femoral neck (n = 9), trochanter (n = 5), intertrochanter (n = 2), and ultradistal radius (n = 2). The concentrations of bone formation markers (bone-specific alkaline phosphatase [n = 11], osteocalcin [n = 6], procollagen type 1 amino-terminal propeptide [n = 5]), bone resorption markers (N-terminal telopeptide of type 1 collagen [n = 7], C-terminal telopeptide of type 1 collagen [n = 7], deoxypyridinoline [n = 4]), and parathyroid hormone (n = 7) were not significantly affected. However, increased insulin-like growth factor-1 (IGF-1) concentrations (n = 13) were observed. Reduced IGF-1 concentrations were observed when soy protein was used as a comparator, and increased IGF-1 concentrations were observed when carbohydrate was used.

conclusionOur findings do not support the claim that proteins of dairy origin are detrimental to bone health.

Indexed as

Bone DensityDietary SupplementsMilk ProteinsRandomized Controlled Trials as TopicBiomarkersHumansBiomarkersMilk ProteinsAnimal proteinBone healthBone metabolismCaseinDairy proteinMilk proteinOsteoporosisWhey

Identifiers

PMID37526672
OpenAlexW4385441894

What Socratic holds

Textmetadata
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 Socratic graph.