Evidence mapPaperPMID 40715573Full record

Trial reportArchives of osteoporosis2025

Using probiotic supplementation to support bone health in postmenopausal women: a randomized, double-blind, parallel, placebo-controlled, multi-center study.

Jenalyn L Yumol, Sylvie Binda, Varuni Nagulesapillai, Renu Bhardwaj, Wendy E Ward

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Archives of osteoporosis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  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

5 authors.

Jenalyn L YumolDepartment of Kinesiology, Brock University, St. Catharines, ON, Canada. jenalynyumol@gmail.com.
Sylvie BindaRosell Institute for Microbiome and Probiotics, Montreal, QC, Canada.
Varuni NagulesapillaiRosell Institute for Microbiome and Probiotics, Montreal, QC, Canada.
Renu BhardwajRosell Institute for Microbiome and Probiotics, Montreal, QC, Canada.
Wendy E WardDepartment of Kinesiology, Brock University, St. Catharines, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies using rodent models have demonstrated the ability for probiotics to attenuate estrogen-related bone loss, but findings in humans are limited. Postmenopausal women consuming a novel combination of bacteria strains as a probiotic supplement demonstrated no changes in bone health outcomes. PURPOSE: This study determined if a probiotic supplement could attenuate the loss of femoral neck bone mineral density (BMD) and assessed its effect on fracture risk and markers of bone cell activity.

methodsSeventy-two postmenopausal women (40-59 years) were randomized to a daily probiotic supplement or placebo for 48 weeks. Femoral neck BMD was assessed at weeks 0 and 48 using DXA along with fracture risk using the FRAX® assessment tool. Serum procollagen type 1 N-terminal propeptide (P1NP), bone-specific alkaline phosphatase (BALP), cross-linked C-telopeptide of type I collagen (CTx), and osteocalcin (OC) were analyzed at weeks 0, 12, 24, and 48.

resultsThere was no significant time by treatment interaction (p > 0.05) for femoral neck BMD or fracture risk. Independent of treatment, femoral neck BMD decreased (p = 0.034), while risk of hip (p = 0.003) and major osteoporotic fracture (p = 0.044) increased. There was no mean difference in bone marker levels between groups from baseline to endpoint. These findings align with the lack of difference in BMD and fracture risk at the end of study.

conclusionProbiotics did not alter BMD or fracture risk, as supported by bone cellular activity that was similar to the placebo group by the end of study.

Indexed as

Bone DensityOsteoporosis, PostmenopausalPostmenopauseProbioticsAbsorptiometry, PhotonAdultAlkaline PhosphataseBiomarkersCollagen Type IDietary SupplementsDouble-Blind MethodFemaleFemur NeckHumansMiddle AgedPeptide FragmentsAlkaline PhosphataseBiomarkersCollagen Type IPeptide FragmentsProcollagenBone mineral densityBone turnover markersFracturePostmenopausalProbiotic

Identifiers

PMID40715573
PMCPMC12296836

What Socratic holds

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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.