Bone Loss

Presentation Slides

Chinese Medicine Research Hub

Systematic Review

Prunes demonstrate potential as a dietary intervention to protect against, prevent and even reverse bone loss in osteoporosis, particularly in postmenopausal women.

2022 Advances in Nutrition The Role of Prunes in Modulating Inflammatory Pathways to Improve Bone Health in Postmenopausal Women
Damani JJ, De Souza MJ, VanEvery HL, Strock NCA, Rogers CJ

Chinese Medicine Research Hub

Systematic Review

Isoflavones found in soybeans can reduce risks of certain cancers and alleviate menopause-related symptoms among women, such as vasomotor syndromes, spinal bone loss, and hypertension.

2021 International Journal of Molecular Sciences Utilization of Isoflavones in Soybeans for Women with Menopausal Syndrome: An Overview
Chen LR, Chen KH

Chinese Medicine Research Hub

Experimental Study

Chrysanthemum coronarium L. extract can both stimulate bone building cells and inhibit bone breaking cells, so has potential as a natural treatment for osteoporosis.

2020 Evidence-Based Complementary and Alternative Medicine Preventive Effects of Chrysanthemum coronarium L. Extract on Bone Metabolism In Vitro and In Vivo
Kim SA, Lee AS, Hur HJ, Lee SH, Sung MJ

Chinese Medicine Research Hub

Review Article

Honey can protect the bone via its antioxidant and anti-inflammatory properties, primarily through its polyphenol content that acts upon several signalling pathways, leading to bone anabolic and antiresorptive effects.

2019 Evidence-Based Complementary and Alternative Medicine A Review of Potential Beneficial Effects of Honey on Bone Health
Kamaruzzaman MA, Chin KY, Mohd Ramli ES

Chinese Medicine Research Hub

Animal Study

Dried plums potentially prevent and reverse bone loss in postmenopausal women facing osteoporosis, offering a promising functional food therapy solution with long-lasting effects.

2017 Nutrients Bone-Protective Effects of Dried Plum in Postmenopausal Women: Efficacy and Possible Mechanisms
Arjmandi BH, Johnson SA, Pourafshar S, Navaei N, George KS, Hooshmand S, Chai SC, Akhavan NS

Chinese Medicine Research Hub

Animal Study

Dried plum was found to be most effective in reducing bone resorption and preventing bone loss caused by ionizing radiation exposure.

2016 Scientific Reports Dried plum diet protects from bone loss caused by ionizing radiation
Schreurs AS, Shirazi-Fard Y, Shahnazari M, Alwood JS, Truong TA, Tahimic CGT, Limoli CL, Turner ND, Halloran B, Globus RK

Chinese Medicine Research Hub

Experimental Study

The ethanol extract of FCI potentially counters bone loss in mice by enhancing osteoblast proliferation and differentiation, facilitated by multiple bioactive compounds.

2016 Evidence-Based Complementary and Alternative Medicine Preparative Purification of Bioactive Compounds from Flos Chrysanthemi Indici and Evaluation of Its Antiosteoporosis Effect
Li J, Lin X, Zhang Y, Liu W, Mi X, Zhang J, Su J

Chinese Medicine Research Hub

Animal Study

Dried plum intake uniquely improves bone density, promotes growth of vertebral trabecular bone, prevents bone loss in tibia, and positively adjusts bone metabolism.

2013 PLOS One Dried Plum’s Unique Capacity to Reverse Bone Loss and Alter Bone Metabolism in Postmenopausal Osteoporosis Model
Rendina E, Hembree KD, Davis MKR, Marlow D, Clarke SL, Halloran BP, Lucas EA, Smith BJ

Chinese Medicine Research Hub

Randomised Controlled Trial

Dried plum consumption enhances bone mineral density in postmenopausal women, primarily by reducing the rate of bone turnover.

2011 British Journal of Nutrition Comparative effects of dried plum and dried apple on bone in postmenopausal women
Hooshmand S, Chai SC, Saadat RL, Payton ME, Brummel-Smith K, Arjmandi BH

Executive Summary

Write an executive summary in the form of a blog article on the topic of "Research into Chinese medicine treatment for Bone Loss" summarising the research below and using language that can be easily understood by patients and avoiding medical jargon using a professional and caring tone of voice.

Write an executive summary in the form of a blog article on the topic of "Researched Chinese medicine treatments for Bone Loss" summarising the research below in an objective and easy to understand way, and using language that can be easily understood by patients. Group the article into Chinese medicine treatments first, followed by nutrition and other treatments. Avoid using medical jargon and use a professional and caring tone of voice.

Write me a concise but easy to understand executive summary on the topic of "Chinese medicine treatments for Bone Loss" based on the following research that I will give you. Your summary should be 2 paragraphs long in Australian English spelling and include references to the studies.

A Systematic Review published in 2022 in the journal Advances in Nutrition found that Prunes demonstrate potential as a dietary intervention to protect against, prevent and even reverse bone loss in osteoporosis, particularly in postmenopausal women. Using sixteen preclinical trials with in vivo rodent models of osteopenia or osteoporosis, researchers investigated the effect of dietary supplementation with prunes. The research shows prunes' osteoprotective capabilities, preventing, reversing bone loss, and exerting anti-inflammatory and antioxidant effects. The prunes or their polyphenol extracts showed properties that decreased malondialdehyde and NO secretion and increased antioxidant enzyme expression. Two clinical trials further investigated prune consumption (50-100 g/d for 6-12 months) on bone health in postmenopausal women. The results of the studies revealed the promising outcome of improved bone mineral density and bone biomarker due to the consumption of dried plums. However, the effect of prunes on oxidative stress and inflammatory mediators remains less understood. The study hence emphasizes the need to investigate prunes' role in modulating the inflammatory and immune pathways related to bone health.

A Systematic Review published in 2021 in the journal International Journal of Molecular Sciences found that Isoflavones found in soybeans can reduce risks of certain cancers and alleviate menopause-related symptoms among women, such as vasomotor syndromes, spinal bone loss, and hypertension. The study overviewed soybeans' chemical composition and focused mainly on isoflavones. The research examined the processes of soybean preparation that includes cleaning, drying, crushing, and dehulling, and extraction methods to derive various soy products, particularly focusing on isoflavones - daidzein, genistein, and S-equol. Various soy products such as refined soy oil, soy lecithin, free fatty acids, glycerol, and soybean meal were discussed, along with the presence of the minor biological constituents in remaining components. The study explored the relationship between isoflavone consumption and disease prevention, particularly in relation to heart disease, cancer incidence—of the breast, bladder, and endometrial and colorectal—and menopause-related symptoms. The therapeutic effects of isoflavones were studied in the context of vasomotor syndromes, spinal bone loss, hypertension regulation, depressive symptoms during pregnancy, and in vitro glycemic control. In contrast, it failed to find definitive effects of isoflavones on cognition improvement and urogenital symptoms. The inconsistencies in defining the ingredients, doses, study durations, and outcomes of isoflavone studies proved challenging for the research.

A Experimental Study published in 2020 in the journal Evidence-Based Complementary and Alternative Medicine found that Chrysanthemum coronarium L. extract can both stimulate bone building cells and inhibit bone breaking cells, so has potential as a natural treatment for osteoporosis. The study examined the effects of Chrysanthemum coronarium L. extracts on in vitro cell cultures and animal models with bone loss. This was done by observing the increase and decrease of bone formation markers in different cell lines, specifically the murine preosteoblastic cell line MC3T3-E1, and the murine macrophage-like cell line RAW264.7 respectively. The results showed that the extract stimulated the differentiation of osteoblasts, cells responsible for bone formation, and inhibited osteoclast differentiation, cells that break down bone. In osteoporotic animal models, the extract prevented bone loss, preserved the structure of the small bones and improved serum bone turnover markers. This implies that the extract has promising potential as a natural therapy for osteoporotic bone loss.

A Review Article published in 2019 in the journal Evidence-Based Complementary and Alternative Medicine found that Honey can protect the bone via its antioxidant and anti-inflammatory properties, primarily through its polyphenol content that acts upon several signalling pathways, leading to bone anabolic and antiresorptive effects. This review aims to summarize the current evidence on the effects of honey on bone health. The evidence reported so far indicates a skeletal-beneficial effect of honey in animal models of osteoporosis. However, the number of studies on humans is limited. The literature shows that honey has promising skeletal-beneficial effects in preventing osteoporosis. Many types of honey have been shown to prevent bone loss in various animal models via its high antioxidant and anti-inflammatory properties. Nevertheless, the efficacy of honey seems to be dose-dependent, whereby very high or low dosage will not produce desirable results on the skeleton.

A Animal Study published in 2017 in the journal Nutrients found that Dried plums potentially prevent and reverse bone loss in postmenopausal women facing osteoporosis, offering a promising functional food therapy solution with long-lasting effects. The methodology focused on examining the influence of dried plum in preventing and reversing bone loss related to osteoporosis. Two populations were studied: an ovariectomized rat model, which simulates the condition in postmenopausal women, and actual osteopenic postmenopausal women. The subjects were given measured servings of dried plums and their bone mass and structure were analyzed over a certain period. The researchers also attempted to understand the possible mechanisms through which dried plum exerts its bone-protective effects. In terms of results, evidence suggested that dried plum effectively retarded bone loss in both the rat model and human subjects. An intriguing observation was from a follow-up study of the one-year clinical trial conducted five years earlier. Women who had been in the trial consuming 100 g dried plum per day were found to have retained bone mineral density more efficiently than comparative controls. Dried plum's beneficial effect was hypothesised to originate from its bioactive compounds. The overall findings strongly advocate dried plum as a functional food therapy for preventing osteoporosis in postmenopausal women.

A Animal Study published in 2016 in the journal Scientific Reports found that Dried plum was found to be most effective in reducing bone resorption and preventing bone loss caused by ionizing radiation exposure. The methodology of the study involved evaluating different interventions with antioxidant or anti-inflammatory activities; these included an antioxidant cocktail, dihydrolipoic acid, ibuprofen, and dried plum. These substances were tested for their ability to reduce the expression of resorption-related genes in marrow cells after these cells were exposed to gamma rays or simulated space radiation. This involved monitoring the effects on key genes related to bone resorption like Nfe2l2, Rankl, Mcp1, Opg, and TNF-α. In the discussion of results, dried plum was highlighted as the most effective intervention in reducing the expression of genes related to bone resorption. It significantly blunted the gene effects which tend to escalate bone-loss. Moreover, dried plum was additionally effective in preventing later cancellous bone loss caused by irradiation, either from photons or heavy ions. The finding suggests that dietary supplementation with dried plum might offset the skeletal effects of radiation exposures, whether in the context of space or on Earth.

A Experimental Study published in 2016 in the journal Evidence-Based Complementary and Alternative Medicine found that The ethanol extract of FCI potentially counters bone loss in mice by enhancing osteoblast proliferation and differentiation, facilitated by multiple bioactive compounds. In this study, the researchers scrutinized the antiosteoporosis potential of the ethanol extract of FCI in mice experiencing bone loss due to ovariectomy, a process likened to human menopause. In the process, the antiosteoporosis fraction derived from FCI was isolated and cleansed using a technique known as high-speed countercurrent chromatography, which resulted in the successful isolation of the principle bioactive compounds. The researchers found that, among the separations, the ethyl acetate fraction exhibited remarkable antiosteoporosis activity. Upon further analysis, the foremost compounds were identified as acacetin, apigenin, luteolin, and linarin. Furthermore, these compounds were found to stimulate the proliferation and differentiation of osteoblasts - the cells responsible for bone formation. The process was potentially mediated by the activation of the AKT signaling pathway and the upregulation of certain genes such as Runx2, OCN, OPN, and COL I. The collective efforts of these bioactive compounds played a crucial role in the observed antiosteoporosis effects, suggesting that the effectiveness of FCI is not reliant on a single component, but an ensemble of elements working in tandem.

A Animal Study published in 2013 in the journal PLOS One found that Dried plum intake uniquely improves bone density, promotes growth of vertebral trabecular bone, prevents bone loss in tibia, and positively adjusts bone metabolism. Adult osteopenic mice were subjected to a diet supplemented with 25% of various dried fruits such as dried plum, apple, apricot, grape, and mango for a period of 8 weeks. Body and spine bone mineral density improvement was monitored in these mice, with particular focus on the anabolic effect on trabecular bone in the vertebra and prevention of bone loss in the tibia. The osteoclast differentiation and osteoblast and glutathione activity were also assessed, to better understand the potential mechanisms through which dried plum may exert its osteoprotective effects. The results of the study showed that while dried plum, apricot and grape diets led to improvements in bone mineral density, dried plum was the only fruit that resulted in an anabolic effect on trabecular bone in the vertebra and helped prevent bone loss in the tibia. Biomechanical properties showed restoration, aligning with the changes observed in the spine's trabecular bone. Examining the difference in effects between the various fruits, it was found that dried plum was unique in its ability to balance the down-regulation of osteoclast differentiation and up-regulation of osteoblast and glutathione activity. The alterations in bone metabolism and antioxidant status and their transformative impact on bone health were unique to dried plum when compared with other dried fruits.

A Randomised Controlled Trial published in 2011 in the journal British Journal of Nutrition found that Dried plum consumption enhances bone mineral density in postmenopausal women, primarily by reducing the rate of bone turnover. The research studied 160 osteopenic postmenopausal women from 1 to 10 years postmenopause, who were not receiving any hormone replacement therapy or medication affecting bone metabolism. Participants were randomly divided into two treatment groups, one consuming dried plums and the other eating dried apples, with both groups also receiving daily dosages of calcium and vitamin D. Bone mineral density was measured at the beginning and end of the study using dual-energy X-ray absorptiometry. Blood samples were taken at the start, then every 3 months to evaluate bone biomarkers. Physical activity and dietary factors were monitored as potential covariates throughout the study. Dried plums significantly boosted the bone mineral density in the ulna (one of the two bones in the forearm) and spine compared to dried apples. This tendency could only be seen in dried plums - they drastically reduced serum levels of bone turnover markers, specifically bone-specific alkaline phosphatase and tartrate-resistant acid phosphatase-5b. This confirms that dried plums can indeed improve the bone mineral density in postmenopausal women, in part by suppressing the rate of bone turnover.

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