Osteoporosis is a major health concern in aging populations, where 54% of the U.S. population aged 50 and older have low bone mineral density (BMD). Increases in inflammation and oxidative stress play a major role in the development of osteoporosis. Men are at a greater risk of mortality due to osteoporosis-related fractures. Our earlier findings in rodent male and female models of osteoporosis, as well as postmenopausal women strongly suggest the efficacy of prunes (dried plum) in reducing inflammation and preventing/reversing bone loss. The objective of this study was to examine the effects of two doses of prunes, daily, on biomarkers of inflammation and bone metabolism in men with some degree of bone loss (BMD; t-score between −0.1 and −2.5 SD), for three months. Thirty-five men between the ages of 55 and 80 years were randomized into one of three groups: 100 g prunes, 50 g prunes, or control. Consumption of 100 g prunes led to a significant decrease in serum osteocalcin (p < 0.001). Consumption of 50 g prunes led to significant decreases in serum osteoprotegerin (OPG) (p = 0.003) and serum osteocalcin (p = 0.040), and an increase in the OPG:RANKL ratio (p = 0.041). Regular consumption of either 100 g or 50 g prunes for three months may positively affect bone turnover.

Patients with knee osteoarthritis (OA) suffer from immobility and pain. The objective of this cross-sectional study was to investigate the relationship between pain and functionality in middle-aged and older overweight and obese individuals with mild-to-moderate knee OA. Overall pattern, physical activity, and total energy expenditure (TEE) were assessed in 83 participants. The Western Ontario McMaster Universities Arthritis Index (WOMAC) was used to assess lower extremity pain and function. The six-minute walk test (6-MWT) and range of motion (ROM) were also assessed. Results indicated that age was inversely associated with body mass index (BMI) (r = 0.349) and total WOMAC scores (r = 0.247). BMI was positively associated with TEE (r = 0.430) and WOMAC scores (r = 0.268), while ROM was positively associated with the 6-MWT (r = 0.561) and negatively associated with WOMAC (r = 0.338) and pain scores (r = 0.222). Furthermore, women had significantly greater WOMAC scores (p = 0.046) than men. Older participants (≥65 years old) had significantly lower BMI (p = 0.002), and distance traveled during the 6-MWT (p = 0.013). Our findings indicate that older individuals in this population with knee OA had lower BMI, greater ROM, and less pain and stiffness and walked slower than middle-aged individuals. Women reported greater pain, stiffness, and reduced functionality, indicating that the manifestation of OA may vary due to gender.

Background: Prediabetes is on the rise and can progress to type 2 diabetes and related cardiometabolic complications if left untreated. Nutrition plays a critical role in blood glucose regulation, and evaluating the effects of whole foods on indices of glycemic control and body composition within individuals with prediabetes is important. This study examined whether consuming one average fresh mango daily for 24 weeks could improve the blood glucose indices and body composition in individuals with prediabetes. Methods: The participants were randomly assigned to either a treatment group (~300 g mango daily for 24 weeks) or a control group (an isocaloric granola bar daily for 24 weeks). Laboratory visits were conducted at baseline and at weeks 6, 12, and 24 to distribute the study regimen and collect anthropometric measurements, body composition data, and blood samples. Results: Twenty-three participants completed this study (treatment: n = 11; control: n = 12). At week 24, the treatment group had lower fasting blood glucose (p < 0.02) and improved insulin sensitivity (QUICKI, p = 0.02), and indicated a trend toward lower insulin resistance (HOMA-IR, p = 0.05) compared with the control. The mean HbA₁c remained stable in the treatment group but increased in the control group (p = 0.02). In the treatment group, the body fat percentage showed a borderline decrease (p = 0.05), while the fat-free mass increased (p < 0.03); no significant changes were observed in the control group. Conclusions: The daily consumption of mango for 24 weeks improved the glycemic control, insulin sensitivity, and body composition in adults with prediabetes, which supports the potential of mango as a practical dietary intervention for metabolic health.

Background: Prediabetes is on the rise and can progress to type 2 diabetes and related cardiometabolic complications if left untreated. Nutrition plays a critical role in blood glucose regulation, and evaluating the effects of whole foods on indices of glycemic control and body composition within individuals with prediabetes is important. This study examined whether consuming one average fresh mango daily for 24 weeks could improve blood glucose indices and body composition in individuals with prediabetes. Methods: Participants were randomly assigned to either a treatment group (~300g mango daily for 24 weeks) or a control group (an isocaloric granola bar daily for 24 weeks). Laboratory visits were conducted at baseline and at weeks 6, 12, and 24 to distribute the study regimen and collect anthropometric measurements, body composition data, and blood samples. Results: Twenty-three participants completed the study (treatment: n = 11; control: n = 12). At week 24, the treatment group had lower fasting blood glucose (p < 0.02), improved insulin sensitivity (QUICKI, p = 0.02), and reduced insulin resistance (HOMA-IR, p = 0.05) compared with the control. Mean HbA₁c remained stable in the treatment group but increased in the control group (p = 0.02). In the treatment group, body fat percentage decreased (p = 0.05) and fat-free mass increased (p < 0.03), with no significant changes in the control group. Conclusions: Daily consumption of mango for 24 weeks enhanced glycemic control, insulin sensitivity, and body composition in adults with prediabetes, supporting its potential as a practical dietary intervention for metabolic health.

Background/Objectives: Approximately 53.4 million U.S. adults aged 50 or older have low bone mass, yet male bone health remains under-researched. This study evaluated the effects of one year of prune supplementation on bone health in older men susceptible to, or with, osteopenia. Methods: A total of 59 men (aged 55–80 years) were randomly assigned to one of three groups: 100 g prunes, 50 g prunes, or 0 g prunes (control; multivitamin only) daily, with each group also receiving 450 mg elemental calcium and 800 IU vitamin D₃ via a multivitamin. Dual-energy X-ray absorptiometry (Lunar model DXA; GE Healthcare, CA, USA) scans and blood samples were collected at baseline, 3 months, 6 months, and 12 months. Results: No significant changes were observed in total bone mineral density (BMD) or lumbar spine BMD over one year. There were no significant changes in C-reactive protein (CRP). Osteoprotegerin (OPG) decreased significantly in all groups; however, the decrease was significantly greater in the control group compared to the levels in both prune groups. Sclerostin (SOST) significantly increased over time within all groups. Tartrate-resistant acid phosphatase-5b (TRAP5b) increased in all groups, albeit in the control group, it increased significantly more over time compared to the increase in the 100 g group. Conclusions: Overall, prune supplementation, regardless of dosing, did not increase total or lumbar BMD or aid in maintaining bone density beyond the levels achieved by Ca++ and vitamin D₃ supplementation in older men susceptible to, or with, osteopenia (with a negative T-score down to –2.5 standard deviations (SD) below the mean). Although between-group differences were observed in select secondary biomarkers (OPG, TRAP5b), these did not correspond to detectable changes in BMD and should therefore be considered exploratory rather than directly indicative of clinical bone benefit. Additional research is needed to fully understand the effects of prunes on bone metabolism in men.

Background/Objectives: Approximately 53.4 million U.S. adults aged 50 or older have low bone mass, yet male bone loss remains under-researched. This study evaluated the effects of one year of prune supplementation on bone health in osteopenic men. Methods: Fifty-nine men (55–80 years) were randomly assigned to one of three groups: 0 g prune (control), 50 g prune, or 100 g prune daily, along with 450 mg elemental calcium and 800 IU vitamin D₃. Dual-energy X-ray absorptiometry (DXA) scans and blood samples were collected at baseline, 3, 6, and 12 months. Results: No significant changes were observed in total bone mineral density (BMD) over one year. C-reactive protein (CRP) was significantly higher in the control group compared to the 50 g group at all time points. Osteo-protegerin (OPG) decreased significantly in all groups, however, the decrease was significantly greater in the control compared to both prune groups. Sclerostin (SOST) significantly increased over time in all groups, albeit to a greater degree in the control group. Tartrate-resistant acid phosphatase-5b (TRAP5b) increased in the 50 g and control group but remained stable in the 100 g group. Conclusions: Overall, prune supplementation did not improve BMD beyond that of the calcium and vitamin D₃ supplementation however, there was a modest effect on biomarkers of inflammation and bone metabolism.