Resumen de Investigación
Analyzed using Evidence Intelligence™

Dietary protein and fiber do not affect bone turnover in T2D

Última actualización 2 de septiembre de 2026

Key finding

U-calcium increased in both protein groups.

This study examined the effects of dietary protein and fiber on bone turnover in adults with abdominal obesity and type 2 diabetes, finding no significant changes in key bone turnover markers.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

This study examined the effects of dietary protein and fiber on bone turnover in adults with abdominal obesity and type 2 diabetes, finding no significant changes in key bone turnover markers.

Clinical relevance

Understanding the impact of diet on bone health is crucial for managing conditions like obesity and diabetes. This study suggests that increasing protein or fiber intake may not lead to expected improvements in bone turnover, highlighting the need for further research in dietary interventions for this population.

Keep in mind

Limited sample size may affect the generalizability of findings. Short duration of the study may not capture long-term effects. Potential confounding factors not controlled for in the analysis.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Rasmus F, Elin R, Peter V, Kjeld H, Søren G, Jakob S. Effects of Dietary Protein and Fiber on Bone Turnover in Adults with Abdominal Obesity and Type 2 Diabetes. Frontiers in Endocrinology. 2022;13:832897. doi:10.3389/fendo.2022.832897

Efectos Principales

No significant change in plasma levels of P1NP after twelve weeks (0 µg/L, no_change).

No significant change in plasma levels of CTX after twelve weeks (0 µg/L, no_change).

U-calcium excretion increased in both protein groups (1.12 mmol/d, increase).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to whey protein 20g and Bone mineral density (BMD), Change in U-calcium excretion, Change in plasma levels of Procollagen type 1 N-terminal propeptide (P1NP), and 5 more.

Primary intervention

whey protein 20g

Primary outcomes

  • Bone mineral density (BMD)
  • Change in U-calcium excretion
  • Change in plasma levels of Procollagen type 1 N-terminal propeptide (P1NP)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
1
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 59

1

Related topics

8

Evidence pairs

9

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Bone Mineral Density

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Bone mineral density (BMD)

whey protein 20g → Bone mineral density (BMD)

whey protein 20g → Bone mineral density (BMD)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Change in plasma levels of parathyroid hormone (PTH)

whey protein 20g → Change in plasma levels of parathyroid hormone (PTH)

whey protein 20g → Change in plasma levels of parathyroid hormone (PTH)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Change in U-calcium excretion

whey protein 20g → Change in U-calcium excretion

whey protein 20g → Change in U-calcium excretion

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Change in u-carbamide excretion

whey protein 20g → Change in u-carbamide excretion

whey protein 20g → Change in u-carbamide excretion

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Insulin resistance

whey protein 20g → Insulin resistance

whey protein 20g → Insulin resistance

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Total 25-OH vitamin D

whey protein 20g → Total 25-OH vitamin D

whey protein 20g → Total 25-OH vitamin D

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Type IV collagen

whey protein 20g → Type IV collagen

whey protein 20g → Type IV collagen

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • No significant changes in P1NP and CTX levels after dietary intervention.
  • Nonsignificant positive association between protein intake and PTH levels (p=0.06).
  • Increased U-calcium and U-carbamide excretion in protein groups.
who this applies

A quién se aplica

  • Adults aged 30-65 with abdominal obesity.
  • Individuals diagnosed with type 2 diabetes.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study group.
  • Findings are based on a specific dietary intervention duration.
  • Further research is needed to explore long-term dietary impacts.
between the lines

Entre Líneas

  • Limited sample size may affect the generalizability of findings.
  • Short duration of the study may not capture long-term effects.
  • Potential confounding factors not controlled for in the analysis.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on whey protein 20g and Insulin Resistance, whey protein 20g and Bone Mineral Density.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does whey protein 20g improve insulin resistance?

Strong Evidence

whey protein 20g may improve insulin resistance.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Strong | EvidenceScore™ 78.7 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does whey protein 20g improve change in u-calcium excretion?

Emerging Evidence

whey protein 20g appears to improve change in u-calcium excretion.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in U-calcium excretion

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does whey protein 20g improve change in u-carbamide excretion?

Emerging Evidence

whey protein 20g appears to improve change in u-carbamide excretion.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Change in u-carbamide excretion

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does whey protein 20g improve bone mineral density (BMD)?

Emerging Evidence

Current evidence does not show a clear benefit of whey protein 20g for bone mineral density (BMD).

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Bone mineral density (BMD)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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