Reproductive endocrinology

Longitudinal associations of dietary intake, physical activity, and short-chain fatty acids with bone development in early postmenopausal women

Osteoporos IntPublished Secondary analysis of the ELBOW trial

Authors' conclusion

These findings suggest that specific dietary components and gut microbiota-derived metabolites may play a role in maintaining bone health during early postmenopause and highlight the need for further investigation into their preventive and therapeutic potential.

Study context

Population
Early postmenopausal Swedish women aged 50–60 years
Participants
223 women
Methodological details2-year longitudinal study, linear mixed models for repeated measures
  • 2-year longitudinal study
  • Linear mixed models for repeated measures

Primary result

As reported in the abstract

Associations of diet, physical activity and short-chain fatty acids (SCFAs) with bone outcomes (total hip BMD, tibial vBMD, microarchitecture by DXA and high-resolution peripheral quantitative computed tomography (HR-pQCT)) · baseline, 1 year and 2 years
  • Higher baseline fiber intake positively associated with trabecular bone volume fraction
  • Total fat inversely associated with total hip bone mineral density (BMD), total volumetric BMD (vBMD) and cortical area
  • Greater energy intake during follow-up positively associated with cortical area
  • No associations between bone characteristics and calcium or vitamin D intake
  • Baseline transport-related and changes in domestic/gardening activity inversely associated with bone measurements
  • Baseline acetic, formic and isovaleric acid positively associated with bone outcomes; changes in caproic acid negatively associated

Original publication

Longitudinal associations of dietary intake, physical activity, and short-chain fatty acids with bone development in early postmenopausal women. Osteoporos Int. Published 2 February 2026. doi:10.1007/s00198-026-07861-6

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