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Health

Prunes vs. Supplements: Study Evaluates Impact on Male Bone Density

by Chief Editor June 12, 2026
written by Chief Editor

Daily consumption of prunes does not increase bone mineral density (BMD) in older men more effectively than standard calcium and vitamin D3 supplementation, according to a randomized controlled trial published in the journal Nutrients. While the study found minor shifts in specific bone biomarkers, researchers observed no measurable improvement in bone density over a 12-month period compared to a control group receiving only vitamins.

Why Prunes Were Studied for Bone Health

Researchers targeted prunes because of their high polyphenol content, which has shown promise in animal models for protecting bone tissue. Osteoporosis affects approximately 10 million people in the United States, including two million men, according to study data. Men typically lose between 0.5% and 1% of their bone mass annually after age 60, creating a need for effective, low-risk interventions. Standard pharmacological treatments for bone density often carry side effects like gastrointestinal distress or musculoskeletal pain, prompting investigators to look for nutritional alternatives.

Did you know?
The study excluded men with chronic conditions like diabetes, kidney disease, or cancer to isolate the effects of prunes on otherwise healthy aging bone metabolism.

Study Methodology and Participant Data

The trial enrolled 62 men aged 55 to 80, with 59 completing the full year of the study. Participants were split into three groups: those consuming 50 grams of prunes daily, those consuming 100 grams, and a control group. Every participant, including the control group, received a baseline supplement of 800 IU of vitamin D3 and 450 mg of elemental calcium. Compliance was tracked through self-reported daily logs, and researchers monitored progress using dual-energy X-ray absorptiometry (DXA) scans at three, six, and 12-month intervals.

Study Methodology and Participant Data

What the Biomarkers Revealed

While total and lumbar spine BMD did not change significantly across any group, the researchers noted specific shifts in bone-related proteins. According to the study findings, levels of tartrate-resistant acid phosphatase 5b (TRAP5b)—a marker associated with bone resorption—increased over time in all groups. However, the control group experienced a significantly greater increase in TRAP5b compared to the 100-gram prune group. Despite this, the authors noted these findings are exploratory, as the differences in biomarkers did not translate into detectable changes in bone density.

Comparison of Findings

Metric Result
Lumbar Spine BMD No significant difference between groups
Total BMD No significant change over 12 months
Osteocalcin No significant difference between groups

Limitations and Future Research Directions

The study authors identified several constraints that may have influenced the outcome. The sample size was relatively small, and the study faced disruptions due to the COVID-19 pandemic. Furthermore, the researchers noted that the participants were generally healthy, which may mask the potential benefits of prunes in individuals with more severe bone loss. Because the study lacked a “true” placebo group—meaning everyone received vitamin D3 and calcium—it remains unclear if prunes provide any benefit beyond those standard supplements.

PRUNES are a SUPERFOOD for your BONES!
Pro Tip:
Always consult with a healthcare provider before adding significant amounts of fiber-rich fruit like prunes to your diet, especially if you are managing existing gastrointestinal or metabolic conditions.

Frequently Asked Questions

Can prunes reverse osteoporosis?

No, this study found that daily prune consumption did not improve bone mineral density in older men over a one-year period.

Can prunes reverse osteoporosis?

Do prunes offer any health benefits for men?

The study observed a decrease in resting heart rate in the 50-gram prune group, but researchers did not attribute this directly to the fruit in a clinical sense. Further research is needed to confirm these secondary observations.

Should I stop taking Vitamin D3 if I eat prunes?

No. All participants in this study were provided with vitamin D3 and calcium, as these are established standards for bone health. There is no evidence in this trial to suggest prunes replace these essential nutrients.


Are you interested in learning more about how nutrition impacts aging? Subscribe to our weekly newsletter for the latest updates on clinical nutrition research and bone health strategies.

June 12, 2026 0 comments
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Health

How Patient Organizations Improve Rheumatic Disease Support

by Chief Editor June 7, 2026
written by Chief Editor

Patient-led initiatives are reshaping rheumatology care by addressing critical gaps in support, such as menopause management, career sustainability, and equitable access to physiotherapy. According to the European Alliance of Associations for Rheumatology (EULAR), these person-centred models—presented at the EULAR 2026 Congress—demonstrate that integrating lived experience into health policy and clinical practice leads to measurable improvements in patient outcomes and daily functioning.

How multidisciplinary counselling fills gaps in traditional healthcare

Traditional clinical settings often lack the time to address the psychosocial and everyday challenges faced by people with rheumatic and musculoskeletal diseases (RMD). At the EULAR 2026 Congress, Nanna Bacci Hartz of the Danish Rheumatism Association shared insights from a multidisciplinary counselling service that provides non-clinical support. In 2025, this service handled 5,408 enquiries, with 80% of participants being women.

The service operates for 27 hours weekly, offering access to a diverse team including rheumatologists, lawyers, and occupational therapists. By removing the pressure of clinical decision-making, the team allows patients to voice concerns about employment, medication shortages, and administrative barriers. This provides the patient organization with unique, actionable data regarding unmet needs that might otherwise remain invisible to standard healthcare providers.

Did you know?
The Danish Rheumatism Association’s counselling service saw 5,408 enquiries in 2025, with 84% of those requests coming in via telephone.

Addressing the menopause care gap in rheumatoid arthritis

Menopause is a significant, often overlooked challenge for women living with rheumatoid arthritis. Research highlighted by the National Rheumatoid Arthritis Society (NRAS) in the UK revealed that 93% of respondents reported that menopause was never discussed during their rheumatology care, despite the condition affecting three times more women than men.

Addressing the menopause care gap in rheumatoid arthritis

Donagh Stenson outlined three key initiatives designed to bridge this divide:

  • A dedicated booklet offering accessible information for women at all stages of menopause.
  • An online peer-led support group to foster emotional safety and shared experiences.
  • The Coalition for Menopause, a multidisciplinary steering group of specialists, researchers, and service users aimed at guiding future research and service improvements.

Can peer support improve work participation for young adults?

RMDs often debut in early adulthood, creating long-term challenges for education and career stability. Joachim Sagen of the Norwegian Rheumatism Association reported on a gathering of 40 people with RMDs aged 18–40 to identify barriers to sustainable work. The findings revealed that fluctuating disease activity and fatigue are major hurdles, exacerbated by a lack of workplace knowledge about RMDs.

Peer support emerged as a central facilitator for empowerment and stigma reduction. When healthcare policies align with lived experience—such as providing flexible work arrangements and early intervention—young adults are better equipped to remain in the workforce. This patient-led approach highlights that self-management is not just an individual task but a result of inclusive workplace practices.

Advocating for equitable physiotherapy access

Physiotherapy is a cornerstone of RMD management, yet access is frequently restricted by arbitrary caps. A patient-led initiative in Cyprus successfully advocated for a policy change to replace a flat limit of 9 sessions with disease-specific entitlements. As presented by Stalo Papamichael at the 2026 Congress, patients can now access up to 24 sessions for rheumatoid arthritis, 12 for fibromyalgia, and 42 for spondyloarthritis.

EULAR 2026 Congress | Live Sessions Channel 5

The results of this shift have been significant. Patients reported better mobility, improved symptom management, and enhanced functional capacity. Stalo Papamichael noted, “This change confirms physiotherapy as a critical pillar of sustainable, person-centred RMD management.”

Frequently Asked Questions

What is the primary role of patient organizations in RMD care?
According to EULAR, these organizations act as a vital supplement to public healthcare by providing person-centred support, advocating for policy changes, and identifying unmet needs through lived experience.

How does peer support benefit young adults with RMDs?
Peer support initiatives, such as those organized by the Norwegian Rheumatism Association, help reduce stigma, improve self-efficacy, and provide practical strategies for managing fatigue and disease activity in the workplace.

Why is the Coalition for Menopause important?
It creates a dedicated space for specialists and patients to collaborate on resource development, filling a significant care gap where 93% of women with rheumatoid arthritis previously felt their menopausal concerns were unaddressed.


Are you a patient or healthcare professional interested in patient-led advocacy? Explore more resources on the EULAR website or subscribe to our newsletter for the latest updates on rheumatology policy and research.

June 7, 2026 0 comments
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Health

Low Adherence to Treat-to-Target Strategies in Rheumatology

by Chief Editor June 4, 2026
written by Chief Editor

For years, the gold standard for medical knowledge has been the randomized controlled trial (RCT). While these trials are essential, they often exist in a “perfect” environment that doesn’t always mirror the messy, complex reality of daily clinical practice. That is changing. As presented at the latest EULAR Congress, the integration of real-world evidence (RWE) is shifting how we manage rheumatic and musculoskeletal diseases (RMDs), moving us toward more personalized, data-driven care.

The “Treat-to-Target” Gap: Why Implementation Matters

The “Treat-to-Target” (T2T) strategy—where clinicians aim for clinical remission or low disease activity through frequent monitoring—is the cornerstone of modern rheumatology. Yet, a recent study from Italy reveals a striking reality: in practice, we are falling short.

Analysis of nearly 1,500 outpatient visits found that T2T adherence in spondyloarthritis patients was a mere 40%. The culprit? A simple, yet devastating, documentation gap. In 90% of cases where T2T wasn’t followed, it was because clinicians weren’t recording disease activity using validated indices. When the data isn’t tracked, the strategy cannot be executed.

Pro Tip: If you are living with an RMD, don’t be afraid to ask your rheumatologist, “What is my current disease activity score?” Tracking these numbers at every visit ensures you and your doctor are aligned on your treatment goals.

Weight Management and the GLP-1 Revolution

Weight management has long been a pillar of RMD care, but the emergence of GLP-1 receptor agonists (such as semaglutide and tirzepatide) has changed the conversation. Data from over 60,000 registry patients show that these medications are not just for diabetes; they are being actively used to manage weight in patients with conditions like psoriatic arthritis and ankylosing spondylitis.

Weight Management and the GLP-1 Revolution
Target Strategies

The numbers are compelling: non-diabetic users saw significant weight loss, with tirzepatide often outperforming semaglutide in head-to-head patterns. As we look to the future, the focus is shifting from “just weight loss” to understanding how these drugs impact long-term joint function and disease-specific inflammation.

Early Detection of RA-ILD: A New Frontier

Rheumatoid arthritis-associated interstitial lung disease (RA-ILD) remains a major concern for clinicians due to its link to higher mortality rates. The ANCHOR-RA study, the largest prospective screening effort of its kind, recently uncovered that roughly 1 in 10 patients with RA and known risk factors already have undiagnosed ILD.

EULAR 2026 Congress | Live Sessions Channel 1

Key risk factors identified include:

  • Advanced age and male sex.
  • High cumulative tobacco exposure.
  • Genetic markers, specifically the MUC5B promoter variant.
  • Clinical signs such as crackles on auscultation and low oxygen saturation.
Did you know? Even if you don’t have respiratory symptoms, your rheumatologist may suggest lung function tests if you have specific risk factors. Early detection is the strongest tool we have to alter the natural history of RA-ILD.

The Smoking Paradox in Rheumatology

While smoking rates have plummeted across the general European population, the trend in the rheumatology community is more nuanced. Recent data from the Swiss Clinical Quality Management (SCQM) registry shows that while overall smoking rates among RA patients are declining, the gap between the general population and those with RA is widening—particularly among men.

This suggests that current public health messaging isn’t reaching those most at risk of developing severe rheumatic complications. It serves as a reminder that primary prevention—quitting smoking—remains the most effective “treatment” for preventing long-term cardiopulmonary damage in RMD patients.

Frequently Asked Questions (FAQ)

What is the “Treat-to-Target” strategy?

We see a clinical approach where doctors and patients set a specific goal (usually remission or low disease activity) and adjust medications frequently until that goal is met.

Why is RA-ILD so dangerous?

Interstitial lung disease involves scarring of the lung tissue, which can reduce oxygen intake and is associated with a higher risk of mortality in patients with rheumatoid arthritis.

Can GLP-1 drugs help with joint pain?

While these drugs are primarily for weight loss and diabetes, researchers are currently investigating if the resulting weight reduction and potential anti-inflammatory effects improve overall joint health and function in RMD patients.


Are you interested in learning more about how real-world data is changing your treatment options? Subscribe to our newsletter for the latest updates in rheumatology research, or join the conversation in the comments section below.

June 4, 2026 0 comments
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