Effects of Greek Yogurt Versus Whey Protein Supplementation on Markers of Bone Turnover and Inflammation in University Athletes: A 24-Week Intervention Study.
Bell M, Narciso P, et al. • International journal of sport nutrition and exercise metabolism • 2026
Although protein supplementation, independent of source (wholefood or isolates), showed potential bone and inflammatory benefits during athletic training, it remains unclear whether these effects were solely attributable to the supplements.
Key Findings
Results
No main effects or interactions were found for markers of bone formation across the intervention period.
Bone formation markers analyzed included osteocalcin, amino-terminal propeptide of Type I collagen (P1NP), and insulin-like growth factor 1 (IGF-1).
Neither Greek yogurt nor whey protein supplementation produced significant changes in these formation markers.
The study included 32 university athletes (16 females) over a 24-week period including an 8-week control and 16-week intervention.
Results
C-telopeptides of Type I collagen (CTX), a marker of bone resorption, showed a significant Time × Group interaction between Greek yogurt and whey protein groups.
Time × Group interaction was statistically significant (p = .048).
In the Greek yogurt group, CTX increased from pre- to postcontrol and returned to baseline concentrations postintervention.
CTX remained stable throughout the study in the whey protein group.
Greek yogurt provided 175 g per serving (17 g protein) twice daily; whey protein was isonitrogenous.
Results
Receptor activator of nuclear factor kappa-B ligand (RANKL) increased from pre- to postcontrol across both groups and returned to baseline by midintervention.
A significant time effect was observed for RANKL (p = .014).
The increase occurred during the 8-week control period before any supplementation began.
RANKL returned to baseline levels by midintervention (Week 16), with no significant group differences or Time × Group interaction reported.
Results
Males had significantly higher sclerostin and interleukin 10 concentrations than females, with no sex-by-group interactions.
Sex effect for sclerostin was significant (p = .021).
Sex effect for interleukin 10 (IL-10) was significant (p = .004).
No Time × Sex or Group × Sex interactions were reported for either marker.
The sample included 16 male and 16 female university athletes.
Results
Tumor necrosis factor-alpha (TNF-α) showed a trend toward increasing from pre- to postcontrol and then decreased to baseline levels postintervention.
The time effect for TNF-α approached but did not reach conventional statistical significance (p = .053).
TNF-α increased during the 8-week control period and decreased following the 16-week supplementation intervention.
No significant Group × Time interaction was reported, suggesting the pattern was similar across both supplementation groups.
Results
Interleukin 6 showed no main effects or interactions across time, group, or sex.
IL-6 was measured as a pro-inflammatory marker at all four time points (Weeks 0, 8, 16, and 24).
Neither Greek yogurt nor whey protein supplementation significantly altered IL-6 concentrations.
No sex differences were observed for IL-6.
Methods
The study employed a controlled design with an 8-week habitual diet control period followed by random assignment to 16 weeks of Greek yogurt or whey protein supplementation.
Participants were 32 university athletes (16 females) followed over a competitive season.
Greek yogurt dose was two servings per day of 175 g (providing 17 g protein per serving).
Whey protein was isonitrogenous to the Greek yogurt condition.
Blood was collected at four time points: Week 0 (precontrol), Week 8 (postcontrol/preintervention), Week 16 (midintervention), and Week 24 (postintervention).
Ten blood markers were analyzed: osteocalcin, P1NP, IGF-1, osteoprotegerin, CTX, sclerostin, RANKL, TNF-α, IL-6, and IL-10.
Bell M, Narciso P, MacNeil A, Josse A, Roy B, Falk B, et al.. (2026). Effects of Greek Yogurt Versus Whey Protein Supplementation on Markers of Bone Turnover and Inflammation in University Athletes: A 24-Week Intervention Study.. International journal of sport nutrition and exercise metabolism. https://doi.org/10.1123/ijsnem.2025-0155