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Effect of voluntary weight loss on bone mineral density in older overweight women.

Effect of voluntary weight loss on bone mineral density in older overweight women. Research Abstract Details 

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  • Effect of voluntary weight loss on bone mineral density in older overweight women. Abstract Text:

    OBJECTIVES: To examine the effect of diet and exercise-induced weight loss on bone mineral density in overweight postmenopausal women DESIGN: A 1-year prospective, randomized clinical trial. SETTING: Two university medical school research centers. PARTICIPANTS: Sixty-seven overweight postmenopausal women, a subset of the women who participated in the Trial of Nonpharmacological Interventions in the Elderly (TONE) to control hypertension. The participants were assigned randomly to one of four groups: usual care, weight loss only, sodium restriction only, or combined weight loss/sodium restriction. INTERVENTION: All TONE participants in the treatment groups attended regular dietary intervention sessions to lose weight, reduce sodium intake, or both that they might refrain from using antihypertensive medications for a period of 15 to 36 months (median = 29 months). MEASUREMENTS: Bone mineral density (BMD) assessed by dual energy X-ray absorptiometry (DXA), serum and urine markers of bone metabolism, and other demographic and clinical data were collected at baseline, 6 months, and 12 months. RESULTS: Women assigned to the weight loss interventions lost 9.2 +/- 1.2 lbs (mean +/- SE) at 6 months and 7.7 +/- 2.0 lbs at 12 months compared with 1.8 +/- 1.0 lbs at 6 months and 1.9 +/- 1.6 lbs at 12 months for those assigned to no weight loss intervention (P < .0001). Weight loss was correlated with a decrease in total body BMD (P = .004) and an increase in osteocalcin (P = .004) after controlling for baseline bone measures, intervention assignment, and other baseline covariates. Regression analyses indicated that total body BMD decreased by 6.25 +/- 2.06 g/cm2 x 10-4 for each pound of weight loss. CONCLUSIONS: Voluntary weight loss in overweight postmenopausal women is associated with modest decrease in total body BMD. Clinicians recommending weight loss for older postmenopausal women may need to include recommendations for reducing the risk of bone loss.

    Effect of voluntary weight loss on bone mineral density in older overweight women. Publishing Authors By Initials

    For similar pathological conditions, signs and symptoms: signs and symptoms: body weight: body weight changes: weight loss research abstracts see: pathological conditions, signs and symptoms: signs and symptoms: body weight: body weight changes: weight loss research

    PUBMED ID PMID:

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    Effect of voluntary weight loss on bone mineral density in older overweight women. Journal Published:

    PUBLICATION TYPE: Research Support, U.S. Gov't,

    Journal: Journal of the American Geriatrics Society

    VOLUME: 48

    Page Numbers: 753-9

    Journal Abbreviation: J Am Geriatr Soc

    ISSN: 0002-8614

    DAY: 10

    MONTH: Jul

    YEAR: 2000

    Effect of voluntary weight loss on bone mineral density in older overweight women. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7503062

    Effect of voluntary weight loss on bone mineral density in older overweight women. Keywords Mesh Terms:

    KEYWORDS: Weight Loss

    MESH TERMS: physiology

    Chemical & Substance for Abstract: Effect of voluntary weight loss on bone mineral density in older overweight women. Information

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    Grant and Affiliation Information for Effect of voluntary weight loss on bone mineral density in older overweight women.

    AFFILIATION: Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA.

    Country: UNITED STATES

    UNITED STATES Research PublicationUNITED STATES Research Publication

    AGENCY: United States NHLBI

    GRANT: R01 HL-48642

    ACRONYM: HL

    MEDLINETA: J Am Geriatr Soc

    REFSOURCE:

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