Table 3.
Absolute changes in body composition, areal BMD, volumetric BMD, bone strength, bone markers, parathyroid hormone (PTH) and 25-hydroxy (25-OH) vitamin D for weight loss and weight stable participants (0 to 4 months).
| 4 Month Change | Difference (95% CI) | * p value | ||
|---|---|---|---|---|
| Weight Loss (N=14) | Weight Stable (N=10) | |||
| Body Composition (kg) | ||||
| Total Mass | −3.0±2.61 | 0.3±1.88 | −3.2 (−5.11, −1.31) | 0.002 |
| Fat Mass | −2.3±2.08 | 0.4±1.37 | −2.7 (−4.20, −1.27) | <.001 |
| Fat Free Mass | −0.6±1.14 | −0.1±1.08 | −0.5 (−1.43, 0.48) | 0.31 |
|
| ||||
| Areal BMD (g/cm2) | ||||
| Hip | −0.001±0.024 | −0.011±0.019 | 0.001 (−0.015, 0.017) | 0.86 |
| Femoral Neck | −0.010±0.018 | 0.01±0.020 | −0.009 (−0.028, 0.009) | 0.31 |
| Trochanter | −0.008±0.019 | −0.009±0.020 | 0.001 (−0.016, 0.017) | 0.94 |
| Subtrochanter | −0.011±0.024 | −0.012±0.021 | 0.001 (−0.018, 0.021) | 0.90 |
|
| ||||
| Volumetric BMD (g/cm3) | ||||
| Total Hip | −2.9±20.1 | −8.3±21.9 | 5.4 (−13.0, 23.8) | 0.54 |
| Cortical | −18.4±58.0 | −25.8±66.5 | 7.4 (−47.5, 62.3) | 0.78 |
| Trabecular | −0.2±9.1 | −3.5±10.6 | 3.3 (−5.4, 12.0) | 0.44 |
| Total Neck | 1.4±26.1 | −9.6±27.6 | 11.0 (−12.4, 34.4) | 0.34 |
| Cortical | −13.4±95.0 | −4.5±81.2 | −8.9 (−84.0, 66.1) | 0.81 |
| Trabecular | −1.2±8.7 | −1.7±9.3 | 0.4 (−7.4, 8.3) | 0.91 |
|
| ||||
| Bone Strength (Femoral Neck) | ||||
| CSMImax(mgxcm) | −1462±2810 | 1345±3044 | −2807 (−5367, −247) | 0.03 |
| SMmax (cm3) | −2.4±4.07 | 2.22±3.60 | −4.62 (−7.90, −1.35) | 0.008 |
| CSMImin (mgxcm) | −160±518.8 | 298±662 | −458 (−989, 74) | 0.09 |
| SMmin (cm3) | −0.6±1.3 | 1.1±2.0 | −1.7(−3.26, −0.09) | 0.04 |
|
| ||||
| Bone Markers | ||||
|
| ||||
| CTX (ng/mL) | 0.05±0.2 | 0.1±0.1 | −0.02 (−0.2, 0.1) | 0.77 |
| BAP (U/L) | −0.2±2.5 | −0.3±5.7 | 0.1 (−4.1, 4.3) | 0.97 |
|
| ||||
| PTH (pg/mL) | −4.1±13.0 | 8.0±16.1 | −12.0 (−25.1, 1.0) | 0.07 |
|
| ||||
| Vitamin D (25OH) (ng/mL) | 2.4±7.1 | 1.3±6.5 | 1.1 (−4.7, 7.0) | 0.69 |
P values are based on a 2-group t test.
BMD: bone mineral density; CSMImax: cross-sectional moment of inertia, strong axis of bone; CSMImin: cross-sectional moment of inertia, weak axis of bone; Zmax: section modulus, strong axis of bone; Zmin: section modulus, weak axis of bone; CTX: C-terminal telopeptide of type I collagen; BAP: bone-specific alkaline phosphatase.