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Bone Adaptation in Adult Women Is Related to Loading Dose: A 12-Month Randomized Controlled Trial
Karen L Troy1, Megan E Mancuso1, Joshua E Johnson2
1Department of Biomedical Engineering, Worcester Polytechnic Institute, Worcester, MA, USA.
Mechanical signals like strain magnitude, rate, and loading bouts influence bone adaptation in women. Higher loading doses correlate with increased bone mineral content, aiding osteoporosis prevention strategies.
Area of Science:
- Biomechanics
- Bone Physiology
- Osteoporosis Research
Background:
- Understanding mechanical factors influencing bone adaptation is crucial for developing effective osteoporosis prevention and treatment strategies.
- Previous research suggests mechanical loading increases bone density, but specific parameters like strain rate and magnitude require further investigation in humans.
- The prospective effects of controlled mechanical loading on human bone adaptation have not been systematically tested.
Purpose of the Study:
- To prospectively investigate the effects of specific mechanical loading parameters (strain magnitude and strain rate) on bone adaptation in healthy adult women.
- To determine the relationship between loading dose and changes in bone mineral content and structure.
- To identify key mechanical signals that govern bone's response to loading.
Main Methods:
- A 12-month prospective study involving 102 healthy women aged 21-40 years, divided into low/high strain magnitude and low/high strain rate groups, plus a control group.
- Subject-specific finite element models were used to assign strains during a voluntary upper extremity compressive loading task.
- Bone mineral content (iBMC) and density (BMD) were assessed using quantitative computed tomography (QCT) and high-resolution peripheral QCT (HRpQCT).
Main Results:
- Both low and high strain rate groups showed significant 12-month increases in ultradistal radius iBMC compared to the control group.
- Loading dose was positively correlated with 12-month changes in ultradistal iBMC, total iBMC, total BMD, cortical thickness, and inner trabecular BMD.
- Participants with the greatest bone gain experienced an average of 128 loading bouts at specific strain magnitudes and rates.
Conclusions:
- Mechanical signals related to strain magnitude, strain rate, and the number of loading bouts contribute to bone adaptation in healthy adult women.
- While these factors influence bone changes, they explain only a small proportion of the variance in bone adaptation.
- These findings have implications for designing targeted exercise interventions for bone health and osteoporosis prevention.
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