Faculty Bibliography

UNLABELLED: Dual-energy x-ray absorptiometry (DEXA) is a readily available technique that has recently been applied to measurement of body composition. In order to validate this technique, results from DEXA were compared with fat-free mass (FFM) and fat mass (FM) measured by total body levels of potassium (TBK), nitrogen (TBN), water (TBW) and carbon (TBC). METHODS: A healthy population of 127 white women and 38 black women with a body mass index of 18-30 were recruited. RESULTS: Compared with each of the other methods, DEXA overestimated FM and underestimated FFM. The slopes of the FM by DEXA versus the FM from each of the four methods were approximately the same, with a s.e.e. ranging from 2.4 to 3.0 units. The slopes of DEXA in comparison to FFM, however, ranged from 0.61 to 0.74 and were significantly less than unity, with a s.e.e. of 1.6 to 2.4 units. CONCLUSION: These findings suggest that at high values of FFM, DEXA is measuring something different from the FFM measured by TBW, TBN and TBK. The program for separating bone and soft tissue and for separating soft tissue into fat and lean at higher values in the DEXA method may need to be adjusted.

One hundred sixty-four healthy black and white women aged 24-79 y were studied to determine to what extent bone mass is determined by fat-free mass (FFM). A multicomponent approach to body composition, with techniques that are not interdependent, was used. The measurements included dual x-ray absorptiometry (DXA), prompt gamma-neutron-activation analysis, inelastic neuron scattering, tritiated water dilution, and whole-body counting. Univariate correlations showed significant relationships of all the fat-free measures and most of the fat measures with bone mass measured by total body calcium (TBCa). Data from pre- and postmenopausal women were analyzed separately. The average FFM by itself explained 50-55% of the variability in TBCa whereas the average fat mass by itself explained only 5-18% of the variability. The contribution of fat mass was consistently greater in postmenopausal than in premenopausal women. When stepwise multiple regression with TBCa was performed to determine the influence of adding fat mass, height, and race to the relationship of FFM with TBCa, the variation explained by average FFM was 56% premenopausal, 50% postmenopausal; by height 3% premenopausal, 6% postmenopausal; by race 4% premenopausal, 8% postmenopausal; and average fat mass was not significant. Average values for fat mass and FFM were obtained by averaging all the methods used. In conclusion, in black and white healthy women, although bone mass may be partially influenced by fatness or race, the major determinant of bone mass is FFM. Fat mass may play a more important role in postmenopausal women.

BACKGROUND: Hypophysectomy (HX) results in a cessation of bone growth and a decrease in bone metabolism. The purpose of this study is to examine the effect of HX on the static and dynamic histomorphometry of cancellous bone in the secondary spongiosa of the proximal tibial metaphysis in rats. METHODS: Female rats, at 2 or 3 months of age, were HX and sacrificed at 0, 5 days, 2 and 5 weeks after the surgery. Age-matched intact rats served as controls. Cancellous bone histomorphometry was performed on double-fluorescent labeled, 30-microns-thick sections of the proximal tibia. Tartrate-resistant acid phosphatase histomorphometry was performed at 5 days on HX and control rats to evaluate the resorption in the metaphyseal bone. RESULTS: Although the intact rats gained in body weight, tibial length, tibial weight, and density after 5 weeks, these changes did not occur following HX. As compared to the basal group, HX resulted in a decrease in the density and dry weight of the metaphysis. The histomorphometric data showed that the cancellous bone volume and trabecular number of the secondary spongiosa were decreased and the separation was increased in the HX rats. The dynamic results showed that HX significantly decreased longitudinal growth rate and tissue-based bone formation and resorption. However, the bone surface-based eroded surface, labeled surface, the mineral apposition rate, and the bone formation rate did not differ between the intact and the HX rats at either the 2 or 5 weeks study. Five days after HX, the bone surface and tissue-based osteoclast surfaces were significantly lower in the HX than in the intact rats. CONCLUSIONS: Pituitary hormone deficiency results in cancellous bone loss. The bone loss is due primarily to the suppression of longitudinal growth-dependent bone gain and the inhibition of tissue-based bone turnover with a lower bone formation relative to bone resorption. The surface-based bone turnover is not affected.

BACKGROUND: Pituitary hormones play an important role in bone growth, modeling, and remodeling. The purpose of this study is to examine the effect of hypophysectomy (HX) on tibial cortical bone with histomorphometry. METHODS: Forty-five female Sprague-Dawley rats, at 3 months of age, were hypophysectomized or served as intact controls. They were sacrificed at 0, 2, and 5 weeks after the surgery. Cortical bone histomorphometry was performed on double-fluorescent-labeled 30-mcm-thick sections of the tibial shaft. RESULTS: The dry weight and density of tibial diaphysis and the cortical bone area of the tibial shaft in the HX rats were significantly lower (P < 0.05) than that of the age-matched intact rats, but did not differ between the HX and basal control rats. The dynamic data show that the bone formation parameters (labeled surface, mineral apposition rate, and bone formation rate) were profoundly decreased (P < 0.01) on both the periosteal and endocortical surfaces in the HX rats as compared with the age-matched intact rats at the 2 and 5 weeks. However, the decrease in the labeled surface was much less on the endocortical envelope than on the periosteal envelope in the HX rats. Although no significant change was detected in the medullar size between the HX and age-matched intact rats, the eroded surface on the endocortical surface was greater (P < 0.05) in the HX rats than in the intact rats at either time point. CONCLUSIONS: Hypophysectomy-suppressed, radial growth-dependent bone gain without a bone loss in the tibial shaft of the young rat. This is associated with decreased modeling-dependent bone formation. A greater eroded surface on the endosteum did not affect the marrow size at 5 weeks after hypophysectomy.

OBJECTIVE: Our purpose was to determine the efficacy of dietary calcium augmentation in the prevention of early postmenopausal bone density loss in comparison with hormonal replacement therapy and placebo. STUDY DESIGN: A three-arm parallel randomized trial comparing the influence of placebo, dietary calcium augmentation, and estrogen-progesterone-calcium in 118 women who were within 6 years of menopause was conducted. Dual photon absorptiometry was performed annually to measure lean and fat mass. In addition, the ratio of fat in the trunk/extremities was measured. RESULTS: Body weight increased in each group. The increase was statistically significant in the hormone replacement group (0.8 kg/year). The percent of body fat increased in each group from baseline measurements, with the greatest increase in the hormonal replacement group. There was a decline in the extremity/trunk ratio in the hormonal replacement group as a result of a relatively greater increase in the trunk fat mass. There was a rapid rate of loss in lean body mass that was equal among groups. CONCLUSIONS: Menopause is associated with a gain in fat mass and a loss of lean body mass, but these changes in body composition are not prevented by hormone replacement therapy.

The aim of this study was to compare the effects of growth hormone administration and treadmill exercise on bone mass, body fat mass, and fat-free mass. Forty female rats aged 14 mo were divided into control, ovine growth hormone administration (0.5 mg.kg-1.day-1; GH), treadmill exercise (17 m/min, 60 min/day; EX), and EX + GH groups. Noninvasive total body electrical conductivity and dual X-ray absorptiometry techniques were used to assess the body fat content, fat-free mass, and tibial and L4 vertebral bone mineral content of each experimental animal at weeks 0, 9, and 16. The age-related increase in body fat mass was suppressed in the GH group, and the fat-free mass and L4 bone mass were higher in the GH group than in the control group. Conversely, in the EX group there was no gain in body fat mass and no significant change in fat-free mass or vertebral bone mass. The tibial bone mass increased in both the GH and EX groups; however, the time response to the two interventions appeared to differ. In the EX + GH group there was no further enhancement of the anabolic effect on the tibial bone mass. The effect of growth hormone administration on body fat content and bone mass is distinct from that of treadmill exercise.

The aim of this study was to increase our understanding of the effect of exercise on cortical bone mass and turnover in aged female rats. Female Sprague-Dawley rats, 14 months of age, were divided into four groups: 8 controls and 10 exercised for the 9-week study, and 8 controls and 9 exercised for the 16-week study. Exercise consisted of treadmill running at 17 m/min for one h/day and 5 days/week for 9 and 16 weeks. All animals received double fluorochrome labeling of bone prior to sacrifice. Histomorphometric analysis was performed on 30-microns-thick Villanueva-stained, undecalcified cross-sections of the tibial shaft. Tibial diaphyseal mineral density of each rat in the 16-week study was measured by dual energy x-ray absorptiometry in vivo at 0, 9, and 16 weeks. The diaphyseal mineral density of the exercised group was significantly greater than that of the control group (p < 0.05 by two-way ANOVA) and the individual slopes of the density vs. time was found to be higher in the exercised than in the control animals (mean +/- SE of exercised 0.56 +/- 0.13 vs. control 0.19 +/- 0.07 mg/cm2/week, p < 0.05) by the end of the experiment. The results of the histomorphometric analysis after 9 weeks of exercise showed that the periosteal labeled surface, mineral apposition rate, and bone formation rate were profoundly increased by 192% (p < 0.001), 35%, and 206% (p < 0.01), respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

To evaluate the effect of 17 beta-estradiol replacement (10 micrograms, twice a week) (E2) and treadmill exercise (18 m/min, 45 min/day) (EX) on long bone and vertebral bone mass and density, 10-month-old rats were ovariectomized (OV) and divided into four groups: OV, OV + E2, OV + EX, OV + EX + E2 2 months after surgery. After 7 weeks intervention, the calcium content and the density of lumbar-5 were higher in both OV + E2 and OV + EX + E2 groups than in the OV group, but, only the OV + EX + E2 group had a significantly higher femoral bone weight and density than the OV group. After 16 weeks intervention, the bone-conserving effects of E2 and EX were significant on lumbar-5 and femoral dry weight and density. The effect of E2 on both two sides of bones was due to the suppression of the bone turnover rate, while EX suppressed bone turnover rate primarily on the femur. We conclude that the effect of the two interventions on lumbar-5 and femoral bone mass were additive and independent.