Effects of additional resistance training during diet-induced weight loss on bone mineral density in overweight premenopausal women

Springer Science and Business Media LLC - Tập 26 - Trang 172-177 - 2008
Yoshio Nakata1, Kazunori Ohkawara2, Dong Jun Lee1,3, Tomohiro Okura1,4, Kiyoji Tanaka1,4
1Institute of Health and Sport Sciences, Center for Tsukuba Advanced Research Alliance (TARA), University of Tsukuba, Tsukuba, Japan
2Health Promotion and Exercise Program, The National Institute of Health and Nutrition, Tokyo, Japan
3Division of Physical Education Sport and Leisure Studies, Myongji University, Yongin, Korea
4Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Japan

Tóm tắt

Bone loss accompanies a diet-induced weight loss and could be prevented with a combination of exercises. This study was conducted to examine the effects of additional resistance training during diet-induced weight loss on whole-body and selected regional bone mineral density (BMD). The participants of a 14-week weight-loss study were 42 overweight premenopausal Japanese women who were randomly placed in either a diet-only group (D; n = 21) or a diet plus resistance training group (DR; n = 21). Whole-body BMD and body composition, lumbar spine BMD, and 1/3 radial BMD were measured by dual-energy X-ray absorptiometry before and after the intervention. Bone formation and resorption markers were also measured. Thirty-five participants (83%) completed the study. Individuals in groups D (n = 17) and DR (n = 18) lost 6.2 ± 3.5 kg and 8.6 ± 3.6 kg body weight, respectively. Reductions in percentage fat mass and fat mass in group DR were significantly greater than in group D; lean mass decreased significantly in both groups. The effect of time on whole-body BMD was significant (−0.3%); however, whole-body bone mineral content, lumbar spine BMD, and 1/3 radial BMD remained unchanged. There were no significant timeby-group interactions in the whole-body and regional BMD and bone markers. These results suggest that additional resistance training during weight loss has no effect on BMD in overweight premenopausal Japanese women. Further long-term studies with large numbers of subjects are needed.

Tài liệu tham khảo

Kenchaiah S, Evans JC, Levy D, Wilson PW, Benjamin EJ, Larson MG, Kannel WB, Vasan RS (2002) Obesity and the risk of heart failure. N Engl J Med 347:305–313 Rexrode KM, Hennekens CH, Willett WC, Colditz GA, Stampfer MJ, Rich-Edwards JW, Speizer FE, Manson JE (1997) A prospective study of body mass index, weight change, and risk of stroke in women. JAMA 277:1539–1545 Mendez MA, Monteiro CA, Popkin BM (2005) Overweight exceeds underweight among women in most developing countries. Am J Clin Nutr 81:714–721 Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS (2003) Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 289:76–79 Rippe JM, McInnis KJ, Melanson KJ (2001) Physician involvement in the management of obesity as a primary medical condition. Obes Res 4:302S–311S Ensrud KE, Ewing SK, Stone KL, Cauley JA, Bowman PJ, Cummings SR; Study of Osteoporotic Fractures Research Group. (2003) Intentional and unintentional weight loss increase bone loss and hip fracture risk in older women. J Am Geriatr Soc 51:1740–1747 Knoke JD, Barrett-Connor E (2003) Weight loss: a determinant of hip bone loss in older men and women. The Rancho Bernardo Study. Am J Epidemiol 158:1132–1138 Macdonald HM, New SA, Campbell MK, Reid DM (2005) Influence of weight and weight change on bone loss in perimenopausal and early postmenopausal Scottish women. Osteoporos Int 16: 163–171 Nguyen TV, Sambrook PN, Eisman JA (1998) Bone loss, physical activity, and weight change in elderly women: the Dubbo Osteoporosis Epidemiology Study. J Bone Miner Res 13:1458–1467 Espallargues M, Sampietro-Colom L, Estrada MD, Sola M, del Rio L, Setoain J, Granados A (2001) Identifying bone-mass-related risk factors for fracture to guide bone densitometry measurements: a systematic review of the literature. Osteoporos Int 12:811–822 Chao D, Espeland MA, Farmer D, Register TC, Lenchik L, Applegate WB, Ettinger WH Jr (2000) Effect of voluntary weight loss on bone mineral density in older overweight women. J Am Geriatr Soc 48:753–759 Compston JE, Laskey MA, Croucher PI, Coxon A, Kreitzman S (1992) Effect of diet-induced weight loss on total body bone mass. Clin Sci 82:429–432 Jensen LB, Quaade F, Sorensen OH (1994) Bone loss accompanying voluntary weight loss in obese humans. J Bone Miner Res 9:459–463 Jensen LB, Kollerup G, Quaade F, Sorensen OH (2001) Bone minerals changes in obese women during a moderate weight loss with and without calcium supplementation. J Bone Miner Res 16:141–147 Pritchard JE, Nowson CA, Wark JD (1996) Bone loss accompanying diet-induced or exercise-induced weight loss: a randomised controlled study. Int J Obes Relat Metab Disord 20:513–520 Ramsdale SJ, Bassey EJ (1994) Changes in bone mineral density associated with dietary-induced loss of body mass in young women. Clin Sci 87:343–348 Ricci TA, Heymsfield SB, Pierson RN Jr, Stahl T, Chowdhury HA, Shapses SA (2001) Moderate energy restriction increases bone resorption in obese postmenopausal women. Am J Clin Nutr 73:347–352 Riedt CS, Cifuentes M, Stahl T, Chowdhury HA, Schlussel Y, Shapses SA (2005) Overweight postmenopausal women lose bone with moderate weight reduction and 1 g/day calcium intake. J Bone Miner Res 20:455–463 The Examination Committee of Criteria for “Obesity Disease” in Japan; Japan Society for the Study of Obesity (2002) New criteria for “obesity disease” in Japan. Circ J 66:987–992 Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ (1994) Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA 272:1909–1914 Wolff I, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW (1999) The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre-and postmenopausal women. Osteoporos Int 9:1–12 Kerr D, Morton A, Dick I, Prince R (1996) Exercise effects on bone mass in postmenopausal women are site-specific and load-dependent. J Bone Miner Res 11:218–225 Daly RM, Dunstan DW, Owen N, Jolley D, Shaw JE, Zimmet PZ (2005) Does high-intensity resistance training maintain bone mass during moderate weight loss in older overweight adults with type 2 diabetes? Osteoporos Int 16:1703–1712 Duplay D (2005) Physicians’ Desk Reference for Nonprescription Drugs and Dietary Supplements, 26th edn. Thomson PDR, Montvale, NJ Fleck SJ, Kraemer WJ (1987) Designing Resistance Training Programs. Human Kinetics Books, Champaign, IL Nakata Y, Tanaka K, Mizuki T, Yoshida T (2004) Body composition measurements by dual-energy X-ray absorptiometry differ between two analysis modes. J Clin Densitom 7:443–447 Crouter SE, Schneider PL, Karabulut M, Bassett DR Jr (2003) Validity of 10 electronic pedometers for measuring steps, distance, and energy cost. Med Sci Sports Exerc 35:1455–1460 Andersen RE, Wadden TA, Herzog RJ (1997) Changes in bone mineral content in obese dieting women. Metabolism 46:857–861 Shapses SA, Riedt CS (2006) Bone, body weight, and weight reduction: what are the concerns? J Nutr 136:1453–1456 Skov AR, Haulrik N, Toubro S, Molgaard C, Astrup A (2002) Effect of protein intake on bone mineralization during weight loss: a 6-month trial. Obes Res 10:432–438 Bowen J, Noakes M, Clifton PM (2004) A high dairy protein, high-calcium diet minimizes bone turnover in overweight adults during weight loss. J Nutr 134:568–573 Ricci TA, Chowdhury HA, Heymsfield SB, Stahl T, Pierson RN Jr, Shapses SA (1998) Calcium supplementation suppresses bone turnover during weight reduction in postmenopausal women. J Bone Miner Res 13:1045–1050 Shapses SA, Von Thun NL, Heymsfield SB, Ricci TA, Ospina M, Pierson RN Jr, Stahl T (2001) Bone turnover and density in obese premenopausal women during moderate weight loss and calcium supplementation. J Bone Miner Res 16:1329–1336 Madsen OR, Jensen JE, Sorensen OH (1997) Validation of a dual energy X-ray absorptiometer: measurement of bone mass and soft tissue composition. Eur J Appl Physiol Occup Physiol 75:554–558 Svendsen OL, Haarbo J, Hassager C, Christiansen C (1993) Accuracy of measurements of body composition by dual-energy x-ray absorptiometry in vivo. Am J Clin Nutr 57:605–608 Svendsen OL, Hendel HW, Gotfredsen A, Pedersen BH, Andersen T (2002) Are soft tissue composition of bone and non-bone pixels in spinal bone mineral measurements by DXA similar? Impact of weight loss. Clin Physiol Funct Imaging 22:72–77