The effects of weight loss and exercise on relative BMD in premenopausal women
by Hamilton, Kara C., M.P.E., THE UNIVERSITY OF ALABAMA AT BIRMINGHAM, 2011, 52 pages; 1499760

Abstract:

Heavier individuals have higher bone mineral density (BMD) than individuals of lower body weight, but it is unclear whether BMD changes in proportion to body weight during weight loss. This study compared BMD relative to body weight following a six month weight loss program and a one-year weight maintenance phase in premenopausal women and determined whether African American (AA) and European-American (EA) women's BMD respond similarly during weight loss. Premenopausal women (n=115, 34±5 yrs.) were evaluated in an overweight state (BMI between 27 and 30 kg/m2), following an 800 kcal/day diet/exercise program designed to reduce BMI <25 kg/m2, and one-year following weight loss. Results indicated that BMD relative to body weight increased after weight loss, but decreased during the one-year weight maintenance phase. However, all one-year follow up BMD measurements were increased (all significant except Ward's triangle and L1) when compared to baseline measurements. These sites included the hip neck (mean Z-score difference of 0 .088, P=0.014), the greater trochanter (mean difference of 0.089, P=0.003), total hip (mean Z-score difference of 0.099, P=0.001), L2 (mean Z-score difference of 0 .126, P<0.013), L3 (mean Z-score difference of 0.136, P=0.014), and L4 (mean Z-score difference of 0.186, P=0.005). AAs had significantly higher BMD at all sites compared to EAs, but no time by race interactions were evident during weight loss (except in L3). These results indicate that it is safe and beneficial for overweight premenopausal women to lose weight since it improves BMD relative to body weight, while also combating obesity, heart disease, high blood pressure, and type II diabetes.

 
AdviserGary R. Hunter
SchoolTHE UNIVERSITY OF ALABAMA AT BIRMINGHAM
SourceMAI/ 50-02, p. , Oct 2011
Source TypeThesis
SubjectsWomen's studies; Kinesiology
Publication Number1499760
Adobe PDF Access the complete dissertation:
 

» Find an electronic copy at your library.
  Use the link below to access a full citation record of this graduate work:
  http://gateway.proquest.com/openurl%3furl_ver=Z39.88-2004%26res_dat=xri:pqdiss%26rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation%26rft_dat=xri:pqdiss:1499760
  If your library subscribes to the ProQuest Dissertations & Theses (PQDT) database, you may be entitled to a free electronic version of this graduate work. If not, you will have the option to purchase one, and access a 24 page preview for free (if available).

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - http://www.proquest.com - or call ProQuest Hotline Customer Support at 1-800-521-3042.