1993
DOI: 10.1002/jbmr.5650081204
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Changes in markers of bone formation and resorption in a bed rest model of weightlessness

Abstract: To study the mechanism of bone loss in physical unloading, we examined indices of bone formation and bone resorption in the serum and urine of eight healthy men during a 7 day -6 degrees head-down tilt bed rest. Prompt increases in markers of resorption--pyridinoline (PD), deoxypyridinoline (DPD), and hydroxyproline (Hyp)/g creatinine--during the first few days of inactivity were paralleled by tartrate-resistant acid phosphatase (TRAP) with significant increases in all these markers by day 4 of bed rest. An in… Show more

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Cited by 112 publications
(32 citation statements)
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“…In the present study, the levels of urinary Hyp were elevated during Rec-2, suggesting that resorption or ECM turnover was increased during the later stages of HG and through the recovery periods. In support of our study, urinary Hyp levels were increased by reduced ground reaction forces experienced by patients in bed-rest studies and remained elevated for a period after reambulation (25). It is our hypothesis that, during a decrease in load-bearing activity in the musculoskeletal system, such as immobilization and/or spaceflight, Hyp is derived from resorption from connective tissues (catabolism), whereas adaptation to a chronic HG perturbation, as shown in this HG study, may result in a delayed connective tissue loss followed by urinary Hyp excretion to a new level of basal homeostasis or, perhaps, new ECM formation (anabolism).…”
Section: Collagensupporting
confidence: 86%
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“…In the present study, the levels of urinary Hyp were elevated during Rec-2, suggesting that resorption or ECM turnover was increased during the later stages of HG and through the recovery periods. In support of our study, urinary Hyp levels were increased by reduced ground reaction forces experienced by patients in bed-rest studies and remained elevated for a period after reambulation (25). It is our hypothesis that, during a decrease in load-bearing activity in the musculoskeletal system, such as immobilization and/or spaceflight, Hyp is derived from resorption from connective tissues (catabolism), whereas adaptation to a chronic HG perturbation, as shown in this HG study, may result in a delayed connective tissue loss followed by urinary Hyp excretion to a new level of basal homeostasis or, perhaps, new ECM formation (anabolism).…”
Section: Collagensupporting
confidence: 86%
“…Data collection continued throughout the postcentrifugation recovery period (recovery 1 G, days . The chronic HG period and the recovery 1-G period were further subdivided at or near the midpoints during the respective timelines into two subperiods: HG-1 wk (days 16 -22) and HG-2 wk (days [23][24][25][26][27][28][29][30] and Rec-1 (days 31-41) and Rec-2 (days 42-51).…”
Section: Experimental Designmentioning
confidence: 99%
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“…The factors that affect bone metabolism after fracture are the invasiveness of surgery, the period of bed rest, the degree of fracture, immobilization, and the process of fracture healing [7,12,17,26,31]. In our study groups, there were no differences in the period of bed rest and BMD of the femoral neck.…”
Section: Discussionmentioning
confidence: 56%