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Exercise attenuates bone mineral density loss during diet-induced weight loss in adults with overweight and obesity:A systematic review and meta-analysis

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Journal of Sport and Health Science 2021年第5期10卷 550-559页

作者： Jakub Mesinovic paul jansons Ayse Zengin Barbora de Courten Alexander J.Rodriguez Robin M.Daly Peter R.Ebeling David Scott Department of Medicine School of Clinical Sciences at Monash HealthMonash UniversityClaytonVIA 3168Australia Institute for Physical Activity and Nutrition(IPAN) School of Exercise and Nutrition SciencesDeakin UniversityBurwoodVIA 2134Australia School of Medical and Health Sciences Edith Cowan UniversityPerthWA 6027Australia Department of Medicine and Australian Institute of Musculoskeletal Science Melbourne Medical SchoolWestern CampusUniversity of MelbourneSt AlbansVIA 3021Australia

Background:Weight-loss-induced fat loss improves cardiometabolic health in individuals with overweight and obesity;however,weight loss can also result in bone loss and increased fracture ***-loss-induced bone loss may be attenuated with *** aim was to compare changes in bone mineral density(BMD)in adults with overweight and obesity who undertook diet-induced weight loss alone or in combination with ***:We included randomized controlled trials(RCTs)in adults with overweight or obesity(aged-18 years;body mass index-25 kg/m^(2))that prescribed diet-induced weight loss alone or in combination with supervised exercise,and measured any bone structural *** of bias was assessed using the Cochrane Risk of Bias ***-effects meta-analyses determined mean changes and net mean differences(95%confidence intervals(95%CIs))in the percentage of areal BMD(aBMD)change between ***:We included 9 ***-induced weight loss led to significant losses in femoral neck aBMD(mean change:-1.73%(95%CI:-2.39%to-1.07%),p<0.001)and total hip aBMD(-2.19%(95%CI:-3.84%to-0.54%),p=0.009).Femoral neck aBMD losses were significantly greater in the diet-induced weight loss group compared to the exercise plus diet-induced weight loss group(net difference:-0.88%(95%CI:-1.73%to-0.03%));however,there were no differences in aBMD changes at any other skeletal site:total hip(-1.96%(95%CI:-4.59%to 0.68%))and lumbar spine(-0.48%(95%CI:-1.81%to 0.86%)).aBMD changes did not differ significantly according to exercise modality(resistance exercise,aerobic exercise,or a combination of the two)during diet-induced weight ***:Diet-induced weight loss led to greater femoral neck bone loss compared to diet-induced weight loss plus *** loss at the total hip and lumbar spine was not attenuated by exercise during diet-induced weight *** lack of consistent skeletal benefits may be due to the insufficient duration and/or training intensities

关键词： Bone mass Exercise Obesity Overweight Weight loss

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