The Effects Of A Two Year Randomised Exercise Intervention On Markers Of Bone Turnover In Postmenopausal Women
Funder
National Health and Medical Research Council
Funding Amount
$43,573.00
Summary
Osteoporosis is a condition where the bones become more fragile and can break more easily. In Australia after age 60, three out of every five women and three out of every ten men will fracture a bone. When people fracture a hip they lose their independence and become much less mobile. Exercise is one lifestyle approach which may help in preventing osteoporosis by slowing bone loss and keeping the muscles strong. Previous research has not been able to clearly demonstrate the usefulness of exercis ....Osteoporosis is a condition where the bones become more fragile and can break more easily. In Australia after age 60, three out of every five women and three out of every ten men will fracture a bone. When people fracture a hip they lose their independence and become much less mobile. Exercise is one lifestyle approach which may help in preventing osteoporosis by slowing bone loss and keeping the muscles strong. Previous research has not been able to clearly demonstrate the usefulness of exercise due partly to the difficulty in getting people to exercise for a least one year, which is how long bone studies must be carried out for. We have conducted two large research studies in women past the menopause where they have done weight training exercises. In the previous study we showed the greatest increase in bone mass occurred in those women lifting the heaviest weights. In a recently completed two year study in 126 woman, which forms the basis of this proposal, we found a weight training program was effective at increasing the bone mass at the hip, a common fracture site. The fitness group did not show any increase. So although we have been able to show this type of exercise helps increase bone mass we don't know how the bone is able to respond to this. The question we wish to address with this proposal is does exercise slow the breakdown of bone or does it help form new bone? The best way to be able to answer this question is by measuring certain products in blood, known as bone markers. Bone is continually turning overthese markers are released from bone into the blood. By studying these bone markers in blood samples taken from the subjects over two years it will helps us determine how exercise is affecting bone. From our previous studies we know that weight training can help slow bone loss. By measuring the bone markers we will then be able to make recommendations to people on how exercise will help prevent bone loss.Read moreRead less
Fragility Fractures: The Neglected Role Of Cortical Porosity
Funder
National Health and Medical Research Council
Funding Amount
$865,474.00
Summary
We just discovered that bone lost with age occurs mostly from pores within the cortex (outer shell) of the bone; These pores become larger (porosity) making bones fragile. This process is poorly detected by bone density (currently used tool) so that most people with weak bones are missed. To address this issue, we have for the first time, develop a technology to accurately quantify porosity in living peoples. With teams around the world, we aim here to fill this gap in the diagnosis.
Fractures, in particular femoral neck (FN) fractures, are a huge public health problem resulting in disabilities, mortality and financial cost to the community. The prevention of these fractures is based on estimation of bone strength. The decision whether someone needs treatment, or the effectiveness of a treatment can only be judged by estimating bone strength. The bottom line is that currently we cannot correctly estimate bone strength. Present methods such as bone mineral density (BMD) perfo ....Fractures, in particular femoral neck (FN) fractures, are a huge public health problem resulting in disabilities, mortality and financial cost to the community. The prevention of these fractures is based on estimation of bone strength. The decision whether someone needs treatment, or the effectiveness of a treatment can only be judged by estimating bone strength. The bottom line is that currently we cannot correctly estimate bone strength. Present methods such as bone mineral density (BMD) perform poorly. Most people who fracture are not detected by BMD because their BMD is either normal or high, and many people with low BMD never fracture. The main aim of this grant application is to develop new tools to allow doctors and scientists worldwide to better estimate FN strength. To develop new methods to replace BMD, scientists need to make use of the 3D aspects of the bone such as size, shape and internal architecture. Presently, these 3D aspects (structure) have not been adequately studied and scientists incorrectly approximate them. As a result new methods are not any better. A good quantification of structure is needed. Another reason for the failure to accurately estimate the strength of bones is that estimates are based on a single parameter whereas the bone, like any architectural structure (e.g. building), comprises many components acting together to maintain its strength. To determine the strength based on density alone is incorrect; the size, the shape and things inside the structure need to be considered as a whole. After quantifying correctly the structure and components of bone strength, we will determine how they can be used individually and together to better estimate the strength of the FN in men and women. Tools generated will be used to better determine people likely to fracture and needing treatment; to better tailor and monitor treatments. A better understanding of the causes and epidemiology of fractures will ensue.Read moreRead less
The Micro-structural Basis Of Bone Loss And Fragility After Menopause: A Longitudinal Co-twin Control Study
Funder
National Health and Medical Research Council
Funding Amount
$873,950.00
Summary
Every woman becomes postmenopausal. Not all lose bone or sustain fractures after menopause. We will identify women who lose bone and those who don't and so identify women at risk for fracture so that they can be targeted for treatment and identify those who do not need to be treated. This will be done by measuring bone structure and how strong the bone is using a new, safe, quick technology that can be used in clinical practice
Investigations Of Strategies To Address The Long Term Maintenance Of Bone Density In Younger Women: Fracture Risk Feedback And Vitamin D.
Funder
National Health and Medical Research Council
Funding Amount
$223,155.00
Summary
Fractures in the elderly are an important health problem. We previously studied 470 young women, informing them of their level of fracture risk and providing osteoporosis education. Women at higher risk more often started calcium supplements, increased physical activity, and had higher bone density after 2 years than those at low risk. We will test the same women after 11 years to see if these improvements persist and so might reduce fractures in old age. We will also assess the effects of vitam ....Fractures in the elderly are an important health problem. We previously studied 470 young women, informing them of their level of fracture risk and providing osteoporosis education. Women at higher risk more often started calcium supplements, increased physical activity, and had higher bone density after 2 years than those at low risk. We will test the same women after 11 years to see if these improvements persist and so might reduce fractures in old age. We will also assess the effects of vitamin D on bone health in these women.Read moreRead less
Effect Of Lipid Mediators And Dietary Fats In Bone Remodelling
Funder
National Health and Medical Research Council
Funding Amount
$380,250.00
Summary
Osteoporosis in a major public health problem which directly affects about 10% of the population, which is currently around 2 million Australians. With aging of the population, it is projected that this proportion will increase to more than 13% over the next 20 years. When it is considered that the direct hospital and residential care costs attributable to osteoporotic fractures currently approaches $2 billion per annum, low-cost interventions for increasing bone strength which are easily applie ....Osteoporosis in a major public health problem which directly affects about 10% of the population, which is currently around 2 million Australians. With aging of the population, it is projected that this proportion will increase to more than 13% over the next 20 years. When it is considered that the direct hospital and residential care costs attributable to osteoporotic fractures currently approaches $2 billion per annum, low-cost interventions for increasing bone strength which are easily applied to the elderly population have enormous potential for health benefits in Australia. Thus study will examine the effects of dietary omega-3 fats, of the kind found in fish and fish oil, on the biology of bone metabolism and on bone strength. The results will provide information which may be used in developing simple drug or dietary strategies for large-scale use for increasing bone mass and strength in the elderly population. A strength of the study arises from the combination of research expertise in (a) dietary fats, and (b) molecular biology of bone cells, and (c) animal models of bone metabolism which are amenable to dietary interventions. This combination is unique, but builds on well established systems which hitherto have existed in separate research paradigms. The Chief Investigator has considerable experience in development of diets enriched in omega-3 fats which are practical and suitable for daily use on a long-term basis. This adds considerably to the potential significance of the outcomes because, if favourable effects of omega-3 fats are observed and are characterised with regard to mechanisms, the results can be rapidly translated into large-scale clinical use.Read moreRead less
Apportioning Deficits In Bone Size And Density In Women With Fractures To Growth Or Ageing By Studies In Their Daughters
Funder
National Health and Medical Research Council
Funding Amount
$196,018.00
Summary
Women fracture their bones because the bones are small and break easily and because the bones are thin or low in denseness (very porous like a honey comb). This study is aimed at identifying why women with fractures have small bones and why the bones are so porous. They may have these problems because they lost a lot of bone as they get older or because growth was abnormal so the size of the bone didn't reach its potential size or because the denseness of the bones didn't develop properly. The s ....Women fracture their bones because the bones are small and break easily and because the bones are thin or low in denseness (very porous like a honey comb). This study is aimed at identifying why women with fractures have small bones and why the bones are so porous. They may have these problems because they lost a lot of bone as they get older or because growth was abnormal so the size of the bone didn't reach its potential size or because the denseness of the bones didn't develop properly. The study will be carried out in women with spine or hip fractures and their daughters. All participants will have bone densitometry, provide a 24 hour urine sample and a fasting blood sample of 20 ml whole blood. Informed consent will be obtained from all participants. The bone density scan is associated with radiation exposure of about 4 mSv, about one tenth of a chest x ray, temporary bruising may follow taking blood. If we can understand the different ways osteoporosis can occur we can then start to devise specific treatments tailored to the individual. Also if we can identify the causes of small bones and bone thinness during growth it may be possible to correct some of these causes before the reduced growth and reduced building of bone occurs. We might also prevent the thinning of bone by identifying and removing causes of bone thinning.Read moreRead less