Depressive symptoms and changes in body weight exert independent and site-specific effects on bone in postmenopausal women exercising for 1 year

Laura A. Milliken, Jennifer Wilhelmy, Catherine J. Martin, Nuris Finkenthal, Ellen Cussler, Lauve Metcalfe, Terri Antoniotti Guido, Scott B Going, Timothy G Lohman

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Background. Lower bone mineral density (BMD) has been documented in clinically depressed populations, and depression is the second most common chronic medical condition in general medical practice. Therefore, the purpose of this study was to determine whether depressive symptoms, vitality, and body weight changes were related to 1-year BMD changes after accounting for covariates. Methods. Healthy postmenopausal women (n = 320; 40-65 years) were recruited, and 266 women completed the study. Participants were 3-10 years postmenopausal, sedentary, and either taking hormone replacement therapy (1-3.9 years) or not taking it (at least 1 year). Exclusion criteria were: current smoking status, history of fractures, low BMD, body mass index >32.9 or <19.0, or use of bone altering medications. Regional BMD was measured from dual-energy x-ray absorptiometry at baseline and 1 year. Self-reported depressive symptoms and vitality were measured using standard questionnaires. Results. Both the vitality and depressive symptoms scores were related to BMD changes at the femur neck but not at the greater trochanter or spine. Weight change was a predictor of BMD changes in the trochanter and spine but not in the femoral neck. Weight change and vitality and/or depressive symptoms had differential and site-specific effects on BMD changes at the hip. Vitality and depressive symptoms related to femoral neck changes and weight change related to greater trochanter changes. Conclusions. The negative impact of depressive symptoms on BMD in this population of postmenopausal women was independent of body weight or other behavioral factors such as calcium compliance or exercise.

Original languageEnglish (US)
Pages (from-to)488-494
Number of pages7
JournalJournals of Gerontology - Series A Biological Sciences and Medical Sciences
Volume61
Issue number5
StatePublished - May 2006

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Body Weight Changes
Bone Density
Depression
Bone and Bones
Femur Neck
Femur
Weights and Measures
Spine
Hormone Replacement Therapy
General Practice
Population
Compliance
Hip
Body Mass Index
Smoking
Body Weight
X-Rays
Exercise
Calcium

ASJC Scopus subject areas

  • Aging

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Depressive symptoms and changes in body weight exert independent and site-specific effects on bone in postmenopausal women exercising for 1 year. / Milliken, Laura A.; Wilhelmy, Jennifer; Martin, Catherine J.; Finkenthal, Nuris; Cussler, Ellen; Metcalfe, Lauve; Guido, Terri Antoniotti; Going, Scott B; Lohman, Timothy G.

In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences, Vol. 61, No. 5, 05.2006, p. 488-494.

Research output: Contribution to journalArticle

Milliken, Laura A. ; Wilhelmy, Jennifer ; Martin, Catherine J. ; Finkenthal, Nuris ; Cussler, Ellen ; Metcalfe, Lauve ; Guido, Terri Antoniotti ; Going, Scott B ; Lohman, Timothy G. / Depressive symptoms and changes in body weight exert independent and site-specific effects on bone in postmenopausal women exercising for 1 year. In: Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2006 ; Vol. 61, No. 5. pp. 488-494.
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abstract = "Background. Lower bone mineral density (BMD) has been documented in clinically depressed populations, and depression is the second most common chronic medical condition in general medical practice. Therefore, the purpose of this study was to determine whether depressive symptoms, vitality, and body weight changes were related to 1-year BMD changes after accounting for covariates. Methods. Healthy postmenopausal women (n = 320; 40-65 years) were recruited, and 266 women completed the study. Participants were 3-10 years postmenopausal, sedentary, and either taking hormone replacement therapy (1-3.9 years) or not taking it (at least 1 year). Exclusion criteria were: current smoking status, history of fractures, low BMD, body mass index >32.9 or <19.0, or use of bone altering medications. Regional BMD was measured from dual-energy x-ray absorptiometry at baseline and 1 year. Self-reported depressive symptoms and vitality were measured using standard questionnaires. Results. Both the vitality and depressive symptoms scores were related to BMD changes at the femur neck but not at the greater trochanter or spine. Weight change was a predictor of BMD changes in the trochanter and spine but not in the femoral neck. Weight change and vitality and/or depressive symptoms had differential and site-specific effects on BMD changes at the hip. Vitality and depressive symptoms related to femoral neck changes and weight change related to greater trochanter changes. Conclusions. The negative impact of depressive symptoms on BMD in this population of postmenopausal women was independent of body weight or other behavioral factors such as calcium compliance or exercise.",
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