Weight loss in obese older adults increases serum sclerostin and impairs hip geometry but both are prevented by exercise training
Open accessAbstract
We reported that weight loss induces bone loss which is prevented by exercise training; however, the mechanism for this observation remains unclear. Sclerostin, an inhibitor of bone formation, has been found to increase in states of unloading and may mediate the changes in bone metabolism associated with weight loss and exercise. The objective of the study was to determine the effect of lifestyle intervention in obese older adults on sclerostin levels, and on hip geometry parameters. A total of 107 obese (body mass index [BMI] ≥ 30 kg/m2) older (≥65 years) adults were randomly assigned to control, diet, exercise, and combined diet-exercise for 1 year. Sclerostin levels were measured by ELISA at baseline, 6 months, and 12 months, while hip geometry parameters were obtained from bone mineral density (BMD) images done by dual-energy X-ray absorptiometry using hip structure analysis at baseline and 12 months. Both the diet and diet-exercise groups had significant decreases in body weight (−9.6% and −9.4%, respectively), whereas weight was stable in the exercise and control groups. Sclerostin levels increased significantly and progressively in the diet group (6.6% ± 1.7% and 10.5% ± 1.9% at 6 and 12 months, respectively, all p < 0.05), whereas they were unchanged in the other groups; in particular, they were stable in the diet-exercise group (0.7% ± 1.6% and 0.4% ± 1.7% at 6 and 12 months, respectively, all p = 0.05). Hip geometry parameters showed significant decreases in cross-sectional area, cortical thickness, and BMD; and increases in buckling ratio at the narrow neck, intertrochanter, and femoral shaft. These negative changes on bone geometry were not observed in the diet-exercise group. Significant correlations between changes in sclerostin and changes in certain hip geometry parameters were also observed (p < 0.05). In conclusion, the increase in sclerostin levels with weight loss that was prevented by exercise may partly mediate the negative effects of weight loss on bone metabolism and the osteoprotective effect of exercise training. © 2012 American Society for Bone and Mineral Research.
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Exercise training during calorie restriction prevents increases in bone turnover and serum sclerostin, thereby minimizing bone loss.
“Studies emphasize exercise training during calorie restriction to prevent an increase in bone turn-over327 and an increase in serum levels of sclerostin328, thus minimizing bone loss.”
From Sarcopenic obesity in older adults: aetiology, epidemiology and treatment strategies (2018) · cites this paper as [328]
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Serum Sclerostin, Body Composition, and Sarcopenia in Hemodialysis Patients with Diabetes
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Has sclerostin a true endocrine metabolic action complementary to osteocalcin in older men?
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Self-citationBariatric Surgery and Bone Loss: Do We Need to Be Concerned?
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Self-citationObesity and Bone Loss at Menopause: The Role of Sclerostin
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- Authors
- Armamento-Villareal, R., Sadler, C., Napoli, N., Shah, K., Chode, S., Sinacore, D. R., Qualls, C., & Villareal, D. T.
- Affiliations
- Sections of Geriatrics and Endocrinology, New Mexico VA Health Care System, Albuquerque, NM, USA
- University of New Mexico (US)
- Università Campus Bio-Medico (IT)
- University of Rochester Medicine (US)
- Washington University in St. Louis (US)
- Corresponding author
- Villareal, Dennis T
- Venue
- Journal of Bone and Mineral Research
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-01-27
- Volume
- 27
- Issue
- 5
- Pages
- 1215-1221
- ISSN
- 0884-0431 (ISSN-L)
- 1523-4681
- PMC
- PMC3361603
- OpenAlex
- W2142685940
- Cited by
- 158
- References
- 38
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 11 · 2023: 11 · 2022: 9 · 2021: 11 · 2020: 15 · 2019: 12 · 2018: 11 · 2017: 8 · 2016: 17 · 2015: 10 · 2014: 12 · 2013: 12
- FWCI
- 11.66
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- Journal of Bone and Mineral Research (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Institute of Clinical and Translational Sciences
- National Institutes of Health (UL1TR000041, 5p60dk020579-35, UL1TR001449, 7r01ag025501-06)
- National Institute on Aging (R01-AG025501, R01AG031176)
- National Institute of Diabetes and Digestive and Kidney Diseases (DK20579, P30-DK56341, P60-DK-020579, P30DK056341, P30DK020579)
- National Center for Research Resources (UL1RR024992)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Bone health and osteoporosis research
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bone Metabolism and Diseases
- Keywords
- sclerostin, weight loss, obesity, older adults, exercise training, hip geometry, bone loss, bone mineral density, bone metabolism, osteoporosis prevention, dietary intervention, lifestyle intervention, bone geometry
- MeSH terms
- Aged, Enzyme-Linked Immunosorbent Assay, Female, Genetic Markers, Hip, Humans, Male, Obesity, Osteoporosis, Weight Loss, Exercise, Absorptiometry, Photon, Bone Density, Up-Regulation, Bone Morphogenetic Proteins, Adaptor Proteins, Signal Transducing
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