Bone strength loss during long-term bed rest is related to bone loading history

Bed rest studies are an accepted model for simulating bone loss due to microgravity during space flights. In a previous 60 days bed rest study, we investigated the loss of bone mass and the microstructural degeneration at the distal radius and tibia using a high-resolution (HR) pQCT device1. In combination with micro-finite element (micro-FE) analyses, it was possible to also quantify the loss of strength during bed rest2. In that study large variations in loss of bone strength were found between subjects. For some subjects no loss of strength was found whereas for others strength was reduced by 6.5%. Although these values are small and thus may not increase the risk of fracture, it may cause premature age-related osteoporosis and understanding the fundamental nature of the skeletal response to unloading is of great interest to develop countermeasures for overcoming the adverse effects of microgravity during spaceflights. In this study we investigate if the variation in loss of bone strength between subjects as observed in the earlier bed rest study could be related to their activity level prior to the bed rest. Since we expect that subjects that were more active would be more affected by the disuse, we hypothesized that the loss of bone strength is positively correlated to the physical activity of the subjects. As the activity level of the subjects prior to the bed rest study was not known, we used a recently developed method to estimate the bone loading history based on the bone architecture and correlated that with the loss in bone strength measured in the bed rest study to test our hypothesis