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Effect of chronic undernutrition on body mass and mechanical bone quality under normoxic and altitude hypoxic conditions

Published online by Cambridge University Press:  10 March 2016

Christian Lezon
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Clarisa Bozzini
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Alan Agûero Romero
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Patricia Pinto
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Graciela Champin
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Rosa M. Alippi
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Patricia Boyer
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
Carlos E. Bozzini*
Affiliation:
Department of Physiology, Faculty of Odontology, University of Buenos Aires, Buenos Aires C1122 AAH, Argentina
*
* Corresponding author: C. E. Bozzini, fax +54 11 4508 3958, email cebozi@fisio.odon.uba.ar
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Abstract

Both undernutrition and hypoxia exert a negative influence on both growth pattern and bone mechanical properties in developing rats. The present study explored the effects of chronic food restriction on both variables in growing rats exposed to simulated high-altitude hypoxia. Male rats (n 80) aged 28 d were divided into normoxic (Nx) and hypoxic (Hx) groups. Hx rats were exposed to hypobaric air (380 mmHg) in decompression chambers. At T0, Nx and Hx rats were subdivided into four equal subgroups: normoxic control and hypoxic controls, and normoxic growth-restricted and hypoxic growth-restricted received 80 % of the amount of food consumed freely by their respective controls for a 4-week period. Half of these animals were studied at the end of this period (T4). The remaining rats in each group continued under the same environmental conditions, but food was offered ad libitum to explore the type of catch-up growth during 8 weeks. Structural bone properties (strength and stiffness) were evaluated in the right femur midshaft by the mechanical three-point bending test; geometric properties (length, cross-sectional area, cortical mass, bending cross-sectional moment of inertia) and intrinsic properties of the bone tissue (elastic modulus) were measured or derived from appropriate equations. Bone mineralisation was assessed by ash measurement of the left femur. These data indicate that the growth-retarded effects of diminished food intake, induced either by food restriction or hypoxia-related inhibition of appetite, generated the formation of corresponding smaller bones in which subnormal structural and geometric properties were observed. However, they seemed to be appropriate to the body mass of the animals and suggest, therefore, that the bones were not osteopenic. When food restriction was imposed in Hx rats, the combined effects of both variables were additive, inducing a further reduction of bone mass and bone load-carrying capacity. In all cases, the mechanical properties of the mineralised tissue were unaffected. This and the capacity of the treated bones to undergone complete catch-up growth with full restoration of the biomechanical properties suggest that undernutrition, under either Nx or Hx conditions, does not affect bone behaviour because it remains appropriate to its mechanical functions.

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Full Papers
Copyright
Copyright © The Authors 2016 
Figure 0

Table 1 Experimental design*

Figure 1

Fig. 1 Body mass, body mass growth rate and body length in normoxic, well-nourished rats (NxC), normoxic growth-restricted rats (NxGR), hypoxic well-nourished rats (HxC) and hypoxic growth-restricted rats (HxGR). (A) Values of the bone mass at the start of the experiment (0 weeks), at the end of the food-restriction period (4 weeks) and at the end of the recovery period, or final body mass (12 weeks). (B) Changes in body mass with time in the four studied groups. (C) The body mass growth rate, expressed in g/d, during the periods of food restriction (0–28 d), recovery (28–56 d) and final (58–84 d). (D) Changes in body length with time in the four studied groups. a,b,c,d,e,f,g Mean values within a column with unlike letters were significantly different. In Y/X curves, each value represents the mean values (n 10 animals), with their standard errors represented by vertical bars. (A, C: , NxC; , NxGR; , HxC; , HxGR; B: , NxC; , NxGR; , HxC; , HxGR; D: , NxC; , NxGR; , HxC; , HxGR).

Figure 2

Fig. 2 Femur weight (A), femur length (B), cortical area (C) and cross-sectional moment of inertia (D) obtained from rats sacrificed at 4 weeks (restriction period, , autopsy 1) or 12 weeks (recovery period, , autopsy 2). The groups are as follows: 1=normoxic control; 2=normoxic growth restricted; 3=hypoxic control; and 4=hypoxic growth restricted. Values are means (n 10 animals), with standard errors represented by vertical bars. a,b,c,d,e,f Mean values within a column with unlike letters were significantly different. xCSMI, second moment of inertia of cortical bone area concerning anterior–posterior bending.

Figure 3

Fig. 3 Load at fracture (A), structural stiffness (B) and load at yielding (C) of the femur obtained from rats sacrificed at 4 weeks (restriction period, , autopsy 1) or 12 weeks (recovery period, , autopsy 2). The groups are as follows: 1=normoxic control; 2=normoxic growth restricted; 3=hypoxic control; and 4=hypoxic growth restricted. Values are means (n 10 animals), with standard errors represented by vertical bars. a,b,c,d,e Mean values within a column with unlike letters were significantly different.

Figure 4

Fig. 4 Young’s modulus of elasticity (A) and degree of mineralisation (B) of the right and left femur, respectively, obtained from rats sacrificed at 4 weeks (restriction period, , autopsy 1) or 12 weeks (recovery period, , autopsy 2). The groups are as follows: 1=normoxic control; 2=normoxic growth restricted; 3=hypoxic control; and 4=hypoxic growth restricted. Values are means (n 10 animals), with standard errors represented by vertical bars of ten animals each. a,b Mean values within a column with unlike letters were significantly different.