Osteoporosis, bone & mineral

Artificial gravity protects bone and prevents bone marrow adipose tissue accumulation in humans during 60 d of bed rest

J Bone Miner ResPublished Randomised controlled trial

Authors' conclusion

Recreating an axial force vector mechanically on horizontalized participants prevented BMAT accumulation and demineralization.

Study context

Population
Participants bedridden for 60 d at 6° head down tilt (16 male, 8 female)16 male, 8 female
Participants
24 participants
Comparison
Artificial gravity vs bedrest only
  • Bedrest onlyn = 8reference
Primary endpoint
Lumbar vertebral BMAT accumulation (3T magnetic resonance (MR)) and bone loss (BMD by DXA)
Follow-up
60 d of bedrest
Methodological details60 d bed rest at 6° head down tilt
  • 60 d bed rest at 6° head down tilt

Primary result

As reported in the abstract

Vertebral BMAT change

Bedrest only

+3.93%

CI −0.28–8.14

Further findings

OutcomeBedrest onlycAGiAGX2(2)P value
BMAT change in males · 60 d of bedrestBetween Bedrest only and cAG, iAG · difference between interventions5.81% (CI 2.01–9.61)−1.35% (CI −5.74–3.04)1.23% (CI −1.53–3.99)8.487P = 0.014
BMD change in males · 60 d of bedrest−0.02 (CI −0.05–0.00) g/cm²— not stated in the abstract0.00 (CI −0.04–0.05) g/cm²

— not stated in the abstract

Bone marrow adipose tissue (BMAT) vs BMD correlation

Modulation of BMAT inversely correlated with BMD at the same vertebrae

Original publication

Artificial gravity protects bone and prevents bone marrow adipose tissue accumulation in humans during 60 d of bed rest. J Bone Miner Res. Published 28 August 2025. doi:10.1093/jbmr/zjaf119

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