Self-selected recreational exercise has no impact on early postpartum lactation-induced bone loss.

Abstract

Although exercise is known to positively impact bone mineral density (BMD), its effect on lactation-induced BMD loss has not been previously evaluated in a case-control study. The purpose of this study was to compare lactation-induced bone changes in women who engaged in regular, self-selected, recreational exercise versus those who refrained from such during early postpartum. Subjects were 20 healthy, lactating women who either exercised regularly (exercise, E; N = 11) or refrained from such (control, C; N = 9) during the first 3 months postpartum. Although preconception VO2max was significantly higher in E than C (E = 54.1, C = 36.9 mL.min-1.kg-1), no significant group differences were observed for parity, age, height, weight (WT), % body fat, dietary calcium intake, lactation calcium loss, and serum estradiol. Total body (TB), lumbar spine (LS), and femur neck (FN) BMD were measured within 2 wk of parturition and repeated at 3 months postpartum by dual energy x-ray absorptiometry. Although TB was unchanged, BMD decreased significantly from baseline in both groups at LS (C = -5.4, E = -4.1%) and FN (C = -2.7, E = -2.8%). WT decreased significantly over time but was not significantly correlated with BMD loss. No significant group by time interactions were observed for WT or BMD changes. These results suggest that regular, self-selected, recreational E has no impact on early postpartum lactation-induced BMD loss.