{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T17:12:55Z","timestamp":1788973975378,"version":"build-2803163510"},"reference-count":77,"publisher":"The Endocrine Society","issue":"4","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Thomas L. Kempner and Katheryn C. Patterson Foundation","award":["K24 DK074457"],"award-info":[{"award-number":["K24 DK074457"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,25]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Context<\/jats:title><jats:p>The prevalence of obesity is burgeoning among African American and Latina women; however, few studies investigating the skeletal effects of bariatric surgery have focused on these groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate long-term skeletal changes following Roux-en-Y gastric bypass (RYGB) in African American and Latina women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Four-year prospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients<\/jats:title><jats:p>African American and Latina women presenting for RYGB (n = 17, mean age 44, body mass index 44 kg\/m2) were followed annually for 4 years postoperatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Dual-energy x-ray absorptiometry (DXA) measured areal bone mineral density (aBMD) at the spine, hip, and forearm, and body composition. High-resolution peripheral quantitative computed tomography measured volumetric bone mineral density (vBMD) and microarchitecture. Individual trabecula segmentation-based morphological analysis assessed trabecular morphology and connectivity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Baseline DXA Z-Scores were normal. Weight decreased ~30% at Year 1, then stabilized. Parathyroid hormone (PTH) increased by 50% and 25-hydroxyvitamin D was stable. By Year 4, aBMD had declined at all sites, most substantially in the hip. There was significant, progressive loss of cortical and trabecular vBMD, deterioration of microarchitecture, and increased cortical porosity at both the radius and tibia over 4 years. There was loss of trabecular plates, loss of axially aligned trabeculae, and decreased trabecular connectivity. Whole bone stiffness and failure load declined. Risk factors for bone loss included greater weight loss, rise in PTH, and older age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>African American and Latina women had substantial and progressive bone loss, deterioration of microarchitecture, and trabecular morphology following RYGB. Further studies are critical to understand the long-term skeletal consequences of bariatric surgery in this population.<\/jats:p><\/jats:sec>","DOI":"10.1210\/clinem\/dgaa654","type":"journal-article","created":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T15:54:13Z","timestamp":1600271653000},"page":"1868-1879","source":"Crossref","is-referenced-by-count":8,"title":["Long-term Bone Loss and Deterioration of Microarchitecture After Gastric Bypass in African American and Latina Women"],"prefix":"10.1210","volume":"106","author":[{"given":"Alexandra","family":"Krez","sequence":"first","affiliation":[{"name":"Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanchita","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Bucovsky","sequence":"additional","affiliation":[{"name":"Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donald J","family":"McMahon","sequence":"additional","affiliation":[{"name":"Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, New York"},{"name":"Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yizhong","family":"Hu","sequence":"additional","affiliation":[{"name":"Bone Bioengineering Laboratory, Department of Biomedical Engineering, Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Bessler","sequence":"additional","affiliation":[{"name":"Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth","family":"Schrope","sequence":"additional","affiliation":[{"name":"Department of Surgery, Columbia University College of Physicians and Surgeons, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Carrelli","sequence":"additional","affiliation":[{"name":"Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Clare","sequence":"additional","affiliation":[{"name":"Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang-Dong Edward","family":"Guo","sequence":"additional","affiliation":[{"name":"Bone Bioengineering Laboratory, Department of Biomedical Engineering, Columbia University, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shonni J","family":"Silverberg","sequence":"additional","affiliation":[{"name":"Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1463-5774","authenticated-orcid":false,"given":"Emily M","family":"Stein","sequence":"additional","affiliation":[{"name":"Endocrinology and Metabolic Bone Disease Service, Hospital for Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"80","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"2021122205120878500_CIT0001","volume-title":"U.S. Department of Health and Human Services Office of Minority Health","author":"Obesity and African Americans"},{"key":"2021122205120878500_CIT0002","volume-title":"U.S. Department of Health and Human Services Office of Minority Health","author":"Obesity and Hispanic Americans"},{"key":"2021122205120878500_CIT0003","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1002\/oby.20461","article-title":"Clinical practice guidelines for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient\u20132013 update: cosponsored by American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery","volume":"21","author":"Mechanick","year":"2013","journal-title":"Obesity (Silver Spring)."},{"issue":"3","key":"2021122205120878500_CIT0004","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1016\/j.amjmed.2008.09.041","article-title":"Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis","volume":"122","author":"Buchwald","year":"2009","journal-title":"Am J Med."},{"issue":"9","key":"2021122205120878500_CIT0005","doi-asserted-by":"crossref","first-page":"2279","DOI":"10.1007\/s11695-017-2666-x","article-title":"Bariatric surgery and endoluminal procedures: IFSO Worldwide Survey 2014","volume":"27","author":"Angrisani","year":"2017","journal-title":"Obes Surg."},{"issue":"11","key":"2021122205120878500_CIT0006","doi-asserted-by":"crossref","first-page":"1046","DOI":"10.1001\/jamasurg.2016.2317","article-title":"Bariatric surgery and long-term durability of weight loss","volume":"151","author":"Maciejewski","year":"2016","journal-title":"JAMA Surg."},{"issue":"17","key":"2021122205120878500_CIT0007","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1056\/NEJMoa1200225","article-title":"Bariatric surgery versus intensive medical therapy in obese patients with diabetes","volume":"366","author":"Schauer","year":"2012","journal-title":"N Engl J Med."},{"issue":"17","key":"2021122205120878500_CIT0008","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1056\/NEJMoa1200111","article-title":"Bariatric surgery versus conventional medical therapy for type 2 diabetes","volume":"366","author":"Mingrone","year":"2012","journal-title":"N Engl J Med."},{"issue":"3","key":"2021122205120878500_CIT0009","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1001\/jamasurg.2013.3654","article-title":"The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012","volume":"149","author":"Chang","year":"2014","journal-title":"JAMA Surg."},{"issue":"1","key":"2021122205120878500_CIT0010","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1001\/jama.2011.1914","article-title":"Bariatric surgery and long-term cardiovascular events","volume":"307","author":"Sj\u00f6str\u00f6m","year":"2012","journal-title":"Jama."},{"issue":"8","key":"2021122205120878500_CIT0011","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1056\/NEJMoa066603","article-title":"Long-term mortality after gastric bypass surgery","volume":"357","author":"Adams","year":"2007","journal-title":"N Engl J Med."},{"issue":"8","key":"2021122205120878500_CIT0012","doi-asserted-by":"crossref","first-page":"741","DOI":"10.1056\/NEJMoa066254","article-title":"Effects of bariatric surgery on mortality in Swedish obese subjects","volume":"357","author":"Sj\u00f6str\u00f6m","year":"2007","journal-title":"N Engl J Med."},{"issue":"2","key":"2021122205120878500_CIT0013","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1210\/jc.2012-2394","article-title":"Bariatric surgery results in cortical bone loss","volume":"98","author":"Stein","year":"2013","journal-title":"J Clin Endocrinol Metab."},{"issue":"4","key":"2021122205120878500_CIT0014","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1210\/jc.2014-4341","article-title":"Two-year changes in bone density after Roux-en-Y gastric bypass surgery","volume":"100","author":"Yu","year":"2015","journal-title":"J Clin Endocrinol Metab."},{"issue":"6","key":"2021122205120878500_CIT0015","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1002\/jbmr.3371","article-title":"Effects of gastric bypass surgery on bone mass and microarchitecture occur early and particularly impact postmenopausal women","volume":"33","author":"Schafer","year":"2018","journal-title":"J Bone Miner Res."},{"issue":"1","key":"2021122205120878500_CIT0016","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1038\/oby.2004.7","article-title":"Bone and gastric bypass surgery: effects of dietary calcium and vitamin D","volume":"12","author":"Goode","year":"2004","journal-title":"Obes Res."},{"issue":"11","key":"2021122205120878500_CIT0017","doi-asserted-by":"crossref","first-page":"4104","DOI":"10.1210\/jc.2018-01496","article-title":"Longitudinal 5-year evaluation of bone density and microarchitecture after Roux-en-Y gastric bypass surgery","volume":"103","author":"Lindeman","year":"2018","journal-title":"J Clin Endocrinol Metab."},{"key":"2021122205120878500_CIT0018","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.bone.2016.11.014","article-title":"Effects of Roux-en-Y gastric bypass and sleeve gastrectomy on bone mineral density and marrow adipose tissue","volume":"95","author":"Bredella","year":"2017","journal-title":"Bone."},{"issue":"6","key":"2021122205120878500_CIT0019","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1530\/EJE-17-0014","article-title":"Bone structural changes after gastric bypass surgery evaluated by HR-pQCT: a two-year longitudinal study","volume":"176","author":"Shanbhogue","year":"2017","journal-title":"Eur J Endocrinol."},{"issue":"1","key":"2021122205120878500_CIT0020","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s11695-015-1724-5","article-title":"Changes in bone metabolism in morbidly obese patients after bariatric surgery: a meta-analysis","volume":"26","author":"Liu","year":"2016","journal-title":"Obes Surg."},{"issue":"3","key":"2021122205120878500_CIT0021","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1002\/jbmr.2707","article-title":"The impact of vitamin D, calcium, protein supplementation, and physical exercise on bone metabolism after bariatric surgery: the BABS study","volume":"31","author":"Muschitz","year":"2016","journal-title":"J Bone Miner Res."},{"issue":"1","key":"2021122205120878500_CIT0022","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1002\/jbmr.1486","article-title":"Obesity and fracture in men and women: an epidemiologic perspective","volume":"27","author":"Nielson","year":"2012","journal-title":"J Bone Miner Res."},{"issue":"10","key":"2021122205120878500_CIT0023","doi-asserted-by":"crossref","first-page":"3735","DOI":"10.1210\/jc.2008-0481","article-title":"The decline in hip bone density after gastric bypass surgery is associated with extent of weight loss","volume":"93","author":"Fleischer","year":"2008","journal-title":"J Clin Endocrinol Metab."},{"issue":"3","key":"2021122205120878500_CIT0024","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1210\/jc.2003-031756","article-title":"Gastric bypass surgery for morbid obesity leads to an increase in bone turnover and a decrease in bone mass","volume":"89","author":"Coates","year":"2004","journal-title":"J Clin Endocrinol Metab."},{"issue":"4","key":"2021122205120878500_CIT0025","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1007\/s11695-010-0338-1","article-title":"Evaluation of bone mineral density loss in morbidly obese women after gastric bypass: 3-year follow-up","volume":"21","author":"Vilarrasa","year":"2011","journal-title":"Obes Surg."},{"issue":"7","key":"2021122205120878500_CIT0026","doi-asserted-by":"crossref","first-page":"860","DOI":"10.1007\/s11695-009-9843-5","article-title":"Evaluation of bone disease in morbidly obese women after gastric bypass and risk factors implicated in bone loss","volume":"19","author":"Vilarrasa","year":"2009","journal-title":"Obes Surg."},{"key":"2021122205120878500_CIT0027","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/j.bone.2015.01.010","article-title":"Changes in vertebral bone marrow fat and bone mass after gastric bypass surgery: A pilot study","volume":"74","author":"Schafer","year":"2015","journal-title":"Bone."},{"issue":"6","key":"2021122205120878500_CIT0028","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1002\/jbmr.3101","article-title":"Fracture risk after bariatric surgery: Roux-en-Y gastric bypass versus adjustable gastric banding","volume":"32","author":"Yu","year":"2017","journal-title":"J Bone Miner Res."},{"issue":"6","key":"2021122205120878500_CIT0029","doi-asserted-by":"crossref","first-page":"2650","DOI":"10.1007\/s00464-017-5628-4","article-title":"Bariatric surgery increases risk of bone fracture","volume":"32","author":"Fashandi","year":"2018","journal-title":"Surg Endosc."},{"issue":"1","key":"2021122205120878500_CIT0030","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s00198-013-2463-x","article-title":"Fracture risk following bariatric surgery: a population-based study","volume":"25","author":"Nakamura","year":"2014","journal-title":"Osteoporos Int."},{"issue":"48","key":"2021122205120878500_CIT0031","doi-asserted-by":"crossref","first-page":"1\u20137","DOI":"10.1097\/MD.0000000000002087","article-title":"Fracture risk after bariatric surgery: a 12-year nationwide cohort study","volume":"94","author":"Lu","year":"2015","journal-title":"Medicine (Baltimore)."},{"issue":"3","key":"2021122205120878500_CIT0032","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1097\/00008486-199406000-00013","article-title":"A dietary calcium rapid assessment method (RAM)","volume":"9","author":"Hertzler","year":"1994","journal-title":"Top Clin Nutr."},{"issue":"12","key":"2021122205120878500_CIT0033","doi-asserted-by":"crossref","first-page":"2572","DOI":"10.1002\/jbmr.152","article-title":"Abnormal microarchitecture and reduced stiffness at the radius and tibia in postmenopausal women with fractures","volume":"25","author":"Stein","year":"2010","journal-title":"J Bone Miner Res."},{"issue":"1","key":"2021122205120878500_CIT0034","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1016\/S8756-3282(98)00159-8","article-title":"Calibration of trabecular bone structure measurements of in vivo three-dimensional peripheral quantitative computed tomography with 28-microm-resolution microcomputed tomography","volume":"24","author":"Laib","year":"1999","journal-title":"Bone."},{"issue":"10","key":"2021122205120878500_CIT0035","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.medengphy.2006.11.002","article-title":"Accuracy of high-resolution peripheral quantitative computed tomography for measurement of bone quality","volume":"29","author":"MacNeil","year":"2007","journal-title":"Med Eng Phys."},{"issue":"4","key":"2021122205120878500_CIT0036","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1359\/jbmr.090822","article-title":"High-resolution peripheral quantitative computed tomography can assess microstructural and mechanical properties of human distal tibial bone","volume":"25","author":"Liu","year":"2010","journal-title":"J Bone Miner Res."},{"issue":"10","key":"2021122205120878500_CIT0037","doi-asserted-by":"crossref","first-page":"2955","DOI":"10.1007\/s00198-016-3621-8","article-title":"In vivo assessment of bone structure and estimated bone strength by first- and second-generation HR-pQCT","volume":"27","author":"Agarwal","year":"2016","journal-title":"Osteoporos Int."},{"issue":"4","key":"2021122205120878500_CIT0038","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.bone.2007.07.007","article-title":"Automatic segmentation of cortical and trabecular compartments based on a dual threshold technique for in vivo micro-CT bone analysis","volume":"41","author":"Buie","year":"2007","journal-title":"Bone."},{"issue":"4","key":"2021122205120878500_CIT0039","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1359\/jbmr.091020","article-title":"Postmenopausal women with osteopenia have higher cortical porosity and thinner cortices at the distal radius and tibia than women with normal aBMD: an in vivo HR-pQCT study","volume":"25","author":"Nishiyama","year":"2010","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2021122205120878500_CIT0040","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1016\/j.bone.2010.05.034","article-title":"Reproducibility of direct quantitative measures of cortical bone microarchitecture of the distal radius and tibia by HR-pQCT","volume":"47","author":"Burghardt","year":"2010","journal-title":"Bone."},{"issue":"2","key":"2021122205120878500_CIT0041","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1359\/jbmr.071009","article-title":"Complete volumetric decomposition of individual trabecular plates and rods and its morphological correlations with anisotropic elastic moduli in human trabecular bone","volume":"23","author":"Liu","year":"2008","journal-title":"J Bone Miner Res."},{"issue":"12","key":"2021122205120878500_CIT0042","doi-asserted-by":"crossref","first-page":"1939","DOI":"10.1016\/S0031-3203(97)00016-2","article-title":"A new shape preserving parallel thinning algorithm for 3D digital images","volume":"30","author":"Saha","year":"1997","journal-title":"Pattern Recogn."},{"issue":"10","key":"2021122205120878500_CIT0043","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1109\/34.329007","article-title":"Detection of 3-D simple points for topology preserving","volume":"16","author":"Saha","year":"1994","journal-title":"IEEE Trans Pattern Anal Mach Intell."},{"key":"2021122205120878500_CIT0044","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/0031-3203(94)90060-4","article-title":"Topology preservation in 3D digital space","volume":"27","author":"Saha","year":"1994","journal-title":"Pattern Recogn."},{"issue":"3","key":"2021122205120878500_CIT0045","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1006\/cviu.1996.0032","article-title":"3D digital topology under binary transformation with applications","volume":"63","author":"Saha","year":"1996","journal-title":"Comput Vis Image Underst."},{"issue":"10","key":"2021122205120878500_CIT0046","doi-asserted-by":"crossref","first-page":"1608","DOI":"10.1359\/jbmr.060716","article-title":"Quantification of the roles of trabecular microarchitecture and trabecular type in determining the elastic modulus of human trabecular bone","volume":"21","author":"Liu","year":"2006","journal-title":"J Bone Miner Res."},{"key":"2021122205120878500_CIT0047","first-page":"305","article-title":"Racial differences in bone strength","volume":"118","author":"Hochberg","year":"2007","journal-title":"Trans Am Clin Climatol Assoc."},{"issue":"1","key":"2021122205120878500_CIT0048","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1359\/jbmr.090706","article-title":"Prevalence and trends in low femur bone density among older US adults: NHANES 2005-2006 compared with NHANES III","volume":"25","author":"Looker","year":"2010","journal-title":"J Bone Miner Res."},{"issue":"5","key":"2021122205120878500_CIT0049","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1007\/s00198-010-1349-4","article-title":"Ethnic differences in femur geometry in the women\u2019s health initiative observational study","volume":"22","author":"Nelson","year":"2011","journal-title":"Osteoporos Int."},{"key":"2021122205120878500_CIT0050","doi-asserted-by":"crossref","first-page":"1\u20139","DOI":"10.1038\/boneres.2014.16","article-title":"Bone density, microarchitecture and stiffness in Caucasian and Caribbean Hispanic postmenopausal American women","volume":"2","author":"Zhou","year":"2014","journal-title":"Bone Res."},{"issue":"10","key":"2021122205120878500_CIT0051","doi-asserted-by":"crossref","first-page":"2177","DOI":"10.1002\/jbmr.1953","article-title":"Differences in skeletal microarchitecture and strength in African-American and white women","volume":"28","author":"Putman","year":"2013","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2021122205120878500_CIT0052","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1530\/EJE-19-0741","article-title":"Continuous decline in bone mineral density and deterioration of bone microarchitecture 7 years after Roux-en-Y gastric bypass surgery","volume":"182","author":"Hansen","year":"2020","journal-title":"Eur J Endocrinol."},{"issue":"6","key":"2021122205120878500_CIT0053","doi-asserted-by":"crossref","first-page":"1308","DOI":"10.1002\/jbmr.1860","article-title":"Premenopausal and postmenopausal differences in bone microstructure and mechanical competence in Chinese-American and white women","volume":"28","author":"Walker","year":"2013","journal-title":"J Bone Miner Res."},{"issue":"8","key":"2021122205120878500_CIT0054","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1002\/jbmr.378","article-title":"Better skeletal microstructure confers greater mechanical advantages in Chinese-American women versus white women","volume":"26","author":"Liu","year":"2011","journal-title":"J Bone Miner Res."},{"issue":"7","key":"2021122205120878500_CIT0055","doi-asserted-by":"crossref","first-page":"1496","DOI":"10.1002\/jbmr.50","article-title":"Individual trabeculae segmentation (ITS)-based morphological analysis of high-resolution peripheral quantitative computed tomography images detects abnormal trabecular plate and rod microarchitecture in premenopausal women with idiopathic osteoporosis","volume":"25","author":"Liu","year":"2010","journal-title":"J Bone Miner Res."},{"issue":"2","key":"2021122205120878500_CIT0056","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1002\/jbmr.562","article-title":"Individual trabecula segmentation (ITS)-based morphological analyses and microfinite element analysis of HR-pQCT images discriminate postmenopausal fragility fractures independent of DXA measurements","volume":"27","author":"Liu","year":"2012","journal-title":"J Bone Miner Res."},{"issue":"11","key":"2021122205120878500_CIT0057","doi-asserted-by":"crossref","first-page":"4231","DOI":"10.1210\/jc.2014-2177","article-title":"Abnormalities in cortical bone, trabecular plates, and stiffness in postmenopausal women treated with glucocorticoids","volume":"99","author":"Sutter","year":"2014","journal-title":"J Clin Endocrinol Metab."},{"issue":"3","key":"2021122205120878500_CIT0058","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.jbiomech.2008.10.035","article-title":"Micromechanical analyses of vertebral trabecular bone based on individual trabeculae segmentation of plates and rods","volume":"42","author":"Liu","year":"2009","journal-title":"J Biomech."},{"issue":"2","key":"2021122205120878500_CIT0059","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1002\/jbmr.207","article-title":"Influence of vertical trabeculae on the compressive strength of the human vertebra","volume":"26","author":"Fields","year":"2011","journal-title":"J Bone Miner Res."},{"key":"2021122205120878500_CIT0060","doi-asserted-by":"crossref","DOI":"10.1002\/jbmr.4112","article-title":"Bone density and trabecular morphology at least 10 years after gastric bypass and gastric banding","author":"Lindeman","year":"2020;00(00):1","journal-title":"J Bone Miner Res."},{"issue":"12","key":"2021122205120878500_CIT0061","doi-asserted-by":"crossref","first-page":"1429","DOI":"10.1038\/sj.ijo.0803040","article-title":"Gastric banding induces negative bone remodelling in the absence of secondary hyperparathyroidism: potential role of serum C telopeptides for follow-up","volume":"29","author":"Giusti","year":"2005","journal-title":"Int J Obes (Lond)."},{"issue":"1","key":"2021122205120878500_CIT0062","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1093\/ajcn\/70.1.97","article-title":"Effect of a lifestyle intervention on bone mineral density in premenopausal women: a randomized trial","volume":"70","author":"Salamone","year":"1999","journal-title":"Am J Clin Nutr."},{"issue":"3","key":"2021122205120878500_CIT0063","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1359\/JBMR.041132","article-title":"Overweight postmenopausal women lose bone with moderate weight reduction and 1 g\/day calcium intake","volume":"20","author":"Riedt","year":"2005","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2021122205120878500_CIT0064","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1002\/jbmr.1483","article-title":"Effect of 1 year of an intentional weight loss intervention on bone mineral density in type 2 diabetes: results from the Look AHEAD randomized trial","volume":"27","author":"Schwartz","year":"2012","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2021122205120878500_CIT0065","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1210\/jc.2007-1876","article-title":"Bone mineral density changes during the menopause transition in a multiethnic cohort of women","volume":"93","author":"Finkelstein","year":"2008","journal-title":"J Clin Endocrinol Metab."},{"key":"2021122205120878500_CIT0066","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1111\/j.1749-6632.2009.05233.x","article-title":"Bone loss across the menopausal transition","volume":"1192","author":"Neer","year":"2010","journal-title":"Ann N Y Acad Sci."},{"issue":"11","key":"2021122205120878500_CIT0067","doi-asserted-by":"crossref","first-page":"1940","DOI":"10.1038\/oby.2006.226","article-title":"True fractional calcium absorption is decreased after Roux-en-Y gastric bypass surgery","volume":"14","author":"Riedt","year":"2006","journal-title":"Obesity (Silver Spring)."},{"issue":"8","key":"2021122205120878500_CIT0068","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1002\/jbmr.2467","article-title":"Intestinal calcium absorption decreases dramatically after gastric bypass surgery despite optimization of vitamin D status","volume":"30","author":"Schafer","year":"2015","journal-title":"J Bone Miner Res."},{"issue":"2","key":"2021122205120878500_CIT0069","first-page":"1","article-title":"Post-gastric bypass vitamin therapy: how compliant are your patients and who is doing the monitoring?","volume":"2","author":"Agaba","year":"2015","journal-title":"J Obes Bariatrics."},{"issue":"3","key":"2021122205120878500_CIT0070","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1210\/jc.2018-00952","article-title":"Changes in lean mass, absolute and relative muscle strength, and physical performance after gastric bypass surgery","volume":"104","author":"Alba","year":"2019","journal-title":"J Clin Endocrinol Metab."},{"issue":"12","key":"2021122205120878500_CIT0071","doi-asserted-by":"crossref","first-page":"2344","DOI":"10.1002\/oby.21150","article-title":"Two-year outcomes on bone density and fracture incidence in patients with T2DM randomized to bariatric surgery versus intensive medical therapy","volume":"23","author":"Maghrabi","year":"2015","journal-title":"Obesity (Silver Spring)."},{"key":"2021122205120878500_CIT0072","doi-asserted-by":"crossref","first-page":"1\u201311","DOI":"10.1136\/bmj.e5085","article-title":"Risk of fracture after bariatric surgery in the United Kingdom: population based, retrospective cohort study","volume":"345","author":"Lalmohamed","year":"2012","journal-title":"Bmj."},{"issue":"5","key":"2021122205120878500_CIT0073","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1111\/obr.12665","article-title":"A meta-analysis of the effects of bariatric surgery on fracture risk","volume":"19","author":"Zhang","year":"2018","journal-title":"Obes Rev."},{"key":"2021122205120878500_CIT0074","first-page":"1\u201311","article-title":"Change in fracture risk and fracture pattern after bariatric surgery: nested case-control study","volume":"354","author":"Rousseau","year":"2016","journal-title":"BMJ."},{"issue":"3","key":"2021122205120878500_CIT0075","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1385\/JCD:6:3:199","article-title":"An overlying fat panniculus affects femur bone mass measurement","volume":"6","author":"Binkley","year":"2003","journal-title":"J Clin Densitom."},{"issue":"1","key":"2021122205120878500_CIT0076","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1002\/jbmr.506","article-title":"Simulated increases in body fat and errors in bone mineral density measurements by DXA and QCT","volume":"27","author":"Yu","year":"2012","journal-title":"J Bone Miner Res."},{"issue":"3","key":"2021122205120878500_CIT0077","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.jocd.2012.01.002","article-title":"Obesity increases precision errors in dual-energy X-ray absorptiometry measurements","volume":"15","author":"Knapp","year":"2012","journal-title":"J Clin Densitom."}],"container-title":["The Journal of Clinical Endocrinology &amp; Metabolism"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jcem\/advance-article-pdf\/doi\/10.1210\/clinem\/dgaa654\/33752878\/dgaa654.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcem\/article-pdf\/106\/4\/1868\/41848147\/dgaa654.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jcem\/article-pdf\/106\/4\/1868\/41848147\/dgaa654.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T22:36:27Z","timestamp":1723588587000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jcem\/article\/106\/4\/1868\/5906394"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,16]]},"references-count":77,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,9,16]]},"published-print":{"date-parts":[[2021,3,25]]}},"URL":"https:\/\/doi.org\/10.1210\/clinem\/dgaa654","relation":{},"ISSN":["0021-972X","1945-7197"],"issn-type":[{"value":"0021-972X","type":"print"},{"value":"1945-7197","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,4,1]]},"published":{"date-parts":[[2020,9,16]]}}}