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Shoshana Yakar National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Mary L Bouxsein National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Ernesto Canalis National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Hui Sun National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Vaida Glatt National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Caren Gundberg National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Pinchas Cohen National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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David Hwang National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Yves Boisclair National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Derek LeRoith National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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Clifford J Rosen National Institute of Diabetes, Digestive and Kidney Diseases, Bethesda, Maryland, USA
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
St Francis Hospital and Medical Center, Hartford, Connecticut, USA
Yale University School of Medicine, New Haven, Connecticut, USA
Mattel Hospital for Children, Los Angeles California, USA
The Department of Animal Science, Cornell University, Ithaca, New York, USA
The Jackson Laboratory, Bar Harbor, Maine, USA
Maine Center for Osteoporosis Research and Education, St Joseph Hospital, Maine, USA

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differentiation and mineralization, and can stimulate osteoclast recruitment ( Mochizuki et al. 1992 , Zhao et al. 2000 , Rubin et al. 2002 , Zhang et al. 2002 ). Serum IGF-I levels correlate positively with bone mineral density (BMD) and negatively

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K Rousseau Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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Z Atcha Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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J Denton Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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F R A Cagampang Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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A R Ennos Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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A J Freemont Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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A S I Loudon Faculties of Life Sciences and
Medicine, Stopford Building, University of Manchester, Manchester M13 9PT, UK

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significant role in the development and remodelling of bone. Here, the action of leptin may depend upon its route of administration. Ducy et al. (2000) have reported that obese mice deficient in leptin production ( ob/ob genotype) or devoid of functional

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Saranyapin Potikanond Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Pinyada Rattanachote Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Hiranya Pintana Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Panan Suntornsaratoon Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Narattaphol Charoenphandhu Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Nipon Chattipakorn Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Siriporn Chattipakorn Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand
Department of Pharmacology, Neurophysiology Unit, Center of Calcium and Bone Research (COCAB), Department of Physiology, Cardiac Electrophysiology Unit, Center of Excellence in Cardiac Electrophysiology Research, Department of Oral Biology and Diagnostic Sciences, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand

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Introduction Insulin and insulin receptors play important roles in bone development and in promoting bone formation ( Pun et al . 1989 , Fulzele et al . 2010 ). Several studies have demonstrated that the downstream signaling molecules of insulin

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Lin-Yu Jin Department of spinal surgery, Peking University People’s Hospital, Peking University, Beijing, China
Department of spinal surgery, enji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China

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Zhen-Dong Lv Department of spinal surgery, enji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China

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Xin-Jin Su Department of spinal surgery, enji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China

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Shuai Xu Department of spinal surgery, Peking University People’s Hospital, Peking University, Beijing, China

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Hai-Ying Liu Department of spinal surgery, Peking University People’s Hospital, Peking University, Beijing, China

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Xin-Feng Li Department of spinal surgery, enji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai, China

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between the epiphyseal and metaphyseal bone and consists of three zones: reserve zone (RZ), proliferative zone (PZ), and hypertrophic zone (HZ) ( Hunziker 1994 , Abad et al. 2002 ). Chondrocytes located in the RZ have been reported to possess stem

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E Mrak Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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I Villa Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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R Lanzi Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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M Losa Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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F Guidobono Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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A Rubinacci Bone Metabolic Unit,
Endocrine Unit, Scientific Institute San Raffaele, Via Olgettina, 60, 20132 Milano, Italy
Department of Pharmacology, Chemotherapy and Medical Toxicology, University of Milan, Milan, Italy

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Introduction Besides growth hormone (GH) effect on skeletal growth, the hormone plays a regulatory role on bone remodeling through the concerted action of GH itself, insulin-like growth factors (IGFs), and IGF-binding protein (IGFBP

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David J Mellis Musculoskeletal Research Programme, University of Aberdeen, Institute of Medical Sciences, Foresterhill, Aberdeen AB252ZD, UK

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Cecile Itzstein Musculoskeletal Research Programme, University of Aberdeen, Institute of Medical Sciences, Foresterhill, Aberdeen AB252ZD, UK

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Miep H Helfrich Musculoskeletal Research Programme, University of Aberdeen, Institute of Medical Sciences, Foresterhill, Aberdeen AB252ZD, UK

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Julie C Crockett Musculoskeletal Research Programme, University of Aberdeen, Institute of Medical Sciences, Foresterhill, Aberdeen AB252ZD, UK

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Introduction Osteoclasts are required during skeletal development to form and shape bones and throughout life in the process of remodelling that maintains the bone tissue in a healthy state by the continual repair of microfractures (reviewed in

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Patricia K Russell Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Salvatore Mangiafico Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Barbara C Fam Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Michele V Clarke Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Evelyn S Marin Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Sofianos Andrikopoulos Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Kristine M Wiren Research Service, Veterans Affairs Medical Center, Portland, Oregon, USA
Departments of Medicine and Behavioral Neuroscience, Oregon Health & Science University, Portland, Oregon, USA

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Jeffrey D Zajac Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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Rachel A Davey Department of Medicine, Austin Health, University of Melbourne, Heidelberg, Victoria, Australia

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of bone and body composition with many aspects of the regulation of these tissues being shared between mice and humans. We, and others, have shown in mice that the actions of testosterone to decrease fat mass are mediated via the androgen receptor (AR

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Pegah JafariNasabian Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, Florida, USA

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Julia E Inglis Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, Florida, USA

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Wendimere Reilly Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, Florida, USA

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Owen J Kelly Abbott Nutrition, Columbus, Ohio

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Jasminka Z Ilich Department of Nutrition, Food and Exercise Sciences, Florida State University, Tallahassee, Florida, USA

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al. 2014 a ). As aging uniquely influences many physiological functions, the most observable are those regarding body composition changes, including loss of bone, loss of muscle mass and strength, and increased body fat leading to osteosarcopenic

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Rhonda D Prisby Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of
Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of
Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of
Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of

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Joshua M Swift Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of

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Susan A Bloomfield Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of
Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of

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Harry A Hogan Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of

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Michael D Delp Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of
Health and Kinesiology, Intercollegiate Faculty of Nutrition, Mechanical Engineering, INSERM U890, IFR 143, Université Jean-Monnet, Department of Applied Physiology and Kinesiology and the Center for Exercise Science, Departments of

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reported association between osteoporosis and type 2 diabetes is less clear. The literature documents bone mineral densities (BMDs) of type 2 diabetic patients that are diminished ( Isaia et al . 1987 ), enhanced ( Van Daele et al . 1995 ), or similar

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John N Stabley Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA

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Rhonda D Prisby Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA

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Bradley J Behnke Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA
Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA

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Michael D Delp Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA
Department of Applied Physiology and Kinesiology, Department of Kinesiology and Applied Physiology, Department of Kinesiology, Department of Nutrition, University of Florida, Gainesville, Florida 32611, USA

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poor balance ( Schwartz 2003 , Melton et al . 2008 , Leslie et al . 2012 ). Emerging results also indicates a causal link between cardiovascular function and indices of bone health ( Parfitt 2000 , Farhat & Cauley 2008 , Lampropoulos et al . 2012

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