Bone size is the largest predictor of mechanical properties, more so than bone mineral measures or body composition. Interestingly, size-independent measures of

bone quality are most affected by the size of the bone, which implies a reduced quality with increasing quantity. Correlation coefficients between body mass measures and bone size measures show that LBM is positively correlated with bone size in both groups (c), (d), (g), (h) and that FBM is very weakly negatively correlated with bone size. Correlation coefficients are conducted separately for young and adult groups vBMD volumetric bone mineral density, M.A. second selleck inhibitor see more moment of area, A Ct. cross-sectional area, R o outer Ct. Rd, LBM lean body mass, FBM fat body mass, σ y yield strength, σ u maximum strength, E bending modulus, K c fracture toughness, P y yield load, P u maximum load, (D, t, M.A.) composite bone size score, (σ y , σ u , E) composite strength and modulus score * p < 0.05, ** p < 0.01, *** p < 0.001 aOne mouse died in week 4 of the study from fighting Discussion In this study, we have Pifithrin-�� purchase evaluated the effects of diet-induced obesity on cortical bone and found a large reduction in the mechanical properties of the cortical bone with diabetic obesity in both young and adult mice. Although larger bone size is expected, especially

with higher lean body mass [26, 36–39], the mechanical performance of the bone is nevertheless degraded by the effects of obesity with higher leptin and IGF-I levels and significantly higher fat body mass. As higher IGF-I levels are associated with larger bone size, especially at the periosteum, these data are in agreement

with our observed trends in bone size in the young group. The slight Dapagliflozin reduction in IGF-I for adults is also in agreement with the slight reduction in bone size that was observed in aHFD. Such reduced mechanical properties are also consistent with the high blood glucose levels, which may be a partial contributor to the fracture incidence observations in diabetic people [4, 13]. Finally, the greater AGEs with obesity may offer insight into the observed reduced mechanical properties. Assuming that the levels of AGEs are normal in the LFD groups, then the elevated levels in the HFD groups could help explain reduced fracture toughness [23–25], especially in the adult group, as the resultant increase in collagen cross-linking can suppress plasticity in bone by such mechanisms as fibrillar sliding. We specifically investigated changes in both tissue quantity, as measured by bone size and mineral content, and bone tissue quality, which was quantified with histomorphometric analyses and qualified by imaging of structural organization. Geometric effects were small (young mice had increased diameter, adult mice had reduced cortical thickness, and other measures were unchanged).