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Measurements were taken of the total skeleton and in areas most vulnerable to bone loss and subsequent fracture, including three locations on the hip, and one in the spine. In both men and women who fatty fish exercised and lost weight, overall bone density did not change, although results were mixed for women in specific sites fatty fish of the hip. However, those who showed the greatest gains in fitness had modest gains in bone density at several sites, and loss of body fat was not associated with bone loss. According to Stewart, an increase in bone mineral density among older exercisers fatty fish has been observed in previous studies, but this increase was lacking in the current study because the fitness program was probably of too low intensity or too short in duration. "Older people will likely have to exercise either harder or for longer than six months for there for there to be a substantial increase in bone density," says study co-author and endocrinologist Suzanne Jan de Beur, an assistant professor at Hopkins who specializes in bone health.
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