Eight male volunteers were submitted to a 6-week anti-orthostatic bedrest t
rial followed by a 1-month reambulation period. We prospectively monitored
whole-body composition by dual-energy X-ray absorptiometry, bone and connec
tive tissue metabolism by biochemical markers and calcium regulating hormon
es by 1-84 parathyroid hormone and 1,25-dihydroxyvitamin D-3. Bone mineral
density (BMD) did not vary significantly; however, a trend toward an increa
se in head BMD and a decrease in trunk, lumbar vertebrae and lower limb BMD
was observed. A decrease in the lower limb lean content occurred by day 27
and was maximum by day 42 after the beginning of bedrest; it normalized by
day 30 after bedrest, The serum levels of both osteocalcin and C-terminal
crosslinked telopeptide of type I collagen increased as a consequence of be
drest. A slight increase in the serum levels of the N-terminal propeptide o
f type III collagen, a marker of connective tissue metabolism, was observed
during the bedrest period. Except for the C-terminal extension propeptide
of type I collagen, all markers decreased to baseline preimmobilization lev
els during the 1-month recovery phase, Serum PTH and 1,25-dihydroxyvitamin
D-3 levels were low during the bedrest period and rose during the reambulat
ion phase. These results seem to reflect early changes in bone and connecti
ve tissue metabolism as a result of bedrest unloading. but their order of m
agnitude remains moderate, thus emphasizing the necessity to perform longer
-duration trials.