The mechanical control system of bone in weightless spaceflight and in aging.

Bone loss is notable in elderly persons and in astronauts returning from spaceflight, however, the bone changes in these radically different patient populations appear morphologically similar. Bone structure depends upon several independent basic processes: growth, modeling, and remodeling. Each process follows a stereotyped sequence of steps. Alteration of any step may yield a similar bone loss, although from an entirely different mechanism. Mechanical forces appear to coordinate the fundamental bone shaping processes by a negative feedback control system. Determining how mechanical signals control the mass, architecture, and strength of bone may establish the limits by which exercise can prevent osteoporosis in the elderly and in astronauts despite obvious differences in etiology.