scholarly journals Bone Mineral Density at Diagnosis of Celiac Disease and after 1 Year of Gluten-Free Diet

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Stefano Pantaleoni ◽  
Massimo Luchino ◽  
Alessandro Adriani ◽  
Rinaldo Pellicano ◽  
Davide Stradella ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Risk Factor ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Dual Energy ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density ◽  
X Ray ◽  
New Diagnosis

Atypical or silent celiac disease may go undiagnosed for many years and can frequently lead to loss of bone mineral density, with evolution to osteopenia or osteoporosis. The prevalence of the latter conditions, in case of new diagnosis of celiac disease, has been evaluated in many studies but, due to the variability of epidemiologic data and patient features, the results are contradictory. The aim of this study was to evaluate bone mineral density by dual-energy X-ray absorptiometry in 175 consecutive celiac patients at time of diagnosis (169 per-protocol, 23 males, 146 females; average age 38.9 years). Dual-energy X-ray absorptiometry was repeated after 1 year of gluten-free diet in those withT-score value <−1 at diagnosis. Stratification of patients according to sex and age showed a higher prevalence of low bone mineral density in men older than 30 years and in women of all ages. A 1-year gluten-free diet led to a significant improvement in lumbar spine and femoral neck meanT-score value. We propose that dual-energy X-ray absorptiometry should be performed at diagnosis of celiac disease in all women and in male aged >30 years, taking into account each risk factor in single patients.

scholarly journals Prevalence of low bone mineral density in children and adolescents with celiac disease under treatment

2009 ◽  
Vol 127 (5) ◽  
pp. 278-282 ◽  
Author(s):  
Maria Eugênia Farias Almeida Motta ◽  
Maria Eduarda Nóbrega de Faria ◽  
Gisélia Alves Pontes da Silva
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Lumbar Spine ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Whole Body ◽  
Chronological Age ◽  
Gluten Free ◽  
Mineral Density ◽  
Low Bone Mineral Density

CONTEXT AND OBJECTIVE: Low bone mineral density may be a finding among children and adolescents with celiac disease, including those undergoing treatment with a gluten-free diet, but the data are contradictory. The aim of this study was to determine the frequency of bone mineral density abnormalities in patients on a gluten-free diet, considering age at diagnosis and duration of dietary treatment. DESIGN AND SETTING: Cross-sectional prevalence study at the Pediatric Gastroenterology Outpatient Clinic of Instituto Materno Infantil Professor Fernando Figueira. METHODS: Thirty-one patients over five years of age with celiac disease and on a gluten-free diet were enrolled. Bone mineral density (in g/cm²) was measured in the lumbar spine and whole body using bone densitometry and categorized using the criteria of the International Society for Clinical Densitometry, i.e. low bone mineral density for chronological age < -2.0 Z-scores. Age at diagnosis and duration of dietary treatment were confirmed according to the date of starting the gluten-free diet. RESULTS: Low bone density for chronological age was present in 3/31 patients in the lumbar spine and 1/31 in the whole body (also with lumbar spine abnormality). At diagnosis, three patients with low bone mineral density for the chronological age were more than 7.6 years old. These patients had been on a gluten-free diet for six and seven months and 3.4 years. CONCLUSION: Pediatric patients with celiac disease on long-term treatment are at risk of low bone mineral density. Early diagnosis and long periods of gluten-free diet are directly implicated in bone density normalization.

Bone mineral density and importance of strict gluten-free diet in children and adolescents with celiac disease

Bone ◽  
2010 ◽  
Vol 47 (3) ◽  
pp. 598-603 ◽  
Author(s):  
Štefan Blazina ◽  
Nevenka Bratanič ◽  
Andreja Širca Čampa ◽  
Rok Blagus ◽  
Rok Orel
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Children And Adolescents ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density

scholarly journals Bone mineral density in children with celiac disease. Effect of a Gluten-free diet

2005 ◽  
Vol 60 (3) ◽  
pp. 358-363 ◽  
Author(s):  
C Tau ◽  
C Mautalen ◽  
S De Rosa ◽  
A Roca ◽  
X Valenzuela
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density ◽  
Disease Effect

S2044 Effect of a Gluten Free Diet on Bone Mineral Density in Patients With Celiac Disease

2010 ◽  
Vol 138 (5) ◽  
pp. S-308 ◽  
Author(s):  
Konstantinos Papamichael ◽  
Evangelos Kokkinakis ◽  
Emmanuel J. Archavlis ◽  
Ioannis Theodoropoulos ◽  
Dimitrios Tzivras ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density

Effect of a gluten-free diet on bone mineral density in children with celiac disease

2009 ◽  
Vol 33 (2) ◽  
pp. 109-114 ◽  
Author(s):  
R. Heyman ◽  
P. Guggenbuhl ◽  
A. Corbel ◽  
L. Bridoux-Henno ◽  
Y. Tourtelier ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density

scholarly journals CELIAC DISEASE;

2018 ◽  
Vol 21 (02) ◽  
pp. 275-279
Author(s):  
Sikandar Ali Bhand ◽  
Farzana Shaikh ◽  
Hussain Bux Korejo ◽  
Syed Jamal Raza
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
P Value ◽  
Gluten Free ◽  
Mineral Density ◽  
Dexa Scan ◽  
Group I ◽  
Group Ii

Objective: To evaluate effectiveness of treating previously untreated patients withceliac disease with both a gluten free diet and bisphosphonate in order to significantly increasetheir BMD’s to a greater extent than a gluten free diet alone. Patients and methods: The studywas conducted in National Institute of Child Health (NICH) Karachi to evaluate the effectiveness oftreating previously untreated patients with celiac disease with a gluten free diet andbisphosphonate in terms of increase in bone mineral density in comparison to a gluten free dietalone over a period of three months (January 2013 – March 2013). The study includes 30 childrenpatients below fifteen years of age either sex. All study subjects were untreated celiac patientsdiagnosed by clinical presentation, small bowel histology and serologic testing. On day dexascan was done. Fifteen patients kept on Gluten Free Diet (GFD) and remaining 15 patients keptGFD plus tablet of bisphosphonate. After three months dexa scan was repeated. The patientswith other disease of bone or mineral metabolism, as well as subjects taking systemicglucocorticoids or high doses of thyroid hormones, were excluded. Results: A total of 30 patientswith celiac disease were included in this study. Out of 30 patients 18 (60%) were female and 12(40%) male (M: F = 1:1.5). Thirty patients were divided in two equal groups (15 patients in eachgroup). In group-I we gave gluten free diet and in group-II we gave gluten free diet and one tabletof bisphosphonate. Mean± SD of Bone Mineral Density (BMD) in group-I was 0.402± 0.081gm/cm2 (range=0.234 – 0.503 gm/cm2), and in group-II was 0.543± 0.098 gm/cm2 (range=0.402 – 0.743 gm/cm2), mean difference of bone mineral density was significant between twogroups (P-value=0.0002). Conclusions: At three months DEXA scan showed a significant rise inBMD in group-II as compared to group-I

Bone Mineral Density and Importance of a Gluten-Free Diet in Patients With Celiac Disease in Childhood

PEDIATRICS ◽  
2001 ◽  
Vol 108 (5) ◽  
pp. e89-e89 ◽  
Author(s):  
A. G. Kalayci ◽  
A. Kansu ◽  
N. Girgin ◽  
O. Kucuk ◽  
G. Aras
Keyword(s):  
Bone Mineral Density ◽  
Celiac Disease ◽  
Bone Mineral ◽  
Gluten Free Diet ◽  
Gluten Free ◽  
Mineral Density

scholarly journals Association between Body Mass Index and Bone Mineral Density in Patients Referred for Dual-Energy X-Ray Absorptiometry Scan in Ajman, UAE

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Tarek Fawzy ◽  
Jayakumary Muttappallymyalil ◽  
Jayadevan Sreedharan ◽  
Amal Ahmed ◽  
Salma Obaid Saeed Alshamsi ◽  
...  
Keyword(s):  
Bone Mineral Density ◽  
Body Mass Index ◽  
Risk Factor ◽  
Body Mass ◽  
Bone Mineral ◽  
Dual Energy ◽  
Important Risk Factor ◽  
Mineral Density ◽  
X Ray ◽  
Dexa Scan

Body Mass Index (BMI) is a good indicator for measurements of Bone Mineral Density (BMD) which measures the density of minerals present in the bones using a special scan. This study was conducted to assess the association between BMI and status of BMD among 101 individuals who underwent Dual-Energy X-ray Absorptiometry (DEXA) scan. 39 subjects had normal and 62 had low bone mineral density. BMD was low in 82.4% of people with normal BMI, 78.1% among overweight, and 44.2% among obese. There was a statistically significant association between these two variables (). Low BMD was recorded in 59.1% of females and 76.9% of males. Association between advancing age and lower BMI is an important risk factor in the occurrence of low BMD.

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