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The frequency of osteoporosis screening in men with inflammatory bowel disease
Huy D Nguyen1, Anita K Bakshi, Marie L Borum
1Division of Gastroenterology and Liver Diseases, George Washington University Medical Center, Washington, DC 20037, USA. hnguyen@gwu.edu
Insights
Men with inflammatory bowel disease face a high risk of osteoporosis and fractures. Early screening for bone density and vitamin D is crucial for this population to prevent serious complications.
Area of Science:
- Gastroenterology
- Endocrinology
- Bone Health
Background:
- Osteoporosis is frequently underdiagnosed in men, leading to significant morbidity and mortality from fractures.
- Current guidelines recommend earlier screening and risk assessment for men at high risk of osteoporosis.
- Men with inflammatory bowel disease (IBD) are identified as a high-risk group due to various factors.
Purpose of the Study:
- To investigate the prevalence of corticosteroid use, vitamin D screening, and bone mineral density (BMD) screening in men with IBD.
- To highlight the need for enhanced osteoporosis screening in this specific patient population.
Main Methods:
- Retrospective review of patient data within a gastroenterology practice.
- Analysis of corticosteroid prescription rates.
- Assessment of vitamin D and BMD screening rates among male IBD patients.
Main Results:
- The study population consisted of men diagnosed with inflammatory bowel disease.
- A significant proportion of men with IBD are at high risk for developing osteoporosis.
- Current screening practices for vitamin D and BMD in this cohort require emphasis.
Conclusions:
- Men with inflammatory bowel disease represent a population with a high predisposition to osteoporosis and fragility fractures.
- Routine screening for osteoporosis and assessment of risk factors, including vitamin D levels, should be prioritized in male IBD patients.
- Earlier and more consistent screening can mitigate the risks associated with osteoporosis in this vulnerable group.
Abstract:
Osteoporosis is underdiagnosed in men, and osteoporosis-related fractures carry high morbidity and mortality. Recent recommendations on osteoporosis screening in men from the American College of Physicians state that screening and risk factor assessment need to occur earlier in men at high risk. Men with inflammatory bowel disease are at high risk for osteoporosis and fragility fractures due to corticosteroid use, malabsorption from intestinal resection, potential vitamin D deficiency, and fluctuations in weight. This study examines the rate of corticosteroid use, vitamin D screening, and bone mineral density screening of men with inflammatory bowel disease in a gastroenterology practice. The vast majority of men with inflammatory bowel disease are at high risk for osteoporosis. Screening and risk factor assessment should be emphasized.
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