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.

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