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[Bone mass in celiac patients]

L Leiva1, R Burrows, G Ríos

  • 1Unidad de Endrocrinología, Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile.

Archivos Latinoamericanos De Nutricion
|June 1, 1996
PubMed
Summary
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Children with celiac disease have lower bone mineral content and density, even with early diagnosis and adherence to a gluten-free diet. This indicates a potential risk for developing osteoporosis later in life.

Area of Science:

  • Pediatric Endocrinology
  • Bone Metabolism
  • Nutritional Immunology

Context:

  • Celiac disease (CD) is an autoimmune disorder triggered by gluten ingestion.
  • Early diagnosis and strict gluten-free diet (GFD) are crucial for managing CD.
  • Bone health in pediatric CD patients on GFD requires further investigation.

Purpose:

  • To assess bone mineral content (BMC) and bone mineral density (BMD) in pediatric celiac patients adhering to a GFD.
  • To compare bone parameters between celiac patients and a control group of healthy children.
  • To identify potential long-term risks for bone health in this population.

Summary:

  • Seventeen celiac patients (6-12 years) with early diagnosis and good GFD adherence underwent bone density measurements (whole body, spine, hip).

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  • Celiac patients exhibited significantly lower total bone mass (TBM) and BMD in the whole body and spine compared to 48 controls.
  • Lower TBM was observed at the hip, though BMD did not differ; these findings persisted despite early diagnosis and GFD compliance, and were not solely due to height differences.

    • Impact:

    • Celiac patients on a GFD may have a higher risk of developing osteoporosis in adulthood.
    • These findings highlight the importance of monitoring bone health in children with celiac disease.
    • Clinical management of celiac disease should consider proactive bone health strategies.