微观性结肠炎是低骨密度的一个危险因素:系统性审查和元分析
Anett Rancz1,2, Brigitta Teutsch1,3, Marie Anne Engh1
1Centre for Translational Medicine, Semmelweis University, Budapest, Hungary.
Therapeutic advances in gastroenterology
|June 26, 2023
概括
显微性结肠炎 (MC) 显著增加了低骨密度 (LBD) 的风险. 患有MC的患者患上LBD的可能性增加了两倍,这表明需要进行骨密度查.
科学领域:
- 胃肠病学 胃肠病学
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
背景情况:
- 微观性结肠炎 (MC) 是一种慢性炎症性肠病,导致水性腹和降低生活质量.
- 有限的证据表明,MC与低骨密度 (LBD) 之间存在潜在的关联.
研究的目的:
- 确定MC是否是LBD的危险因素.
- 量化诊断为MC的患者中LBD的患病率.
主要方法:
- 进行了系统性审查和元分析.
- 在2021年10月16日之前搜索了五个数据库 (PubMed,Embase,Cochrane,Scopus,Web of Science)
- 使用随机效应模型和GRADE指导方针进行分析.
主要成果:
- MC与LBD的几率增加了两倍 (OR=2.13).
- 在MC患者中,LBD,骨质疏松症和骨质疏松症的患病率分别为68%,51%和11%.
- 证据的确定性被评为非常低.
结论:
- MC与低骨密度的风险增加了一倍.
- 建议在诊断时查MC患者的骨矿物质密度.
- 需要进一步的前性研究来证实这些发现.
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