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Bone Mineral Density Screening and the Frequency of Osteopenia/Osteoporosis in Turkish Adult Patients With Celiac Disease

Volume 32 · Issue 7 Publish Date: July 15, 2021
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Süleyman Sayar
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Hüseyin Aykut
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Özkan Kaya
Department of Internal Medicine, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Kemal Kürbüz
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Çağatay Ak
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Pınar Gökçen
Health Sciences University, Ümraniye Training and Research Hospital, Department of Gastroenterology, Istanbul, Turkey
Nermin Mutlu Bilgiç
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Gupse Adalı
Department of Gastroenterology, İstanbul Medeniyet University School of Medicine, Göztepe Training and Research Hospital, İstanbul, Turkey
Resul Kahraman
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Levent Doganay
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Kâmil Özdil
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Sayar, S., Aykut, H., Kaya, Özkan, Kürbüz, K., Ak, Çağatay, Gökçen, P., … Özdil, K. (2021). Bone Mineral Density Screening and the Frequency of Osteopenia/Osteoporosis in Turkish Adult Patients With Celiac Disease. Turkish Journal of Gastroenterology, 32(7), 600–607. https://doi.org/10.5152/tjg.2021.20313
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Abstract

Background: The aim of this study was to evaluate the prevalence of osteopenia and osteoporosis in adult patients with celiac disease (CD) at diagnosis and/or in the follow-up after a gluten-free diet (GFD). Methods: Adult patients diagnosed with CD were retrospectively screened through follow-up records and computer databases. Patients assessed by dual-energy X-ray absorptiometry (DEXA) at diagnosis and/or in the follow-up after a GFD were included in the study. Results: One hundred patients who underwent a DEXA scan at least once after diagnosis or after being on a GFD were included in the study. The mean age of the patients at diagnosis was 34.61 ± 10.3 years, and 84% of the patients (n = 84) were female. At the time of diagnosis (n = 46), the prevalence of osteopenia and osteoporosis was 67.3% and 15.2%, respectively, at the lumbar spine, and 43.4% and 10.8%, respectively, at the femur. After a GFD (n = 78), the prevalence of osteopenia and osteoporosis was 61.5% and 8.9%, respectively, at the lumbar spine, and 37.1% and 2.5%, respectively, at the femur. Conclusion: The prevalence of CD patients with low bone mineral density (BMD) is high after diagnosis and in the follow-up after a GFD. It is important for all patients with CD to undergo a DEXA scan to determine the follow-up and/or treatment characteristics. Cite this article as: Sayar S, Aykut H, Kaya Ö, et al. Bone mineral density screening and the frequency of osteopenia/osteoporosis in Turkish adult patients with Celiac disease. Turk J Gastroenterol. 2021; 32(7): 600-607.

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Article Info
Published In
Journal Turkish Journal of Gastroenterology
Volume / Issue Volume 32 · Issue 7
Pages 600-607
History
Published Online July 15, 2021
Copyright
Affiliations
Süleyman Sayar
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Hüseyin Aykut
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Özkan Kaya
Department of Internal Medicine, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Kemal Kürbüz
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Çağatay Ak
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Pınar Gökçen
Health Sciences University, Ümraniye Training and Research Hospital, Department of Gastroenterology, Istanbul, Turkey
Nermin Mutlu Bilgiç
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Gupse Adalı
Department of Gastroenterology, İstanbul Medeniyet University School of Medicine, Göztepe Training and Research Hospital, İstanbul, Turkey
Resul Kahraman
Health Sience University, Umraniye Research And Education Hospital-Gastroenterology
Levent Doganay
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Kâmil Özdil
Department of Gastroenterology, Health Sciences Unıversity, Ümraniye Training and Research Hospital, İstanbul, Turkey
Cite this Article
Sayar, S., Aykut, H., Kaya, Özkan, Kürbüz, K., Ak, Çağatay, Gökçen, P., … Özdil, K. (2021). Bone Mineral Density Screening and the Frequency of Osteopenia/Osteoporosis in Turkish Adult Patients With Celiac Disease. Turkish Journal of Gastroenterology, 32(7), 600–607. https://doi.org/10.5152/tjg.2021.20313
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