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Reversal of osteopenia with diet in adult coeliac disease.
Gut 1996; 38(3):322-7Gut

Abstract

To evaluate the effects of a gluten free diet on bone mineral density in untreated adult patients with coeliac disease, 63 patients (17-79 years, 35 women) were examined at diagnosis and after one year taking a gluten free diet. Bone mineral density was measured in the forearm using single photo absorptiometry and in the lumbar spine, femoral neck, and trochanter using dual energy x ray absorptiometry. The values for each patient were compared with those of 25 healthy controls, matched for sex, age, and menopausal state. Before being given a gluten free diet bone mineral density in the total group was reduced at all sites (p < 0.001). Age adjusted bone mineral density was inversely correlated with age. During the first year taking a gluten free diet bone mineral density increased at all sites (p < 0.01). This was seen in patients of all ages and in patients who were without symptoms of malabsorption (weight loss or diarrhoea) before treatment. Low bone mineral density in patients with untreated coeliac disease increases rapidly when treatment with a gluten free diet is followed. These findings emphasise the importance of early diagnosis and treatment in all patients with coeliac disease.

Authors+Show Affiliations

Department of Internal Medicine, University Hospital of Linköping, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

8675082

Citation

Valdimarsson, T, et al. "Reversal of Osteopenia With Diet in Adult Coeliac Disease." Gut, vol. 38, no. 3, 1996, pp. 322-7.
Valdimarsson T, Löfman O, Toss G, et al. Reversal of osteopenia with diet in adult coeliac disease. Gut. 1996;38(3):322-7.
Valdimarsson, T., Löfman, O., Toss, G., & Ström, M. (1996). Reversal of osteopenia with diet in adult coeliac disease. Gut, 38(3), pp. 322-7.
Valdimarsson T, et al. Reversal of Osteopenia With Diet in Adult Coeliac Disease. Gut. 1996;38(3):322-7. PubMed PMID: 8675082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reversal of osteopenia with diet in adult coeliac disease. AU - Valdimarsson,T, AU - Löfman,O, AU - Toss,G, AU - Ström,M, PY - 1996/3/1/pubmed PY - 1996/3/1/medline PY - 1996/3/1/entrez SP - 322 EP - 7 JF - Gut JO - Gut VL - 38 IS - 3 N2 - To evaluate the effects of a gluten free diet on bone mineral density in untreated adult patients with coeliac disease, 63 patients (17-79 years, 35 women) were examined at diagnosis and after one year taking a gluten free diet. Bone mineral density was measured in the forearm using single photo absorptiometry and in the lumbar spine, femoral neck, and trochanter using dual energy x ray absorptiometry. The values for each patient were compared with those of 25 healthy controls, matched for sex, age, and menopausal state. Before being given a gluten free diet bone mineral density in the total group was reduced at all sites (p < 0.001). Age adjusted bone mineral density was inversely correlated with age. During the first year taking a gluten free diet bone mineral density increased at all sites (p < 0.01). This was seen in patients of all ages and in patients who were without symptoms of malabsorption (weight loss or diarrhoea) before treatment. Low bone mineral density in patients with untreated coeliac disease increases rapidly when treatment with a gluten free diet is followed. These findings emphasise the importance of early diagnosis and treatment in all patients with coeliac disease. SN - 0017-5749 UR - https://www.unboundmedicine.com/medline/citation/8675082/Reversal_of_osteopenia_with_diet_in_adult_coeliac_disease_ L2 - http://gut.bmj.com/cgi/pmidlookup?view=long&amp;pmid=8675082 DB - PRIME DP - Unbound Medicine ER -