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Bone and Celiac Disease

  • Secondary Causes of Osteoporosis (SJ Warden, Section Editor)
  • Published:
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Abstract

More than 50 % of untreated patients with celiac disease (CD) have bone loss detected by bone densitometry (dual-energy X-ray absorptiometry:DXA). Moreover, patients with CD are more likely to have osteoporosis and fragility fractures, especially of the distal radius. Although still controversial, we recommend DXA screening in all celiac disease patients, particularly in those with symptomatic CD at diagnosis and in those who present risk factors for fracture such as older age, menopausal status, previous fracture history, and familial hip fracture history. Bone microarchitecture, especially the trabecular network, may be deteriorated, explaining the higher fracture risk in these patients. Adequate calcium and vitamin D supplementation are also recommended to optimize bone recovery, especially during the first years of gluten free diet (GFD). If higher fracture risk persists after 1 or 2 years of GFD, specific osteoactive treatment may be necessary to improve bone health.

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Acknowledgments

We thank Susana Carballo for editing the English language of the manuscript.

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Correspondence to María Belén Zanchetta.

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María Belén Zanchetta, Vanesa Longobardi, and Julio César Bai declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

All studies by authors involving animal and/or human subjects were performed after approval by the appropriate institutional review boards. When required, written informed consent was obtained from all participants.

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This article is part of the Topical Collection on Secondary Causes of Osteoporosis

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Zanchetta, M.B., Longobardi, V. & Bai, J.C. Bone and Celiac Disease. Curr Osteoporos Rep 14, 43–48 (2016). https://doi.org/10.1007/s11914-016-0304-5

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