RT Journal Article
SR Electronic
T1 Management of bone health in patients with celiac disease
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 433
OP 438
VO 64
IS 6
A1 Duerksen, Donald
A1 Pinto-Sanchez, Maria Ines
A1 Anca, Alexandra
A1 Schnetzler, Joyce
A1 Case, Shelley
A1 Zelin, Jenni
A1 Smallwood, Adrianna
A1 Turner, Justine
A1 Verdú, Elena
A1 Butzner, J. Decker
A1 Rashid, Mohsin
YR 2018
UL http://www.cfp.ca/content/64/6/433.abstract
AB Objective To describe clinical issues related to bone health in patients with celiac disease (CD) and to provide guidance on monitoring bone health in these patients.Sources of information A PubMed search was conducted to review literature relevant to CD and bone health, including guidelines published by professional gastroenterological organizations.Main message Bone health can be negatively affected in both adults and children with CD owing to the inflammatory process and malabsorption of calcium and vitamin D. Most adults with symptomatic CD at diagnosis have low bone mass. Bone mineral density should be tested at diagnosis and at follow-up, especially in adult patients. Vitamin D levels should be measured at diagnosis and annually until they are normal. In addition to a strict gluten-free diet, supplementation with calcium and vitamin D should be provided and weight-bearing exercises encouraged.Conclusion Bone health can be adversely affected in patients with CD. These patients require adequate calcium and vitamin D supplementation, as well as monitoring of vitamin D levels and bone mineral density with regular follow-up to help prevent osteoporosis and fractures.