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Title: Bone and mineral metabolism in adult celiac disease

Journal Article · · Am. J. Gastroenterol.; (United States)
OSTI ID:5201253

Bone mineral density (/sup 125/I photon absorptiometry) was lower in 20 untreated adult celiac patients than in sex- and age-matched controls (p less than 0.001), and plasma alkaline phosphatase, parathyroid hormone, urinary hydroxyproline/creatinine levels were higher than normal (p less than 0.05, less than 0.001, less than 0.05, respectively). Gluten-free diet was started, and the patients were divided randomly into two treatment groups, one which received oral 25-hydroxyvitamin D 50 micrograms/day and one which did not. After 12 months' treatment, bone turnover markers showed a decrease, which did not reach statistical significance, and bone mineral density did not show significant modifications compared with base line in either group. It was found that a gluten-free diet followed for 1 yr can prevent further bone loss, but no significant differences were detected between the two groups.

Research Organization:
Univ. di Milano (Italy)
OSTI ID:
5201253
Journal Information:
Am. J. Gastroenterol.; (United States), Vol. 83:3
Country of Publication:
United States
Language:
English