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KMID : 0614620100550040237
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Korean Journal of Gastroenterology
2010 Volume.55 No. 4 p.237 ~ p.244
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Analysis of Risk Factors for Low Bone Mineral Density in Patients with Inflammatory Bowel Disease
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Park Jae-Jung
Jung Sung-Ae
Noh Young-Wook
Kang Min-Jung
Jung Ji-Min
Kim Seong-Eun
Jung Hye-Kyung
Shim Ki-Nam
Kim Tae-Hun
Yoo Kwon
Moon Il-Hwan
Hong Young-Sun
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Abstract
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Background/Aims: Several clinical risk factors for low bone mineral density (BMD) in the patients with inflammatory bowel disease (IBD) have been suggested. However, its prevalence and pathophysiology in Korean population have not been fully studied. The aim of this study was to investigate the prevalence and risk factors for low BMD in Korean IBD patient.
Methods: BMD of the lumbar spine and femur was evaluated using dual-energy X-ray absorptiometry in 30 patients with IBD. Biochemical parameters of bone metabolism, such as serum calcium, phosphorus, osteocalcin, and deoxypyridinoline were measured. The associations between low BMD and clinical parameters such as disease duration, disease activity, drug history, body mass index (BMI), and others were evaluated retrospectively using medical records.
Results: Low BMD at the lumbar spine or femur was observed in 63.3% of the patients, and there was no significant difference between the patients with Crohns disease and ulcerative colitis. Clinical and biochemical parameters were irrelevant to BMD. In the patients without glucocorticoid treatment prior to BMD measurement, already 50.0% of patients had low BMD.
Conclusions: Low BMD is a common feature in Korean IBD patients, even those who do not use glucocorticoid. The multiple factors may be involved in the pathogenesis of low BMD. Therefore, BMD should be examined in all IBD patients, irrespective of glucocorticoid treatment.
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KEYWORD
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Inflammatory bowel disease, Bone mineral density, Crohns disease, Ulcerative colitis
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