Korean J Gastroenterol.  2000 Apr;35(4):439-447.

Bone Mineral Density in Newly Diagnosed Patients with Inflammatory Bowel Disease

• Baek IH
• Yang SK
• Kim WH
• Kim YK
• Kim HJ
• Lee SH
• Dong SH
• Kim BH
• Lee JI
• Chang YW
• Chang R

Abstract

BACKGROUND/AIMS: The decrease of bone mineral density (BMD) has been reported in Western patients with inflammatory bowel disease (IBD). However, its prevalence and pathophysiology in Asian population have never been studied. The aim of this study was to investigate the prevalence and mechanism of osteopenia in Korean patients with newly diagnosed IBD.
METHODS
We studied 14 patients with Crohn's disease (CD) and 25 patients with ulcerative colitis (UC), all of whom had never used corticosteroids. BMD was measured in the lumbar spines and the femur by dual-energy X-ray absorptiometry. Biochemical parameters of bone metabolism, such as osteocalcine, iPTH, active and inactive vitamin D, were measured. RESULTS: Reduced BMD (Z score<-1) at the spine was observed in 36% of the patients and there was no significant difference in lumbar Z scores in the patients with CD and the patients with UC. There was no significant difference in nutritional status or biochemical parameters of bone metabolism between the patients with normal BMD and those with decreased BMD. There was a significant correlation between the lumbar BMD and femoral neck BMD. CONCLUSIONS: Decreased trabecular bone density is a common feature in Korean patients with newly diagnosed IBD as well as in Western patients. The mechanism causing low bone mass is not related to ethnic difference. Malnutrition such as calcium or vitamin deficiency could possibly play a certain role in the pathogenesis of bone loss in patients with newly diagnosed IBD.

Keyword

Inflammatory bowel disease; Bone mineral density; Osteopenia; Crohn's disease; Ulcerative colitis

MeSH Terms

Absorptiometry, Photon
Adrenal Cortex Hormones
Asian Continental Ancestry Group
Avitaminosis
Bone Density*
Bone Diseases, Metabolic
Calcium
Colitis, Ulcerative
Crohn Disease
Femur
Femur Neck
Humans
Inflammatory Bowel Diseases*
Malnutrition
Metabolism
Nutritional Status
Osteocalcin
Prevalence
Spine
Vitamin D
Adrenal Cortex Hormones
Calcium
Osteocalcin
Vitamin D