Prevalence of low bone mineral density in adults with coeliac disease – Are we missing opportunities for detection in patients below 50 years of age?

Introduction: Compared to the general population, patients with coeliac disease are at an increased risk of low bone mineral density (osteopenia) and osteoporosis and this is a risk for bone fracture [1,2]. Recently published NICE guidelines on the management of coeliac disease (2015) recommend assessment of bone mineral density (BMD) at annual review using the WHO fracture risk assessment tool before consideration of the need for a dual-energy X-ray absorptiometry (DXA) scan [3,4]. Under these guidelines, it is not routine to extend this assessment to those below the age of 50 years, unless major risk factors additive to coeliac disease are identified (i.e.
Source: Clinical Nutrition ESPEN - Category: Nutrition Authors: Source Type: research