EFFECT OF GLUTEN-FREE DIET ON BONE-MINERAL CONTENT IN GROWING PATIENTS WITH CELIAC-DISEASE

被引:103
作者
MORA, S
WEBER, G
BARERA, G
BELLINI, A
PASOLINI, D
PRINSTER, C
BIANCHI, C
CHIUMELLO, G
机构
[1] UNIV MILAN,INST BIOMETRY & MED STAT,I-20122 MILAN,ITALY
[2] H SAN RAFFAELE,INST SCI,DEPT PEDIAT,ENDOCRINE UNIT,MILAN,ITALY
关键词
BONE MINERAL CONTENT; CELIAC DISEASE; CHILDREN; ADOLESCENTS; GLUTEN-FREE DIET; GROWTH; MALABSORPTION; OSTEOPOROSIS;
D O I
10.1093/ajcn/57.2.224
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Osteoporosis is a complication of celiac disease in adulthood, but little is known about the influence of the disease on bone mineralization in children. In the present study we evaluated radial bone mineral content (BMC) in celiac children and adolescents at diagnosis and after they consumed a gluten-free diet (GFD). The BMC values of 33 celiac patients at diagnosis were significantly lower than those of 255 control subjects (P < 0.001). There was no difference between diabetic and non-diabetic celiac patients. In 14 patients the BMC increased significantly (P < 0.05, ANCOVA) after 1.28 y of GFD. In these patients the mean annual BMC increment was 0.07 g/cm, significantly greater (P < 0.05) than the increment of normal growing children (0.05 g . cm-1 . y-1). Our data indicate that although osteoporosis complicates celiac disease during childhood and adolescence, GFD alone is able to remarkably improve bone mineralization.
引用
收藏
页码:224 / 228
页数:5
相关论文
共 30 条
[1]  
[Anonymous], 1971, STAT PRINCIPLES EXPT
[2]  
[Anonymous], 1990, ARCH DIS CHILD, V65, P909
[3]   SCREENING OF DIABETIC CHILDREN FOR CELIAC-DISEASE WITH ANTIGLIADIN ANTIBODIES AND HLA TYPING [J].
BARERA, G ;
BIANCHI, C ;
CALISTI, L ;
CERUTTI, F ;
DAMMACCO, F ;
FREZZA, E ;
ILLENI, MT ;
MISTURA, L ;
POCECCO, M ;
PRISCO, F ;
SACCHETTI, C ;
SAGGESE, G ;
STOPPOLONI, G ;
TONINI, G ;
CHIUMELLO, G .
ARCHIVES OF DISEASE IN CHILDHOOD, 1991, 66 (04) :491-494
[4]   BODY-COMPOSITION AND CALCIUM-METABOLISM IN ADULT TREATED CELIAC-DISEASE [J].
BODE, S ;
HASSAGER, C ;
GUDMANDHOYER, E ;
CHRISTIANSEN, C .
GUT, 1991, 32 (11) :1342-1345
[5]   GROWTH ACCELERATION AND FINAL HEIGHT AFTER TREATMENT FOR DELAYED DIAGNOSIS OF CELIAC-DISEASE [J].
BOSIO, L ;
BARERA, G ;
MISTURA, L ;
SASSI, G ;
BIANCHI, C .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 1990, 11 (03) :324-329
[6]  
BRANSKI D, 1989, TXB GASTROENTEROLOGY, P1093
[7]   SHORT STATURE AND CELIAC-DISEASE - A RELATIONSHIP TO CONSIDER EVEN IN PATIENTS WITH NO GASTROINTESTINAL-TRACT SYMPTOMS [J].
CACCIARI, E ;
SALARDI, S ;
LAZZARI, R ;
CICOGNANI, A ;
COLLINA, A ;
PIRAZZOLI, P ;
TASSONI, P ;
BIASCO, G ;
CORAZZA, GR ;
CASSIO, A .
JOURNAL OF PEDIATRICS, 1983, 103 (05) :708-711
[8]  
CAMERON JR, 1968, INVEST RADIOL, V3, P11
[9]  
CARACENI MP, 1988, AM J GASTROENTEROL, V83, P274
[10]   COMPLIANCE WITH GLUTEN FREE DIET IN CELIAC-DISEASE [J].
COLACO, J ;
EGANMITCHELL, B ;
STEVENS, FM ;
FOTTRELL, PF ;
MCCARTHY, CF ;
MCNICHOLL, B .
ARCHIVES OF DISEASE IN CHILDHOOD, 1987, 62 (07) :706-708