The frequency of osteoporosis screening in men with inflammatory bowel disease.
Osteoporosis is underdiagnosed in men, and osteoporosis-related fractures carry high morbidity and mortality. Recent recommendations on osteoporosis screening in men from the American College of Physicians state that screening and risk factor assessment need to occur earlier in men at high risk. Men with inflammatory bowel disease are at high risk for osteoporosis and fragility fractures due to corticosteroid use, malabsorption from intestinal resection, potential vitamin D deficiency, and fluctuations in weight. This study examines the rate of corticosteroid use, vitamin D screening, and bone mineral density screening of men with inflammatory bowel disease in a gastroenterology practice. The vast majority of men with inflammatory bowel disease are at high risk for osteoporosis. Screening and risk factor assessment should be emphasized.
Nguyen
Huy D
HD
Division of Gastroenterology and Liver Diseases, George Washington University Medical Center, Washington, DC 20037, USA. hnguyen@gwu.edu
Bakshi
Anita K
AK
Borum
Marie L
ML
D015502:Absorptiometry, Photon; D000305:Adrenal Cortex Hormones / Q000009:adverse effects / Q000627:therapeutic use; D000328:Adult; D000368:Aged; D015519:Bone Density; D005260:Female; D005269:Femur; D050815:Fractures, Compression; D006620:Hip Fractures; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D008161:Lumbosacral Region; D008297:Male; D008403:Mass Screening; D054526:Men's Health; D008875:Middle Aged; D010024:Osteoporosis / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States / Q000453:epidemiology; D014808:Vitamin D Deficiency / Q000150:complications*; D055815:Young Adult
D000305:Adrenal Cortex Hormones