INFLAMMATORY BOWEL DISEASE: OSTEOPOROSIS
Osteoporosis
Patients with IBD are at increased risk of osteoporosis due to
the malabsorption of both
vitamin D and calcium
Top tips:
Measure bone mineral density (BMD) to assess fracture risk in people aged under 40 years who have a major risk factor, such as history of
multiple fragility fracture,
major osteoporotic fracture,
or current or recent use of high-dose oral or high-dose systemic glucocorticoids
(more than 7.5 mg prednisolone or equivalent per day for 3 months or longer).
Bone-protective treatment should be started at the onset of glucocorticoid therapy in individuals at high risk of fracture, including
some premenopausal women and younger men,
particularly in individuals with a previous history of fracture
or receiving high doses of glucocorticoids.
Patients with IBD are at increased risk of osteoporosis due to
the malabsorption of both
vitamin D and calcium
Top tips:
Measure bone mineral density (BMD) to assess fracture risk in people aged under 40 years who have a major risk factor, such as history of
multiple fragility fracture,
major osteoporotic fracture,
or current or recent use of high-dose oral or high-dose systemic glucocorticoids
(more than 7.5 mg prednisolone or equivalent per day for 3 months or longer).
Bone-protective treatment should be started at the onset of glucocorticoid therapy in individuals at high risk of fracture, including
some premenopausal women and younger men,
particularly in individuals with a previous history of fracture
or receiving high doses of glucocorticoids.
