(Ivanhoe Newswire) -- A new study shows people suffering from the
bone-thinning disease osteoporosis may also be at higher risk of having celiac
disease, a condition in which people have a difficult time digesting wheat
gluten.
Treatment for celiac disease can markedly improve bone mineral density, or
BMD, among patients with both conditions.
Doctors have long known people with celiac disease also tend to have thinning
bones, but little study exists to suggest everyone with osteoporosis should be
screened for the condition. These investigators evaluated about 270 people with
osteoporosis and around 575 people without osteoporosis for celiac disease,
comparing incidence among the two groups. Results show people with osteoporosis
were significantly more likely to also have celiac disease.
After one year on a gluten-free diet, BMD improved in the osteoporosis
patients, outpacing that which would normally be expected with standard
osteoporosis drugs.
The study raises the important question of who should be screened for celiac
disease and when. In an accompanying editorial, Alan L. Buchman, M.D., M.P.H,
from Northwestern University in Chicago, acknowledges the answer could be to
test all white girls during childhood or adolescence, since white women are at
highest risk for osteoporosis and most BMD is achieved by age 18. Given the
costs involved, however, he stops short of making that recommendation and
instead calls for further study to more clearly define the population at
risk.
SOURCE: Archives of Internal Medicine, 2005;165:370-371