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Low circulating insulin-like growth factor I in coeliac disease and its relation to bone mineral density.

Abstract：

BACKGROUND:Patients with coeliac disease have low bone mineral density (BMD), but the underlying mechanisms are unclear. Our aim was to study circulating insulin-like growth factor I (IGF-I) and its possible relationship to BMD in adults with untreated coeliac disease and after 1 year on a gluten-free diet. METHODS:In 29 consecutive adult coeliac patients fasting IGF-I and BMD (n = 28) were examined before and 1 year after starting a gluten-free diet. Intact parathyroid hormone (PTH) was measured (n = 20) before the gluten-free diet was started. RESULTS:Untreated coeliac patients had lower IGF-I values than controls matched for age and sex, and their BMD was low. A relationship was observed between BMD and IGF-I but not independent of age and body mass index. During the 1st year on a gluten-free diet BMD increased (P < 0.001), as did the circulating IGF-I levels in 21 of the 29 patients (P = 0.078). In the subgroup of 14 patients with normal initial PTH the increase in IGF-I correlated positively with the increase in BMD (femoral trochanter, r = 0.62, P < 0.05, and lumbar spine, r = 0.70, P < 0.02). CONCLUSIONS:BMD and circulating IGF-I levels are low in adults with untreated coeliac disease. In patients with normal initial PTH level there is an association between the change in BMD and circulating IGF-I, although this parallel increase may not be causally connected.

journal_name

Scand J Gastroenterol

journal_title

Scandinavian journal of gastroenterology

authors

Valdimarsson T,Arnqvist HJ,Toss G,Järnerot G,Nyström F,Ström M

doi

10.1080/003655299750025381

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

904-8

issue

9

eissn

0036-5521

issn

1502-7708

journal_volume

34

pub_type

杂志文章

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