{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T06:40:13Z","timestamp":1778913613655,"version":"3.51.4"},"reference-count":36,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2018,10,1]],"date-time":"2018-10-01T00:00:00Z","timestamp":1538352000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"start-up research grant from University Sapienza of Rome 2017","award":["AR11715C5EC71A11"],"award-info":[{"award-number":["AR11715C5EC71A11"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Up to 75% of patients with untreated coeliac disease (CD) present with osteopenia or osteoporosis. Guidelines do not express with certainty whether each patient with newly diagnosed CD should undergo a dual\u2010energy x\u2010ray absorptiometry (DEXA) scan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this article is to evaluate the prevalence of bone mineral density (BMD) alterations at diagnosis and risk factors associated with osteoporosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 214 adult patients (median age 38 years; female\u2009=\u200971.5%) newly diagnosed with CD underwent DEXA. The patients were divided into three groups: patients with normal BMD, those with osteopenia and those with osteoporosis. Clinical, histological and serological features were assessed and compared among the three groups. Logistic regression including relevant independent variables was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>DEXA indicated that 39.7%, 42.5% and 17.8% of the CD patients had normal BMD, osteopenia and osteoporosis, respectively. Logistic regression indicated that features significantly associated with osteoporosis were male gender (OR 4.7; 95%CI 1.1 to 20.8), age \u226545 years (OR 6.5; 95% CI 1.3 to 32.2), underweight (OR 7.4; 95% CI 1.3 to 42.5) and greater histological damage (Marsh 3C; OR 5.8; 95% CI 1.4 to 24.1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BMD alterations were found in 60.3% of newly diagnosed adult coeliac patients. Osteoporosis was significantly associated with age \u226545 years, male gender, underweight and Marsh 3C, suggesting that at CD diagnosis, a DEXA scan might be beneficial, particularly in these subgroups of patients.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2050640618784340","type":"journal-article","created":{"date-parts":[[2018,6,13]],"date-time":"2018-06-13T04:08:15Z","timestamp":1528862895000},"page":"1161-1168","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Risk factors associated with osteoporosis in a cohort of prospectively diagnosed adult coeliac patients"],"prefix":"10.1002","volume":"6","author":[{"given":"Gloria","family":"Galli","sequence":"first","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edith","family":"Lahner","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Conti","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Esposito","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Carlotta","family":"Sacchi","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno","family":"Annibale","sequence":"additional","affiliation":[{"name":"Department of Medical-Surgical Sciences and Translational Medicine Sant\u2019Andrea Hospital Sapienza University Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10]]},"reference":[{"key":"e_1_2_11_2_2","volume-title":"Summary meeting report","author":"WHO Scientific Group on the Assessment of Osteoporosis at Primary Health Care Levels","year":"2004"},{"key":"e_1_2_11_3_2","volume-title":"Assessment of osteoporosis at the primary health-care level. 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