{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T18:40:23Z","timestamp":1779907223448,"version":"3.53.1"},"reference-count":40,"publisher":"Walter de Gruyter GmbH","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,3,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec id=\"j_jpem-2020-0292_abs_001_w2aab3b7c10b1b6b1aab1c15b1Aa\">\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Patients with celiac disease had significantly decreased bone mineral density even in patients with no gastrointestinal symptoms. Only few bone studies are available on pediatric patients with celiac disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0292_abs_002_w2aab3b7c10b1b6b1aab1c15b2Aa\">\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Forty-six patients underwent measurement of areal bone mineral density (aBMD) by dual-energy X-ray absorptiometry (DXA) before the initiation of gluten-free diet. Anthropometric, laboratory and DXA measurements at baseline and at sixth month of the treatment were compared.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0292_abs_003_w2aab3b7c10b1b6b1aab1c15b3Aa\">\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The frequency of low aBMD Z-score (\u2264\u22121\u00a0SDS) in both or any site was found to be 78.2% in this study. Of 16 patients with an aBMD Z-score of &lt;\u22122\u00a0SDS five gained more than 1\u00a0SDS, and one gained more than 2\u00a0SDS. Nine of 20 patients with an aBMD Z-score of &lt;\u22121\u00a0SDS completely normalized.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec id=\"j_jpem-2020-0292_abs_004_w2aab3b7c10b1b6b1aab1c15b4Aa\">\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The results of the study showed that low BMD is common in children with celiac disease at the time of diagnosis and could improve in a short period of six months with a strict gluten-free diet and adequate supplementation of calcium and vitamin D.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1515\/jpem-2020-0292","type":"journal-article","created":{"date-parts":[[2020,12,22]],"date-time":"2020-12-22T10:55:45Z","timestamp":1608634545000},"page":"341-348","source":"Crossref","is-referenced-by-count":8,"title":["Significant improvement in bone mineral density in pediatric celiac disease: even at six months with gluten-free diet"],"prefix":"10.1515","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2395-163X","authenticated-orcid":false,"given":"Nelgin","family":"Gerenli","sequence":"first","affiliation":[{"name":"Department of Pediatric Gastroenterology , \u00dcmraniye Training and Research Hospital, University of Health Sciences , \u0130stanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4880-8175","authenticated-orcid":false,"given":"Fatma","family":"Dursun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology , \u00dcmraniye Training and Research Hospital, University of Health Sciences , \u0130stanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7944-4311","authenticated-orcid":false,"given":"Co\u015fkun","family":"\u00c7eltik","sequence":"additional","affiliation":[{"name":"Department of Pediatric Gastroenterology , \u00dcmraniye Training and Research Hospital, University of Health Sciences , \u0130stanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8663-3452","authenticated-orcid":false,"given":"Heves","family":"K\u0131rm\u0131z\u0131bekmez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Endocrinology , \u00dcmraniye Training and Research Hospital, University of Health Sciences , \u0130stanbul , Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"374","published-online":{"date-parts":[[2020,12,16]]},"reference":[{"key":"2023040101391763852_j_jpem-2020-0292_ref_001_w2aab3b7c10b1b6b1ab2b2b1Aa","doi-asserted-by":"crossref","unstructured":"Saraff, V, H\u00f6gler, W. 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