{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:41:07Z","timestamp":1790052067763,"version":"4.0.1"},"reference-count":27,"publisher":"Maad Rayan Publishing Company","issue":"1","content-domain":{"domain":["mejdd.org"],"crossmark-restriction":false},"short-container-title":["Middle East J Dig Dis"],"published-print":{"date-parts":[[2022,1,30]]},"abstract":"<jats:p>BACKGROUND: Celiac disease (CD) is a gluten-sensitive enteropathy with intestinal and extra-intestinal presentations in genetically predisposed cases. Musculoskeletal problems are one of the most common extra-intestinal manifestations in adult patients with CD. In the present study, we evaluated parathyroid hormone (PTH) levels in men and premenopausal women with CD who had osteoporosis and osteopenia. METHODS: This was a cross-sectional study of 387adult patients with CD who were referred to the Mashhad Celiac Disease Center between 2014 and 2019. We excluded bone loss confounding factors, including cases with endocrine disorders, corticosteroid consumption, smoking, and age of more than 55 years. Factors such as intestinal pathology, bone mineral density (BMD), serum level of anti-tTG, serum vitamin D, and PTH levels were also assessed at the time of diagnosis. RESULTS: Femoral osteopenia was found in 140 (36.2%) patients, and osteoporosis was observed in 55 (14%) patients. Spinal osteopenia and osteoporosis were observed in 127 (33%) and 63 (16.4%) patients, respectively. High levels of PTH were detected in 72\/193 (27.2%) of the patients with CD. There was a significant difference between PTH levels in patients with osteopenia, osteoporosis, and normal BMD (P=0.0001). CONCLUSION: This study showed a correlation between low BMD and PTH levels in patients with CD, which suggests autoimmune endocrine disorder as a cause of osteopenia and osteoporosis. <\/jats:p>","DOI":"10.34172\/mejdd.2022.262","type":"journal-article","created":{"date-parts":[[2022,8,6]],"date-time":"2022-08-06T09:45:38Z","timestamp":1659779138000},"page":"103-109","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Bone Loss Correlated with Parathyroid Hormone Levels in Adult Celiac Patients"],"prefix":"10.34172","volume":"14","author":[{"given":"Azita","family":"Ganji","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meysam","family":"Moghbeli","sequence":"additional","affiliation":[{"name":"Department of Medical Genetics and Molecular Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yousef","family":"Moradi","sequence":"additional","affiliation":[{"name":"Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Narvan","family":"Babaei","sequence":"additional","affiliation":[{"name":"Community Health Undergraduate at the University of Illinois at Urbana- Campaign, Chicago, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir","family":"Baniasad","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Faculty of Medicine, Endocrinology and Metabolism Research Center. Institute of Basic and Clinical Physiology Science, Kerman University of Medical Sciences, Kerman, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"20123","published-online":{"date-parts":[[2022,1,30]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.34.2.150"},{"key":"R2","first-page":"93","article-title":"The clinical presentation of celiac disease: experiences from northeastern iran","volume":"6","author":"Ganji A","year":"2014","journal-title":"Middle East J Dig Dis"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Pritchard L, Lewis SJ, Griffin J, Pearce G, Wilson S. Investigation of the relationship between age, gender, body mass index (BMI) and bone mineral density (BMD) as assessed by dual-energy x-ray absorptiometry (DXA) of the spine and left femur in newly diagnosed patients with coeliac disease (CD). 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