http://www.healthsentinel.com/news.php?event=news_print_list_item&id=649
"Bone and gut disorders 'linked'", BBC News, March 1, 2005,
Link: http://news.bbc.co.uk/1/hi/health/4306133.stm
Osteoporosis patients should be screened for a gut disease, US
researchers believe.
A Washington University Bone Clinic study of 840 people found those
with the brittle bone disorder were 17 times more likely to have
coeliac disease.
The disease, an intolerance to gluten which makes digestion difficult,
is found in 1% of the general population.
The team told the Archives of Internal Medicine the study provided
evidence of the benefits of a screening programme.
Although coeliac disease patients commonly have a low bone mineral
density, the benefit of screening everyone with osteoporosis has been
unclear to date, the Archives of Internal Medicine reported.
The team tested 266 patients with osteoporosis and 574 without, putting
those with positive coeliac tests on gluten-free diets.
Lead researcher William Stenson said the coeliac risk rate was "high
enough to justify a recommendation that all individuals with
osteoporosis undergo screening."
He said osteoporosis patients should first be tested using a simple
blood test, known as serologic screening which tests for antibodies
associated with the disease.
Diagnosis
If that test proved positive, he suggested patients should undergo a
more accurate intestinal biopsy to confirm the diagnosis.
And he added the patients could then be put on a gluten-free diet,
which could then benefit the osteoporosis.
"Treatment with a gluten-free diet for a year resulted in improved bone
density in individuals with coeliac disease and osteoporosis."
Dr Martin Sarner, honorary secretary of Core, formerly the Digestive
Disorders Foundation, said he would welcome a screening programme in
the UK.
"It would be a positive move, the blood test is relatively simple and
could be carried out by GPs. It would not be hugely expensive so could
prove cost effective.
"The problem is not that many doctors know about the test, I fear this
is the reason it has not been introduced yet."