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- W2076122873 abstract "Introduction: Decreased bone mineral density (BMD) has been reported in children with IBD. These changes have usually been attributed to corticosteroid use. However, it is still unclear what role the disease process prior to the initiation of therapy may be contributing to these alterations. The purpose of this study was to compare the BMD and body composition of a cohort of children newly diagnosed with IBD with those of healthy sex-matched controls of similar age. Methods: Control subjects and otherwise healthy children never exposed to corticosteroids who were within three weeks of initiation of therapy for IBD underwent Dual Energy X-ray Absorptiometry (DXA, Lunar DPX-L). Lean tissue mass (g) and total body BMD (g/cm2) measurements were obtained by DXA. We assessed height (cm), weight (kg), and body mass index (BMI, kg/m2) for each subject. Data analysis was performed by Mann Whitney U and Spearman rank-order correlation. Results: Measurements were recorded on 30 (15 male; mean age 11.9y, range 5.5–16.8) steroid näive children newly diagnosed with IBD and 50 (24 male; mean age 11.5y, range 8–15.3) controls. IBD subjects had a 7% lower BMI compared to controls (17.24 ± 2.95 vs. 18.52 ± 2.37, p=0.01). Lean tissue mass was 13% lower in children with IBD (p=0.03), and BMD was 12% lower (0.918 ± 0.11 vs. 1.043 ± 0.133, p<0.001), compared to control subjects. Although not reaching statistical significance, a similar trend was noted for bone mineral content (BMC). In the IBD subjects, BMI (r=0.61; p<0.001) and lean tissue mass (r=0.74; p<0.001) correlated positively with BMD. Conclusion: Decreased BMD, lean tissue mass, and BMI are present at the time of diagnosis in steroid näive children with IBD. BMD correlates strongly with lean tissue mass and BMI. IBD appears to contribute to impaired BMD independent of steroid therapy." @default.
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- W2076122873 date "2004-06-01" @default.
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- W2076122873 title "P0706 BONE MASS IS DECREASED IN STEROID NA??VE CHILDREN WITH IBD" @default.
- W2076122873 doi "https://doi.org/10.1097/00005176-200406001-00830" @default.
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