The influence of gluten free diet on quantitative ultrasound of proximal phalanxes in children and adolescents with type 1 diabetes mellitus and celiac disease
Abstract A reduced bone mineral density has been reported in patients with untreated celiac disease (CD) as well as in patients with poorly controlled type 1 diabetes mellitus (T1DM). The aim of this study was to evaluate the bone mineral status by phalangeal quantitative ultrasound in 52 children a...
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| Veröffentlicht in: | Bone (New York, N.Y.) N.Y.), 2008-08, Vol.43 (2), p.322-326 |
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| creator | Valerio, Giuliana Spadaro, Raffaella Iafusco, Dario Lombardi, Francesca del Puente, Antonio Esposito, Antonella De Terlizzi, Francesca Prisco, Francesco Troncone, Riccardo Franzese, Adriana |
| description | Abstract A reduced bone mineral density has been reported in patients with untreated celiac disease (CD) as well as in patients with poorly controlled type 1 diabetes mellitus (T1DM). The aim of this study was to evaluate the bone mineral status by phalangeal quantitative ultrasound in 52 children and adolescents with both diseases (mean age 13.3 ± 4.9 years). As a control group 50 patients with T1DM and no CD (age 12.2 ± 4.0 years) were studied. The following bone parameters, amplitude-dependent speed of sound (AD-SoS) and bone transmission time (BTT) were considered and expressed as z score. Compliance to gluten free diet and long term glycemic control (mean of four determinations of HbA1c in the last year) were also assessed. The lowest mean AD-SoS z score values were found in patients with T1DM and CD, who reported transgressions to gluten free diet and exhibited positivity for serum anti-tissue transglutaminase antibodies (tTG) and/or endomysial antibodies (EmA), compared with patients with occasional transgressions but negative for anti-tTG and/or -EmA, patients strictly adherent to the diet, and patients who suffered only from diabetes (ANOVA p = 0.021). No difference was found between patients with diabetes alone and patients with both diseases strictly adherent to gluten free diet. Prevalence of osteopenia ( z AD-SoS values < − 2 SD) was higher in patients with T1DM and CD and poor compliance to the diet (45.5%) compared with patients with T1DM (8%) or patients with both diseases strictly compliant to diet (12.9%) ( p = 0.015). A negative correlation between Ad-SoS z score and HbA1c ( r − 0.236, p = 0.036) was found when patients with T1DM and patients with T1DM and CD, who strictly adhere to the diet, were pooled. In conclusion the quality of bone as assessed by phalangeal ultrasound in patients with T1DM and CD, who strictly adhere to gluten free diet, is similar to that found in T1DM patients. A higher prevalence of osteopenia is present in patients with both diseases who reported habitual transgressions to gluten free diet. The gluten free diet, as well as the optimization of glycemic control, plays an important role in preventing the osteopenic status caused by the clustering of these two chronic diseases. |
| doi_str_mv | 10.1016/j.bone.2008.04.004 |
| format | Article |
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The aim of this study was to evaluate the bone mineral status by phalangeal quantitative ultrasound in 52 children and adolescents with both diseases (mean age 13.3 ± 4.9 years). As a control group 50 patients with T1DM and no CD (age 12.2 ± 4.0 years) were studied. The following bone parameters, amplitude-dependent speed of sound (AD-SoS) and bone transmission time (BTT) were considered and expressed as z score. Compliance to gluten free diet and long term glycemic control (mean of four determinations of HbA1c in the last year) were also assessed. The lowest mean AD-SoS z score values were found in patients with T1DM and CD, who reported transgressions to gluten free diet and exhibited positivity for serum anti-tissue transglutaminase antibodies (tTG) and/or endomysial antibodies (EmA), compared with patients with occasional transgressions but negative for anti-tTG and/or -EmA, patients strictly adherent to the diet, and patients who suffered only from diabetes (ANOVA p = 0.021). No difference was found between patients with diabetes alone and patients with both diseases strictly adherent to gluten free diet. Prevalence of osteopenia ( z AD-SoS values < − 2 SD) was higher in patients with T1DM and CD and poor compliance to the diet (45.5%) compared with patients with T1DM (8%) or patients with both diseases strictly compliant to diet (12.9%) ( p = 0.015). A negative correlation between Ad-SoS z score and HbA1c ( r − 0.236, p = 0.036) was found when patients with T1DM and patients with T1DM and CD, who strictly adhere to the diet, were pooled. In conclusion the quality of bone as assessed by phalangeal ultrasound in patients with T1DM and CD, who strictly adhere to gluten free diet, is similar to that found in T1DM patients. A higher prevalence of osteopenia is present in patients with both diseases who reported habitual transgressions to gluten free diet. The gluten free diet, as well as the optimization of glycemic control, plays an important role in preventing the osteopenic status caused by the clustering of these two chronic diseases.</description><identifier>ISSN: 8756-3282</identifier><identifier>EISSN: 1873-2763</identifier><identifier>DOI: 10.1016/j.bone.2008.04.004</identifier><identifier>PMID: 18499552</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Celiac disease ; Celiac Disease - complications ; Celiac Disease - diagnostic imaging ; Child ; Cross-Sectional Studies ; Diabetes Mellitus, Type 1 - complications ; Diabetes Mellitus, Type 1 - diagnostic imaging ; Diabetes. Impaired glucose tolerance ; Diet, Protein-Restricted ; Endocrine pancreas. Apud cells (diseases) ; Endocrinopathies ; Etiopathogenesis. Screening. Investigations. Target tissue resistance ; Female ; Finger Phalanges - diagnostic imaging ; Fundamental and applied biological sciences. Psychology ; Gastroenterology. Liver. Pancreas. Abdomen ; Gluten free diet ; Glutens ; Glycosilated hemoglobin ; Humans ; Male ; Medical sciences ; Orthopedics ; Other diseases. Semiology ; Quantitative ultrasound ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Type 1 diabetes mellitus ; Ultrasonography ; Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><ispartof>Bone (New York, N.Y.), 2008-08, Vol.43 (2), p.322-326</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-935435e8089f641c6bf9642c8c20966224454439fe48ceef50317a570a0267b3</citedby><cites>FETCH-LOGICAL-c470t-935435e8089f641c6bf9642c8c20966224454439fe48ceef50317a570a0267b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S8756328208001889$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20525581$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18499552$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Valerio, Giuliana</creatorcontrib><creatorcontrib>Spadaro, Raffaella</creatorcontrib><creatorcontrib>Iafusco, Dario</creatorcontrib><creatorcontrib>Lombardi, Francesca</creatorcontrib><creatorcontrib>del Puente, Antonio</creatorcontrib><creatorcontrib>Esposito, Antonella</creatorcontrib><creatorcontrib>De Terlizzi, Francesca</creatorcontrib><creatorcontrib>Prisco, Francesco</creatorcontrib><creatorcontrib>Troncone, Riccardo</creatorcontrib><creatorcontrib>Franzese, Adriana</creatorcontrib><title>The influence of gluten free diet on quantitative ultrasound of proximal phalanxes in children and adolescents with type 1 diabetes mellitus and celiac disease</title><title>Bone (New York, N.Y.)</title><addtitle>Bone</addtitle><description>Abstract A reduced bone mineral density has been reported in patients with untreated celiac disease (CD) as well as in patients with poorly controlled type 1 diabetes mellitus (T1DM). The aim of this study was to evaluate the bone mineral status by phalangeal quantitative ultrasound in 52 children and adolescents with both diseases (mean age 13.3 ± 4.9 years). As a control group 50 patients with T1DM and no CD (age 12.2 ± 4.0 years) were studied. The following bone parameters, amplitude-dependent speed of sound (AD-SoS) and bone transmission time (BTT) were considered and expressed as z score. Compliance to gluten free diet and long term glycemic control (mean of four determinations of HbA1c in the last year) were also assessed. The lowest mean AD-SoS z score values were found in patients with T1DM and CD, who reported transgressions to gluten free diet and exhibited positivity for serum anti-tissue transglutaminase antibodies (tTG) and/or endomysial antibodies (EmA), compared with patients with occasional transgressions but negative for anti-tTG and/or -EmA, patients strictly adherent to the diet, and patients who suffered only from diabetes (ANOVA p = 0.021). No difference was found between patients with diabetes alone and patients with both diseases strictly adherent to gluten free diet. Prevalence of osteopenia ( z AD-SoS values < − 2 SD) was higher in patients with T1DM and CD and poor compliance to the diet (45.5%) compared with patients with T1DM (8%) or patients with both diseases strictly compliant to diet (12.9%) ( p = 0.015). A negative correlation between Ad-SoS z score and HbA1c ( r − 0.236, p = 0.036) was found when patients with T1DM and patients with T1DM and CD, who strictly adhere to the diet, were pooled. In conclusion the quality of bone as assessed by phalangeal ultrasound in patients with T1DM and CD, who strictly adhere to gluten free diet, is similar to that found in T1DM patients. A higher prevalence of osteopenia is present in patients with both diseases who reported habitual transgressions to gluten free diet. The gluten free diet, as well as the optimization of glycemic control, plays an important role in preventing the osteopenic status caused by the clustering of these two chronic diseases.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Celiac disease</subject><subject>Celiac Disease - complications</subject><subject>Celiac Disease - diagnostic imaging</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Diabetes Mellitus, Type 1 - complications</subject><subject>Diabetes Mellitus, Type 1 - diagnostic imaging</subject><subject>Diabetes. Impaired glucose tolerance</subject><subject>Diet, Protein-Restricted</subject><subject>Endocrine pancreas. Apud cells (diseases)</subject><subject>Endocrinopathies</subject><subject>Etiopathogenesis. Screening. Investigations. Target tissue resistance</subject><subject>Female</subject><subject>Finger Phalanges - diagnostic imaging</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gluten free diet</subject><subject>Glutens</subject><subject>Glycosilated hemoglobin</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedics</subject><subject>Other diseases. Semiology</subject><subject>Quantitative ultrasound</subject><subject>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</subject><subject>Type 1 diabetes mellitus</subject><subject>Ultrasonography</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><issn>8756-3282</issn><issn>1873-2763</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksuOEzEQRVsIxAyBH2CBvIFdQvnRbltCSKMRL2kkFmRvOe5q4uC4M7Z7mHwNv4qbRCCxgJUXde51Vd1qmucUVhSofL1bbcaIKwagViBWAOJBc0lVx5esk_xhc6m6Vi45U-yieZLzDgC47ujj5oIqoXXbssvmx3qLxMchTBgdknEgX8NUMJIhIZLeYyFjJLeTjcUXW_wdkimUZPM4xX7GD2m893sbyGFrg433mKsdcVsf-lRtbKVsPwbMDmPJ5LsvW1KOByS0utsNlirYYwi-TPkX7TB462oxo834tHk02JDx2fldNOv379bXH5c3nz98ur66WTrRQVlq3greogKlBymok5tBS8Gccgy0lIwJ0QrB9YBCOcShBU4723ZggcluwxfNq5NtHed2wlzM3teOQ50IxykbqTmVnWT_BakWHaN1_YuGnUCXxpwTDuaQ6p7S0VAwc3xmZ-b4zByfAWFqfFX04uw-bfbY_5Gc86rAyzNgs7NhSDY6n39zDFrWtopW7s2Jw7qzO4_JZOfnhHuf0BXTj_7ffbz9S-6Cj77--A2PmHfjlGJNw1CTmQHzZT60-c5AAVClNP8JJsfPPw</recordid><startdate>20080801</startdate><enddate>20080801</enddate><creator>Valerio, Giuliana</creator><creator>Spadaro, Raffaella</creator><creator>Iafusco, Dario</creator><creator>Lombardi, Francesca</creator><creator>del Puente, Antonio</creator><creator>Esposito, Antonella</creator><creator>De Terlizzi, Francesca</creator><creator>Prisco, Francesco</creator><creator>Troncone, Riccardo</creator><creator>Franzese, Adriana</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20080801</creationdate><title>The influence of gluten free diet on quantitative ultrasound of proximal phalanxes in children and adolescents with type 1 diabetes mellitus and celiac disease</title><author>Valerio, Giuliana ; Spadaro, Raffaella ; Iafusco, Dario ; Lombardi, Francesca ; del Puente, Antonio ; Esposito, Antonella ; De Terlizzi, Francesca ; Prisco, Francesco ; Troncone, Riccardo ; Franzese, Adriana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-935435e8089f641c6bf9642c8c20966224454439fe48ceef50317a570a0267b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Celiac disease</topic><topic>Celiac Disease - complications</topic><topic>Celiac Disease - diagnostic imaging</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Diabetes Mellitus, Type 1 - complications</topic><topic>Diabetes Mellitus, Type 1 - diagnostic imaging</topic><topic>Diabetes. Impaired glucose tolerance</topic><topic>Diet, Protein-Restricted</topic><topic>Endocrine pancreas. Apud cells (diseases)</topic><topic>Endocrinopathies</topic><topic>Etiopathogenesis. Screening. Investigations. Target tissue resistance</topic><topic>Female</topic><topic>Finger Phalanges - diagnostic imaging</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gluten free diet</topic><topic>Glutens</topic><topic>Glycosilated hemoglobin</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedics</topic><topic>Other diseases. Semiology</topic><topic>Quantitative ultrasound</topic><topic>Stomach. Duodenum. Small intestine. Colon. Rectum. Anus</topic><topic>Type 1 diabetes mellitus</topic><topic>Ultrasonography</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valerio, Giuliana</creatorcontrib><creatorcontrib>Spadaro, Raffaella</creatorcontrib><creatorcontrib>Iafusco, Dario</creatorcontrib><creatorcontrib>Lombardi, Francesca</creatorcontrib><creatorcontrib>del Puente, Antonio</creatorcontrib><creatorcontrib>Esposito, Antonella</creatorcontrib><creatorcontrib>De Terlizzi, Francesca</creatorcontrib><creatorcontrib>Prisco, Francesco</creatorcontrib><creatorcontrib>Troncone, Riccardo</creatorcontrib><creatorcontrib>Franzese, Adriana</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Bone (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valerio, Giuliana</au><au>Spadaro, Raffaella</au><au>Iafusco, Dario</au><au>Lombardi, Francesca</au><au>del Puente, Antonio</au><au>Esposito, Antonella</au><au>De Terlizzi, Francesca</au><au>Prisco, Francesco</au><au>Troncone, Riccardo</au><au>Franzese, Adriana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The influence of gluten free diet on quantitative ultrasound of proximal phalanxes in children and adolescents with type 1 diabetes mellitus and celiac disease</atitle><jtitle>Bone (New York, N.Y.)</jtitle><addtitle>Bone</addtitle><date>2008-08-01</date><risdate>2008</risdate><volume>43</volume><issue>2</issue><spage>322</spage><epage>326</epage><pages>322-326</pages><issn>8756-3282</issn><eissn>1873-2763</eissn><abstract>Abstract A reduced bone mineral density has been reported in patients with untreated celiac disease (CD) as well as in patients with poorly controlled type 1 diabetes mellitus (T1DM). The aim of this study was to evaluate the bone mineral status by phalangeal quantitative ultrasound in 52 children and adolescents with both diseases (mean age 13.3 ± 4.9 years). As a control group 50 patients with T1DM and no CD (age 12.2 ± 4.0 years) were studied. The following bone parameters, amplitude-dependent speed of sound (AD-SoS) and bone transmission time (BTT) were considered and expressed as z score. Compliance to gluten free diet and long term glycemic control (mean of four determinations of HbA1c in the last year) were also assessed. The lowest mean AD-SoS z score values were found in patients with T1DM and CD, who reported transgressions to gluten free diet and exhibited positivity for serum anti-tissue transglutaminase antibodies (tTG) and/or endomysial antibodies (EmA), compared with patients with occasional transgressions but negative for anti-tTG and/or -EmA, patients strictly adherent to the diet, and patients who suffered only from diabetes (ANOVA p = 0.021). No difference was found between patients with diabetes alone and patients with both diseases strictly adherent to gluten free diet. Prevalence of osteopenia ( z AD-SoS values < − 2 SD) was higher in patients with T1DM and CD and poor compliance to the diet (45.5%) compared with patients with T1DM (8%) or patients with both diseases strictly compliant to diet (12.9%) ( p = 0.015). A negative correlation between Ad-SoS z score and HbA1c ( r − 0.236, p = 0.036) was found when patients with T1DM and patients with T1DM and CD, who strictly adhere to the diet, were pooled. In conclusion the quality of bone as assessed by phalangeal ultrasound in patients with T1DM and CD, who strictly adhere to gluten free diet, is similar to that found in T1DM patients. A higher prevalence of osteopenia is present in patients with both diseases who reported habitual transgressions to gluten free diet. The gluten free diet, as well as the optimization of glycemic control, plays an important role in preventing the osteopenic status caused by the clustering of these two chronic diseases.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18499552</pmid><doi>10.1016/j.bone.2008.04.004</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Biological and medical sciences Celiac disease Celiac Disease - complications Celiac Disease - diagnostic imaging Child Cross-Sectional Studies Diabetes Mellitus, Type 1 - complications Diabetes Mellitus, Type 1 - diagnostic imaging Diabetes. Impaired glucose tolerance Diet, Protein-Restricted Endocrine pancreas. Apud cells (diseases) Endocrinopathies Etiopathogenesis. Screening. Investigations. Target tissue resistance Female Finger Phalanges - diagnostic imaging Fundamental and applied biological sciences. Psychology Gastroenterology. Liver. Pancreas. Abdomen Gluten free diet Glutens Glycosilated hemoglobin Humans Male Medical sciences Orthopedics Other diseases. Semiology Quantitative ultrasound Stomach. Duodenum. Small intestine. Colon. Rectum. Anus Type 1 diabetes mellitus Ultrasonography Vertebrates: anatomy and physiology, studies on body, several organs or systems |
| title | The influence of gluten free diet on quantitative ultrasound of proximal phalanxes in children and adolescents with type 1 diabetes mellitus and celiac disease |
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