Vitamin C Deficiency and the Risk of Osteoporosis in Patients with an Inflammatory Bowel Disease

Recent research studies have shown that vitamin C (ascorbic acid) may affect bone mineral density and that a deficiency of ascorbic acid leads to the development of osteoporosis. Patients suffering from an inflammatory bowel disease are at a risk of low bone mineral density. It is vital to notice th...

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Main Authors: Alicja Ewa Ratajczak, Aleksandra Szymczak-Tomczak, Marzena Skrzypczak-Zielińska, Anna Maria Rychter, Agnieszka Zawada, Agnieszka Dobrowolska, Iwona Krela-Kaźmierczak
Format: Article
Language:English
Published: MDPI AG 2020-07-01
Series:Nutrients
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Online Access:https://www.mdpi.com/2072-6643/12/8/2263
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Summary:Recent research studies have shown that vitamin C (ascorbic acid) may affect bone mineral density and that a deficiency of ascorbic acid leads to the development of osteoporosis. Patients suffering from an inflammatory bowel disease are at a risk of low bone mineral density. It is vital to notice that patients with Crohn’s disease and ulcerative colitis also are at risk of vitamin C deficiency which is due to factors such as reduced consumption of fresh vegetables and fruits, i.e., the main sources of ascorbic acid. Additionally, some patients follow diets which may provide an insufficient amount of vitamin C. Moreover, serum vitamin C level also is dependent on genetic factors, such as <i>SLC23A1</i> and <i>SLC23A2</i> genes, encoding sodium-dependent vitamin C transporters and <i>GSTM1</i>, <i>GSTP1</i> and <i>GSTT1</i> genes which encode glutathione S-transferases. Furthermore, ascorbic acid may modify the composition of gut microbiota which plays a role in the pathogenesis of an inflammatory bowel disease.
ISSN:2072-6643