Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease

Reduced physical activity (PA), smoking, and coffee and alcohol drinking constitute risk factors of osteoporosis in patients with inflammatory bowel disease (IBD). The aim of the study was to measure the bone mineral density (BMD) and frequency of osteopenia and osteoporosis in patients with IBD and...

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Main Authors: Anna Maria Rychter, Alicja Ewa Ratajczak, Aleksandra Szymczak-Tomczak, Michał Michalak, Piotr Eder, Agnieszka Dobrowolska, Iwona Krela-Kaźmierczak
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/6/1863
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author Anna Maria Rychter
Alicja Ewa Ratajczak
Aleksandra Szymczak-Tomczak
Michał Michalak
Piotr Eder
Agnieszka Dobrowolska
Iwona Krela-Kaźmierczak
author_facet Anna Maria Rychter
Alicja Ewa Ratajczak
Aleksandra Szymczak-Tomczak
Michał Michalak
Piotr Eder
Agnieszka Dobrowolska
Iwona Krela-Kaźmierczak
author_sort Anna Maria Rychter
collection DOAJ
description Reduced physical activity (PA), smoking, and coffee and alcohol drinking constitute risk factors of osteoporosis in patients with inflammatory bowel disease (IBD). The aim of the study was to measure the bone mineral density (BMD) and frequency of osteopenia and osteoporosis in patients with IBD and their correlation with PA, smoking, coffee, and alcohol. The study group consisted of 208 patients with IBD-103 with Crohn’s disease (CD), 105 suffering from ulcerative colitis (UC). Densitometric measurements were performed using the DXA. All patients completed a questionnaire concerning PA, smoking, and coffee and alcohol consumption. The prevalence of osteopenia and osteoporosis (L2–L4) in the IBD group was 48.1%; in the CD group, it amounted to 48.6%, and in the UC group, the prevalence was equal to 33.3%. Patients with CD who were diagnosed with osteopenia and osteoporosis demonstrated reduced PA compared to patients with a normal BMD who exercised regularly (<i>p</i> = 0.0335). A similar observation was made in the group of women with IBD. Women with a normal BMD exercised significantly more often than women suffering from osteopenia and osteoporosis (<i>p</i> = 0.0146). However, no differences in BMD were observed with regard to coffee use, alcohol consumption, or smoking. Thus, since the incidence of osteoporosis in IBD patients is high, it may be dependent on PA.
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spelling doaj.art-edf12fd6036540b4a9bc5cda487ea41a2023-11-21T22:05:43ZengMDPI AGNutrients2072-66432021-05-01136186310.3390/nu13061863Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel DiseaseAnna Maria Rychter0Alicja Ewa Ratajczak1Aleksandra Szymczak-Tomczak2Michał Michalak3Piotr Eder4Agnieszka Dobrowolska5Iwona Krela-Kaźmierczak6Department of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Computer Sciences and Statistics, Poznan University of Medical Sciences, 60-806 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandDepartment of Gastroenterology, Dietetics and Internal Diseases, Poznan University of Medical Sciences, 60-355 Poznan, PolandReduced physical activity (PA), smoking, and coffee and alcohol drinking constitute risk factors of osteoporosis in patients with inflammatory bowel disease (IBD). The aim of the study was to measure the bone mineral density (BMD) and frequency of osteopenia and osteoporosis in patients with IBD and their correlation with PA, smoking, coffee, and alcohol. The study group consisted of 208 patients with IBD-103 with Crohn’s disease (CD), 105 suffering from ulcerative colitis (UC). Densitometric measurements were performed using the DXA. All patients completed a questionnaire concerning PA, smoking, and coffee and alcohol consumption. The prevalence of osteopenia and osteoporosis (L2–L4) in the IBD group was 48.1%; in the CD group, it amounted to 48.6%, and in the UC group, the prevalence was equal to 33.3%. Patients with CD who were diagnosed with osteopenia and osteoporosis demonstrated reduced PA compared to patients with a normal BMD who exercised regularly (<i>p</i> = 0.0335). A similar observation was made in the group of women with IBD. Women with a normal BMD exercised significantly more often than women suffering from osteopenia and osteoporosis (<i>p</i> = 0.0146). However, no differences in BMD were observed with regard to coffee use, alcohol consumption, or smoking. Thus, since the incidence of osteoporosis in IBD patients is high, it may be dependent on PA.https://www.mdpi.com/2072-6643/13/6/1863inflammatory bowel diseaseosteoporosisosteopeniaalcoholphysical activitycoffee
spellingShingle Anna Maria Rychter
Alicja Ewa Ratajczak
Aleksandra Szymczak-Tomczak
Michał Michalak
Piotr Eder
Agnieszka Dobrowolska
Iwona Krela-Kaźmierczak
Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
Nutrients
inflammatory bowel disease
osteoporosis
osteopenia
alcohol
physical activity
coffee
title Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
title_full Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
title_fullStr Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
title_full_unstemmed Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
title_short Associations of Lifestyle Factors with Osteopenia and Osteoporosis in Polish Patients with Inflammatory Bowel Disease
title_sort associations of lifestyle factors with osteopenia and osteoporosis in polish patients with inflammatory bowel disease
topic inflammatory bowel disease
osteoporosis
osteopenia
alcohol
physical activity
coffee
url https://www.mdpi.com/2072-6643/13/6/1863
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