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Abstract
BONE MINERAL DENSITY IN PATIENTS WITH INFLAMMATORY BOWEL DISEASE IN MOSUL CITY – IRAQ
Dr. Ansam M. Al-Shamaa*, Dr. Ismail D. Saeed and Dr. Ali A. Younis
ABSTRACT
Background and Objective: Osteopenia and osteoporosis are common metabolic disorders in advanced ages, particularly in menopausal women and those with other secondary causes, including inflammatory bowel disease (IBD). Bone mineral density (BMD) reduction, leading to osteopenia and osteoporosis, is higher in patients with (IBD) than in the general population. The primary goal of this study is to determine the frequency of osteoporosis or osteopenia in patients with IBD in a sample of the Iraqi population in Mosul City. Patients and Methods: A cross-sectional, observational study was conducted on fifty adult patients with established diagnosis of IBD who had been referred to Ibn -Sena Teaching Hospital for tertiary care from September 1, 2020 – March 1. 2021. The patient's ages ranged (18-50), with an average age (31.3±10.0) at time of the diagnosis. Data was collected from the patients through interviews according to a specialized questionnaire. Based on Dual energy x-ray absorptiometry (DEXA), the bone mineral density (BMD) and the T-score were calculated. Results: A total of nine patients had osteoporosis (T score:≤ -2.5), six had Crohn's disease, and three had ulcerative colitis. A total of thirty-two (64%) patients had osteopenia (T-score: -1 to -2.5), eleven patients with CD, and twenty-one patients with UC. The remaining nine patients with IBD had a normal BMD (T-score: >-1), six patients had CD, and three had UC. Conclusion: Low BMD is one of the crucial complications of IBD, and its frequency is comparable in both UC and CD.
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