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Bone mineral density in short bowel syndrome: correlation with BMI and serum vitamins C, E and K
Braga, Camila Bitu Moreno; Bizari, Letícia; Suen, Vivian Miguel Marques; Marchini, Júlio Sérgio; Paula, Francisco José Albuquerque de; Cunha, Selma Freire de Carvalho da.
  • Braga, Camila Bitu Moreno; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
  • Bizari, Letícia; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
  • Suen, Vivian Miguel Marques; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
  • Marchini, Júlio Sérgio; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
  • Paula, Francisco José Albuquerque de; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
  • Cunha, Selma Freire de Carvalho da; University of São Paulo. Ribeirão Preto Medical School. Department of Internal Medicine. Ribeirão Preto. BR
Arch. endocrinol. metab. (Online) ; 59(3): 252-258, 06/2015. tab, graf
Article in English | LILACS | ID: lil-751308
ABSTRACT
Objective Bone loss has been established as a major extra-intestinal complication of short bowel syndrome (SBS). The purpose of this study was to correlate bone mineral density (BMD) with body mass index (BMI), serum vitamin and mineral levels in patients with SBS.Material and methods The study was conducted on 13 patients (8 male and 5 female, 54.7 ± 11.4 years) with SBS (residual small bowel length of 10 to 100 cm). We determined the food ingestion, anthropometry, serum levels of vitamins C, A, D, E and K, as well as serum and urinary levels of phosphorus and calcium. BMD was measured by dual-energy x-ray absorptiometry (DXA).Results Osteopenia and osteoporosis was diagnosed in all but one SBS patient. Serum levels of vitamin D were low in all volunteers. Sixty-one percent of patients had vitamin E deficiency; hypovitaminosis A and C occurred in one subject. BMI and C, E and K vitamin serum levels correlated with T-score of BMD.Conclusions Osteopenia and osteoporosis were common in SBS patients. There was a correlation between BMD and the serum levels of vitamins C, E and K, an indicative that such vitamins may influence bone health. Arch Endocrinol Metab. 2015;59(3)252-8.
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Full text: Available Index: LILACS (Americas) Main subject: Ascorbic Acid / Short Bowel Syndrome / Vitamin E / Vitamin K / Body Mass Index / Bone Density Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article / Project document Affiliation country: Brazil Institution/Affiliation country: University of São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Ascorbic Acid / Short Bowel Syndrome / Vitamin E / Vitamin K / Body Mass Index / Bone Density Type of study: Etiology study / Observational study / Prevalence study / Risk factors Limits: Adult / Aged / Female / Humans / Male Language: English Journal: Arch. endocrinol. metab. (Online) Journal subject: Endocrinology / Metabolism Year: 2015 Type: Article / Project document Affiliation country: Brazil Institution/Affiliation country: University of São Paulo/BR