Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question: 47 Which Inflammatory Bowel Disease Patients Should I Screen For Osteoporosis? Should I Also Screen For Vitamin D Deficiency? (continued)

Francis A. Farraye, MD, MSc; Hannah L. Miller, MD

Osteoporosis and bone loss are common in patients with Crohn’s disease (CD) and ulcerative colitis (UC). In cross-sectional studies of patients with inflammatory bowel disease (IBD), the prevalence of osteoporosis ranges from 18% to 42%.1 The prevalence of osteopenia is also common, occurring in 22% to 77% of patients depending on the study population and geographic location. The etiology of osteoporosis in IBD is thought to be multifactorial, with risk factors including corticosteroid use for disease management, malnutrition, age, immobilization, vitamin D and calcium malabsorption…