AIM:To determine if inflammatory bowel disease(IBD) is a risk factor for osteoporosis in adult Sr Lankans.METHODS:We identified eligible subjects from among consecutive patients diagnosed with IBD who attended our out...
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AIM:To determine if inflammatory bowel disease(IBD) is a risk factor for osteoporosis in adult Sr Lankans.METHODS:We identified eligible subjects from among consecutive patients diagnosed with IBD who attended our outpatient clinic.We included only patients aged between 20 and 70 years.Patients who were pregnant, had significant comorbidity, or were on calcium supplements or treatment for osteoporosis within the past 6 mo, were excluded.Healthy, ageand sex-matched controls were also recruited, ina control to patient ratio of 3:1.Both groups were screened for osteoporosis using peripheral dual energy X-ray absorptiometry scanning.RESULTS:The study population consisted of 111 IBD patients(male:female = 43:68;mean age 42.5 years) and 333 controls(male:female = 129:204;mean age 43.8 years).The occurrence of osteoporosis among IBD patients(13.5%) was significantly higher than among controls(4.5%)(P = 0.001).The frequency of osteoporosis was not significantly different between ulcerative colitis(14.45%) and Crohn's disease(10.7%).However, on multivariate analysis, only age(P = 0.001), menopause(P = 0.024) and use of systemic steroids(P dependently with the occurrence of osteoporosis, while IBD, severity of disease, number of relapses, duration of illness or treatment other than systemic steroids were not.CONCLUSION:IBD does not appear to be an independent risk factor for the occurrence of osteoporosis in this population.However, the use of systemic steroids was a risk factor.
AIM To estimate prevalence and phenotypic associations of selected inflammatory bowel disease(IBD)-associated genetic variants among Sri Lankan patients. METHODS A case study of histologically confirmed ulcerative col...
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AIM To estimate prevalence and phenotypic associations of selected inflammatory bowel disease(IBD)-associated genetic variants among Sri Lankan patients. METHODS A case study of histologically confirmed ulcerative colitis(UC) or Crohn's disease(CD) patients with ≥ 1 year disease duration, who were compared to unrelated, gender-matched, healthy individuals as controls, was conducted at four major centers in Sri Lanka. Phenotypic data of the cases were obtained and all participants were genotyped for 16 selected genetic variants: IL12 B :rs1045431, IL23 R :rs11805303, ARPC2 :rs12612347, IRGM :rs13361189, IL26/IL22 :rs1558744, CDH1 :rs1728785, IL10 :rs3024505, FCGR2 A :rs3737240, PTGER4 :rs4613763, IL17 REL/PIM3 :rs5771069, HNF4 a :rs6017342, STAT3 :rs744166, SMURF1 :rs7809799, LAMB1 :rs886774, HLA-DRB5, DQA1, DRB1, DRA :rs9268853, MST1, UBA7, and APEH :rs9822268. The genotypes of all variants were in Hardy-Weinberg Equilibrium(P > 10^(-3)). To account for multiple hypothesis testing, P-values dered significant.RESULTS A total of 415 patients and 465 controls were recruited. Out of the single nucleotide polymorphisms(SNPs) tested, the majority were not associated with IBD in Sri Lankans. Significant positive associations were noted between rs886774(LAMB1-gene) and UC(odds ratio(OR) = 1.42, P = 0.001). UC patients with rs886774 had mild disease(OR = 1.66, P described in South Asians.
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