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. 2019 Dec 10;31(4):637–646. doi: 10.1007/s00198-019-05234-w

Table 1.

Factors contributing to altered bone health in IBD patients

General factors

  Low intake of calcium

  Decreased vitamin D concentrations

  Low magnesium and potassium concentrations

  Metabolic acidosis

  Low peak bone mass

  Low body mass index

  Decreased physical activity

  Smoking

  Excessive alcohol consumption

IBD-associated factors
  IBD therapy Corticosteroids (detrimental)
Anti-TNF therapy (beneficial)
  IBD-specific factors Sex hormone deficiency
Low body mass index/peak bone mass
  Gastrointestinal damage Intestinal insufficiency (short bowel syndrome)
Intestinal leakage
  Inflammatory processes underlying IBD Cytokine and other immunological networks in disbalance