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 |