Prevention of osteoporosis in cystic fibrosis.

Centre de Référence Maladie Rare, Mucoviscidose et maladies du CFTR, Site Constitutif Pediatrique, Hôpital Necker-Enfants Malades. INSERM U1151, Onstitut Necker Enfants Malades. Université Paris Sorbonne, Paris, France.

Current opinion in pulmonary medicine. 2019;(6):660-665

Abstract

PURPOSE OF REVIEW The increased life span of patients with cystic fibrosis has lead to the detection of new complications. Osteopenia is present in up to 50% of adult patients with cystic fibrosis, and osteoporosis in 10-34% and can cause a difficult management problem. RECENT FINDINGS In children, defects in bone health become apparent generally at adolescence because of suboptimall bone peak mass achievement. Malnutrition, inflammation, vitamin D and vitamin K deficiency, altered sex hormone production, glucocorticoid therapy, and physical inactivity potentiate poor bone health. SUMMARY Monitoring bone mineral density and preventive care of osteoporosis are necessary from childhood to minimize cystic fibrosis-related bone disease in adult cystic fibrosis patients.

Methodological quality

Publication Type : Review

Metadata