Evidence map›Paper›PMID 34978602›Full record

SynthesisCalcified tissue international2022

Newly Diagnosed Celiac Disease and Bone Health in Young Adults: A Systematic Literature Review.

Caterina Mosca, Fanney Thorsteinsdottir, Bo Abrahamsen, Jüri Johannes Rumessen, Mina Nicole Händel

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Calcified tissue international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Assessment of Knowledge of Celiac Disease and Associated Conditions Among Dietitians in Jordan.International journal of environmental research and public health · 2025
    Article
  7. Article
  8. Review
  9. Observational
  10. Navigating coeliac disease diagnosis in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Bone mineral density in Iranian children with celiac disease.Gastroenterology and hepatology from bed to bench · 2023
    Article
  16. Review
  17. Who to screen and how to screen for celiac disease.World journal of gastroenterology · 2022
    Review
  18. Review article: Follow-up of coeliac disease.Alimentary pharmacology & therapeutics · 2022
    Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Caterina MoscaDepartment of Medicine, Holbæk Hospital, Holbæk, Denmark.
Fanney ThorsteinsdottirResearch Unit for Dietary Studies, The Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark.
Bo AbrahamsenDepartment of Medicine, Holbæk Hospital, Holbæk, Denmark.
Jüri Johannes RumessenDepartment of Gastroenterology, Herlev and Gentofte Hospital, University of Copenhagen, Herlev, Denmark.
Mina Nicole HändelResearch Unit for Dietary Studies, The Parker Institute, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark. mina.nicole.holmgaard.handel@regionh.dk.ORCID 0000-0001-8256-8756
Frederiksberg Hospital · DKBispebjerg Hospital · DKUniversity of Copenhagen · DKUniversity of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Celiac disease (CD), a gluten-induced autoimmune disease, is associated with low bone mineral density (BMD) among children. Unfortunately, it is often diagnosed in adulthood, which may lead to an increased risk of fragile bones. The aim of this systematic review was to report on BMD status among young adults newly diagnosed with CD, and to examine the effect of a gluten-free diet (GFD), nutritional supplements, such as vitamin D, or antiresorptive medications on BMD recovery. Databases searched were Medline, Embase, and Cochrane Library up to July 2nd, 2020. Both observational studies and clinical trials were considered, if patients were newly diagnosed and between 20 and 35 years of age and reported on BMD. We critically appraised the identified studies using ROBINS-I and summarized the findings narratively. Out of 3991 references, we identified 3 eligible studies: one cross-sectional study and two longitudinal studies. In total, 188 patients were included, and the study population consisted primarily of women with an age range between 29 and 37 years old. Compared to healthy controls, our target population had lower BMD. Moreover, a strict GFD may increase BMD during a follow-up period of up to 5 years. Newly diagnosed CD patients aged 20-35 years are at risk of lower BMD. Therefore, it may be crucial to assess BMD at time of diagnosis in young women. Whether the results can be extrapolated to young men is unknown. While strict GFD may improve BMD over time, there is a lack of robust evidence to demonstrate that nutritional supplements or antiresorptive agents are beneficial in the prevention of fragile bones in this age group.

Indexed as

Bone Density Conservation AgentsCeliac DiseaseAdultBone and BonesBone DensityChildCross-Sectional StudiesDiet, Gluten-FreeFemaleHumansMaleYoung AdultBone Density Conservation AgentsBMDCeliac diseaseDXAGluten-free dietOsteopeniaOsteoporosis

Identifiers

PMID34978602
PMCPMC8721639
OpenAlexW4205812198

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.