Evidence map›Paper›PMID 42611066›Full record

ArticleJournal of bone and mineral metabolism2026

A DXA-based profile of body composition in celiac patients: a cross-sectional retrospective study.

Mirjana Di Paolo, Mirena Buttazzoni, Marcelina Carretero, María Laura Gonzalez, Mariano Martín Marcolongo, María Dolores Matoso

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Article in Journal of bone and mineral metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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6 authors.

Mirjana Di PaoloDepartment of Gastroenterology, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina. mirjana.dipaolo@hospitalitaliano.org.ar.ORCID http://orcid.org/0009-0005-1139-8223
Mirena ButtazzoniDepartment of Endocrinology and Metabolism, Metabolic Bone Diseases Subunit, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Marcelina CarreteroResearch Department, Universidad Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
María Laura GonzalezDepartment of Gastroenterology, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina.
Mariano Martín MarcolongoDepartment of Gastroenterology, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina.
María Dolores MatosoDepartment of Gastroenterology, Hospital Italiano de Buenos Aires, Juan D. Perón 4190, C1199ABD, Buenos Aires, Argentina.

Funding

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6 · The paper itself

Abstract

introductionCeliac disease (CD) is frequently associated with bone and mineral metabolism alterations. As the clinical phenotype shifts from malabsorptive to normal-weight or obese, precise evaluation of body composition is essential to assess metabolic and sarcopenia risks. This study utilized Dual-Energy X-ray Absorptiometry (DXA) to characterize body composition and Bone Mineral Density (BMD) in a contemporary adult CD cohort. MATERIALS AND

methodsWe conducted a single-center, retrospective observational study of 77 CD patients (73% female) under 52 years of age; menopausal women were excluded. DXA was used to measure Appendicular Lean Mass Index (ALMI) Z-score, Bone Mineral Content (BMC) Z-score, and Total BMD Z-score.

resultsSoft tissue parameters, including ALMI and fat mass Z-scores, clustered around zero for both sexes, indicating a composition profile comparable to the NHANES reference population. Conversely, bone health was consistently compromised, especially in women. Female patients exhibited negative Total BMD Z-scores across all age groups, with the lowest mean in the 40-44 age cohort (- 1.0 ± 1.0). BMC Z-scores were also predominantly negative (e.g., - 1.1 ± 1.5 in the 40-44 group). Male patients showed heterogeneous BMD Z-scores, ranging from - 1.04 ± 1.0 (25-29 years) to positive values in older subgroups.

conclusionIn this cohort, the modern CD phenotype presents a preserved soft tissue composition. However, low BMD remains a persistent finding, particularly in premenopausal women. These results underscore the necessity of systematic DXA screening in adult CD patients, regardless of their body mass index or clinical presentation.

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absorptiometrybodyCeliaccompositiondisease

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PMID42611066

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