Preventive health measures in inflammatory bowel disease

Table 2 Prevention of osteoporosis in inflammatory bowel disease

Non-pharmacologic interventions

Regular weight-bearing exercise

Avoiding or quitting tobacco

Limited use of alcohol

Emphasis on better nutrition, particularly on vitamin D and calcium

Employment of fall prevention strategies

Pharmacologic interventions

Calcium and vitamin D supplementation

Bisphosphonates

Calcitonin

Cautious use of hormone replacement therapy for both women and men

Recombinant parathyroid hormone (teriparatide)

Minimizing corticosteroid use with the early use of immunomodulating agents

Adapted from Ali et al[34].