Copyright ©The Author(s) 2019.
World J Clin Cases. Aug 6, 2019; 7(15): 1908-1925
Published online Aug 6, 2019. doi: 10.12998/wjcc.v7.i15.1908
Table 1 European Crohn and Colitis Organization guidelines for the management of bone alterations in inflammatory bowel diseases population
ECCO guidelines for the management of bone alterations in IBD population
Life style recommendationsPhysical exercise; Stopping smoking; and adequate dietary calcium (1 g/daily)
Vitamin and mineral supplementsCalcium (500-1000 mg/daily); Vitamin D (dose of ~1000 IU daily, or higher dose if known vitamin D deficiency) supplement for prophylaxis in patients receiving systemic steroid therapy; Calcium and vitamin D supplement if the T score is lower than -1.5
Treatment recommendationsMore intensive treatment in patients with a history of pre-existing fracture; Regular use of BPs and other therapies in subjects with underlying disease activity particularly in young and postmenopausal women or those with previous spontaneous fractures