Can coeliac disease lead to osteoporosis?

Low bone mineral densisty can affect up to 75% of people when they are diagnosed with coeliac disease at any age. people with coeliac disease the intake of food containing gluten leads to an inflammation of the mucous membrane of the small intestine. Nutrients are therefore reabsorbed only partially in the intestine and as a consequence this often leads to a vitamin and mineral deficiency. Vitamin D, calcium and magnesium are however very important for healthy bones. The inflammation reaction has a further negative impact on bone density. That is why people affected by coeliac disease have a higher risk of developing osteoporosis. Following a gluten-free diet is crucial for healing of the gut lining and better absorption of calcium from the diet, both of which help to promote bone density. After the recovery of the mucous membrane of the small intestine achieved by sticking to a gluten-free diet, all vitamins and minerals can be absorbed again without problems. Dietary advice on the addition of calcium-rich foods is essential in this situation. The following food items are especially rich in calcium:

• milk products: milk, yoghurt, curd, (3 portions a day are enough to meet the needs of an adult)
• calcium rich mineral water
• green vegetables (broccoli, leek, fennel)

In addition to calcium, it is important to get enough vitamin D; this ensures that calcium is absorbed from the intestine. Furthermore, regular activity should take place in order to stimulate bone metabolism.