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SIBO bone mineral density in older people.pdf

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SIBO bone mineral density in older people

ARTICLE IN PRESSClinical Nutrition (2005) 24, 920–924KEYWORD Small bow bacterial o (SBBO); Bone mine (BMD); Glucose-br hydrogen t Physical ac 0261-5614/$ - s doi:10.1016/j.c Correspond fax: +81 52 789 E-mail addr/journals/clnuORIGINAL ARTICLE Small bowel bacterial overgrowth may not affect bone mineral density in older people Takahiro Mitsuia,, Kiyoshi Shimaokaa, Chihiro Takagib, Yumi Gotob, Hideo Kagamib, Akira ItobaResearch Center of Health, Physical Fitness and Sports, Nagoya University, Furocho, Chikusaku, Nagoya 464-8601, Japan bMasuko Memorial Hospital, 35-28 Takehashicho, Nakamuraku, Nagoya 453-0016, Japan Received 2 February 2005; accepted 30 May 2005S el vergrowth ral density eath est; tivity ee front matter 2005 lnu.2005.05.022 ing author. Tel.: +81 52 3957. ess: mitsui@htc.nagoyaSummary Background aims: Small bowel bacterial overgrowth (SBBO) may be associated with malnutrition, diarrhea, and weight loss. Recently, bone mineral density (BMD) in patients with SBBO was reported to be lower, and SBBO may be an important factor in the development of metabolic bone disease. However, the subjects in these studies were relatively young patients with intestinal diseases. There is no information on the effect of SBBO on BMD in older people. Method: Seventeen relatively active and 33 disabled older people participated in this study. SBBO was determined by a breath hydrogen (H2) test after ingestion of a glucose solution. BMD of the lumbar spine and femur were measured using a dual energy X-ray absorptiometry scan (DEXA). Results: One healthy control and 11 disabled subjects were SBBO-positive. The Z-scores of the lumbar spine were not statistically different between groups, and a high incidence of disorders, 470%, was seen in all groups. On the other hand, there were significant differences in the femoral BMD between the healthy controls and the SBBO-negative (Po0:001) and SBBO-positive (Po0:05) groups. No significant difference was seen in femoral BMD between