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Osteoporosis in cystic fibrosis patients: prevention and therapeutic opportunities

https://doi.org/10.18093/0869-0189-2017-27-4-537-545

Abstract

As the life expectancy of patients with cystic fibrosis (CF) increases, the rate of pulmonary and extrapulmonary complications grows and greater contributes to worsening of general somatic status of the patients. One of such complications is osteoporosis. Osteoporosis is a systemic disease that is characterized by decreased bone density and increased risk of fractures in minimal trauma. The role of osteoporosis in CF patients is defined by consequences of osteoporotic fractures which are immobilization, failure of bronchial tree drainage, exacerbation of respiratory infection, and progress of respiratory failure. Therefore, prevention and treatment of osteoporosis is an important issue of adult CF patients.

About the Authors

I. A. Baranova
N.I.Pirogov Russian State National Research Medical University, Healthcare Ministry of Russia
Russian Federation

Doctor of Medicine, Professor at Department of Hospital Therapy, Pediatric Faculty,

ul. Ostrovityanova 1, Moscow, 117997



E. I. Kondrat'eva
Federal Medical Genetic Academic Center, Russian Academy of Science; Moscow Regional Referral and Diagnostic Center for Children
Russian Federation

Doctor of Medicine, Professor, Head of Research and Clinical Division of Cystic Fibrosis, ul. Moskvorech'e 1, Moscow, 1115478;

Head of Department of Cystic Fibrosis, ul. Kominterna 24A, build, 1, Mytishchi of Moscow oblast’, 141011



S. A. Krasovskiy
Federal Medical Genetic Academic Center, Russian Academy of Science; Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia; D.D.Pletnev City Clinical Hospital, Moscow Healthcare Department
Russian Federation

Senior Researcher at Research and Clinical Division of Cystic Fibrosis, ul. Moskvorech'e 1, Moscow, 1115478;

Candidate of Medicine, Senior Researcher at Laboratory of Cystic Fibrosis, ul. Odinnadtsataya Parkovaya 32, build. 4, Moscow, 105077;

pneumologist at the 2nd Pulmonology Department, ul. Odinnadtsataya Parkovaya 32, Moscow, 105077



References

1. Kashirskaya N.Yu., Krasovskiy S.A., Chernyak A.V., et al. Change in the life expectancy of cystic fibrosis patients in Moscow and a relationship with treatment: a retrospective analysis, 1993-2013. Voprosy sovremennoy pediatrii. 2015; 14 (4): 503–508. DOI: 10.15690/vsp.v14.i4.1390 (in Russian).

2. Krasovskiy S.A., Amelina E.L., Kashirskaya N.Yu., et al. Cystic fibrosis in adults according to the National Register, 2013. Consillium Medicum. 2015; 17 (11): 53–59 (in Russian).

3. Lesnyak O.M., ed. Clinical Guidelines on Prevention and Treatment of Patients with Osteoporosis. Yaroslavl': Litera; 2016 (in Russian).

4. Lesnyak O.M., ed. Prevention, Diagnosis, and Treatment of Vitamin D and Calcium Deficiency in Adults and in Patients with Osteoporosis. Moscow: GEOTAR-Media; 2016 (in Russian).

5. EFSA Panel on Dietetic Products Nutrition and Allergies. Scientific opinion on dietary reference values for calcium. EFSA J. 2015; 13 (5): 4101e83. DOI: 10.2903/j.efsa.2015.4101.

6. Tangpricha V., Kelly A., Stephenson A. et al. An update on the screening, diagnosis, management, and treatment of vitamin d deficiency in individuals with cystic fibrosis: evidence-based recommendations from the cystic fibrosis foundation from the Cystic Fibrosis Foundation. J. Clin. Endocrinol. Metab. 2012, 97 (4): 1082–1093. DOI: 10.1210/JC.2011-3050.

7. Lesnyak O.M., ed. Osteoporosis: a Practical Handbook. Moscow: GEOTAR-Media, 2016 (in Russian).

8. Conwell L.S., Chang A.B. Bisphosphonates for osteoporosis in people with cystic fibrosis. Cochrane Database Syst. Rev. 2014; (3): CD002010. DOI: 10.1002/14651858.CD002010.pub4.

9. Sermet-Gaudelus I., Bianchi M.L., Garabédian M. et al. European cystic fibrosis bone mineralisation guidelines. J. Cyst. Fibros. 2011; 10 (Suppl. 2): S16S23. DOI: 10.1016/S1569-1993(11)60004-0.

10. Lekamwasam S., Adachi J.D., Agnusdei D. et al. A framework for the development of guidelines for the management of glucocorticoid-induced osteoporosis. Osteoporos Int. 2012; 23 (9): 2257–2276. DOI: 10.1007/s00198-012-1958-1.

11. Lesnyak O.M., Baranova I.A., Toroptsova N.V. Clinical Guidelines. Diagnosis, Prevention, and Treatment of Steroid-induced Osteoporosis in Males and Females of ≥ 18 years old. Yaroslavl': Litera; 2014 (in Russian).

12. Cosman F., de Beur S.J., LeBoff M.S. et al. Clinician's Guide to Prevention and Treatment of Osteoporosis. Osteoporos. Int. 2014; 25 (10): 2359–2381. DOI: 10.1007/s00198-014-2794-2.

13. Watts N.B., Adler R.A., Bilezikian J.P. et al. Osteoporosis in men: an Endocrine Society clinical practice guideline. J. Clin. Endocrinol. Metab. 2012; 97 (6): 1802–1822. DOI: 10.1210/jc.2011-3045.

14. Aris R.M., Merkel P.A., Bachrach L.K. et al. Guide to bone health and disease in cystic fibrosis. J. Clin. Endocrinol. Metab. 2005; 90 (3): 1888–1896. DOI: 10.1210/jc.2004-1629.

15. Ward L.M., Konji V.N., Ma J. The management of osteoporosis in children. Osteoporos. Int. 2016; 27 (7): 2147–2179. DOI: 10.1007/s00198-016-3515-9.

16. Whyte M.P., McAlister W.H., Novack D.V. et al. Bisphosphonate-induced osteopetrosis: novel bone modelling defects, metaphyseal osteopenia, and osteosclerosis fractures after drug exposure ceases. J. Bone Miner. Res. 2008; 23 (10): 1698–1707. DOI: 10.1359/jbmr.080511.

17. Ward L., Tricco A.C., Phuong P. et al. Biphosphonate therapy for children and adolescents with secondary osteoporosis. Cochrane Database Syst. Rev. 2007; (4) CD005324. DOI: 10.1002/14651858.CD005324.pub2.

18. Cystic Fibrosis Trust UK. Bone mineralisation in cystic fibrosis. Cystic Fibrosis Trust: Bromley; 2007.

19. Rosenblatt R.L. Lung transplantation in cystic fibrosis. Respir. Care. 2009; 54 (6): 777–787.

20. Siwamogsatham O., Stephens K., Tangpricha V. Evaluation of teriparatide for treatment of osteoporosis in four patients with cystic fibrosis: a case series. Case Rep. Endocrinol. 2014; 2014: 893589. DOI: 10.1155/2014/893589.


Review

For citations:


Baranova I.A., Kondrat'eva E.I., Krasovskiy S.A. Osteoporosis in cystic fibrosis patients: prevention and therapeutic opportunities. PULMONOLOGIYA. 2017;27(4):537-545. (In Russ.) https://doi.org/10.18093/0869-0189-2017-27-4-537-545

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)