Bone mineral status in 134 patients with cystic fibrosis.

AIM To investigate bone mineral status in patients with cystic fibrosis (CF). PATIENTS AND METHODS Whole body bone mineral content (BMC), projected bone area, and bone mineral density (BMD) were determined by dual energy x ray absorptiometry in 134 patients with CF and compared with 396 healthy controls. RESULTS In patients 19 years of age, BMD and BMC for age were significantly reduced. CONCLUSION Short and narrow bones were the main reasons for reduced BMC for age in patients </= 19 years of age, indicating that treatment to prevent osteoporosis in younger patients should be directed at increasing bone size, whereas conventional treatment with calcium and vitamin D supplementation alone might not be as effective. Because of the significant decrease in BMD and BMC in adult patients, we fear that these patients may develop osteoporotic fractures prematurely.