Main Nutritional Lithogenic Factors in Diets of Polish Patients with Kidney Stones
Background. Nutrition is one of the most important determinants of kidney stone formation. This study was designed to evaluate lithogenic factors in diet of patients with renal calculi. Materials and methods. 40 stone-formers without metabolic disorders stimulating stone formation (e.g. hyperparatyroidism, primary hyperoxaluria) were invited to the study. Antropometric measurements of nutritional status (BMI, WHR), analysis of body composition (BIA), quality and quantitative analysis of patients’ eating habits (3-day food records) were conducted. Results. Half of patients were overweight or obese. Their diets contained high amounts of protein, fat, phosphorus, vitamin C and low amounts of fluid, calcium, magnesium, potassium, vitamin B6. Protein consumption was positively correlated with uric acid intake in diets (r = 0.78), and body weight with dietary fat intake (r = 0.58) and uric acid intake (r = 0.55). Conclusions. Complete treatment of nephrolithiasis should include nutritional therapy. No change in customary diets of patients with renal calculi can stimulate lithogenesis process.
Levey AS, Bosch JP, Lewis JB, Greene T, Rogers N, Roth D. A more accurate method to estimate glomerular filtration rate from serum creatinine: a new prediction equation. Modification of Diet in Renal Disease Study Group. Ann Intern Med. 1999 Mar 16;130(6):461-70. PMID: 10075613.
Kunachowicz H, Nadolna I, Przygoda B, Iwanow K. Food Composition Tables. Warsaw: PZWL; 2005. (in Polish).
Ziemlański Ś. Normy żywieniowe człowieka. Fizjologiczne podstawy [Human nutritional standards. Physiological basis]. Warsaw: PZWL; 2001. 531 p. (in Polish).
Cheungpasitporn W, Rossetti S, Friend K, Erickson SB, Lieske JC. Treatment Effect, Adherence, and Safety of High Fluid Intake for the Prevention of Incident and Recurrent Kidney Stones: a Systematic Review and Meta-Analysis.
J Nephrol. 2016 Apr;29(2):211-19. doi: 10.1007/s40620-015-0210-4.
Vupputuri S, Soucie JM, McClellan W, Sandler DP. History of kidney stones as a possible risk factor for chronic kidney disease. Ann Epidemiol. 2004 Mar;14(3):222-8. doi: 10.1016/S1047-2797(03)00126-1.
Lemann J Jr, Pleuss JA, Worcester EM, Hornick L, Schrab D, Hoffmann RG. Urinary oxalate excrection increases with body size and decreases with increasing dietary calcium intake among healthy adults. Kidney Int. 1996 Jan;49(1):200-8. PMID: 8770968.
Abate N, Chandalia M, Cabo-Chan AV Jr, Moe OW, Sakhaee K. The metabolic syndrom and uric acid nephrolithiasis: Novel features of renal manifestation of insulin resistance. Kidney Int. 2004 Feb;65(2):386-92. doi: 10.1111/j.1523-1755.2004.00386.x.
Borghi L, Meschi T, Amato F, Briganti A, Novarini A, Giannini A. Urinary volume, water and recurrences in idiopathic calcium nephrolithiasis: a 5-year randomized prospective study. J Urol. 1996 Mar;155(3):839-43. PMID: 8583588.
Hess B, Casez JP, Takkinen R, Ackermann D, Jaeger P. Relative hypoparathyroidism and calcitriol up-regulation in hypercalciuric calcium renal stone formers-impact of nutrition. Am J Nephrol. 1993;13(1):18-26. PMID: 8322837.
Giannini S, Nobile M, Sartori L, et al. Acute effects of moderate dietary protein restriction in patients with idiopathic hyperkalciuria and calcium nephrolithiasis. Am J Clin Nutr. 1999 Feb;69(2):267-71. PMID: 9989691.
Massey LK, Kynast-Gales SA. Diets with either beef or plant proteins reduce risk of calcium oxalate precipitation in patients with a history of calcium kidney stones. J Am Diet Assoc. 2001 Mar;101(3):326-31. doi: 10.1016/S0002-8223(01)00085-2.
Hess B, Michel R, Takkinen R, Ackermann D, Jaeger P. Risk factors for low urinary citrate in calcium nephrolithiasis: low vegetable fibre intake and low urine volume to be added to the list. Nephrol Dial Transplant. 1994;9(6):642-9. PMID: 7970090.
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