Association of Adherence to The Mediterranean Diet with Urinary Factors Favoring Renal Lithiasis: Cross-Sectional Study of Overweight Individuals with Metabolic Syndrome
Our purpose was to study the relationship of adherence to the Mediterranean diet (MedDiet) with urinary factors that favor the formation of renal calcium and uric acid stones in overweight and obese participants who had metabolic syndrome. This cross-sectional study examined 267 participants. A well...
| Autores: | , , , , , , , , , |
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| Tipo de recurso: | artículo |
| Fecha de publicación: | 2019 |
| País: | España |
| Institución: | Instituto de Salud Carlos III (ISCIII) |
| Repositorio: | Repisalud |
| Idioma: | inglés |
| OAI Identifier: | oai:repisalud.isciii.es:20.500.12105/22744 |
| Acceso en línea: | https://hdl.handle.net/20.500.12105/22744 |
| Access Level: | acceso abierto |
| Palabra clave: | Mediterranean diet Renal lithiasis Urinary crystallization risk Dieta Mediterránea Resultado del Tratamiento Dieta Saludable Prevalencia Biomarcadores Síndrome Metabólico Factores de Tiempo Femenino Masculino Factores Protectores Conducta Alimentaria Estudios Transversales Cooperación del Paciente Factores de Riesgo Humanos Persona de Mediana Edad Recurrencia Urolitiasis Anciano Medición de Riesgo Ensayos Clínicos Controlados Aleatorios como Asunto Sobrepeso España Metabolic Syndrome Aged Randomized Controlled Trials as Topic Urolithiasis Spain Risk Assessment Feeding Behavior Humans Protective Factors Middle Aged Cross-Sectional Studies Recurrence Male Biomarkers Diet, Healthy Time Factors Patient Compliance Female Risk Factors Treatment Outcome Diet, Mediterranean Overweight Prevalence |
| Sumario: | Our purpose was to study the relationship of adherence to the Mediterranean diet (MedDiet) with urinary factors that favor the formation of renal calcium and uric acid stones in overweight and obese participants who had metabolic syndrome. This cross-sectional study examined 267 participants. A well-known MedDiet score (range 0-9) was calculated for each patient, and patients were then categorized has having low (<= 3), medium (4-5), or high (>= 6) adherence to the MedDiet. Baseline characteristics and urinary parameters were also analyzed. High calcium salt urinary crystallization risk (CaUCR) and high uric acid urinary crystallization risk (UrUCR) were calculated from urinary parameters using pre-defined criteria. More than half of patients with MedDiet scores <= 3 had high UrUCR (55.4%) and high CaUCR (53.8%). In contrast, fewer patients with high adherence (>= 6) to the MedDiet had high UrUCR (41.2%) and high CaUCR (29.4%). Relative to those with low adherence, individuals with high adherence had a prevalence ratio (PR) of 0.77 for a high UrUCR (95% CI: 0.46-1.12; p for trend: 0.069) and a PR of 0.51 for a high CaUCR (95% CI: 0.26-0.87; p for trend: 0.012) after adjusting for age, sex, body mass index, type 2 diabetes, and total energy intake. Our findings indicate that greater adherence to the MedDiet was associated with a reduced CaUCR and a reduced UrUCR. This suggests that adequate dietary management using the MedDiet patterns may prevent or reduce the incidence and recurrence of calcium salt and uric acid renal stones. |
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