Effects of dietary interventions on 24-hour urine parameters in patients with idiopathic recurrent calcium oxalate stones.
The aim of this study is to investigate the effects of dietary factors on 24-hour urine parameters in patients with idiopathic recurrent calcium oxalate stones. A total of 108 of idiopathic recurrent calcium oxalate stones were included in the study. A 24-hour urinalysis was performed and metabolic abnormalities were measured for all of the patients. All of the patients were given specialized diets for their 24-hour urine abnormalities. At the end of first month, the same parameters were examined in another 24-hour urinalysis. Hyperoxaluria, hypernatruria, and hypercalciuria were found in 84 (77%), 43 (39.8%), and 38 (35.5%) of the patients, respectively. The differences between the oxalate, sodium, volume, uric acid, and citrate parameters before and after the dietary intervention were significant (p < 0.05). The calcium parameters were not significantly different before and after the intervention. We found that oxalate, sodium, volume, uric acid, and citrate-but not calcium-abnormalities in patients with recurrent calcium oxalate stones can be corrected by diet. The metabolic profiles of idiopathic calcium oxalate stone patients should be evaluated and the appropriate dietary interventions should be implemented to decrease stone recurrence.
Department of Urology, Koru Hospital, Ankara, Turkey. mkirac@gmail.com
Mustafa
M
Kıraç
Bora
B
Küpeli
Lokman
L
Irkilata
Ozlem
O
Gülbahar
Nur
N
Aksakal
Ustünol
U
Karaoğlan
Ibrahim
I
Bozkırlı
D000328:Adult; D002118:Calcium / Q000652:urine; D002129:Calcium Oxalate / Q000737:chemistry*; D019343:Citric Acid / Q000652:urine; D004032:Diet; D005260:Female; D006801:Humans; D053565:Hypercalciuria / Q000150:complications / Q000178:diet therapy* / Q000652:urine; D006959:Hyperoxaluria / Q000150:complications / Q000178:diet therapy* / Q000652:urine; D007669:Kidney Calculi / Q000150:complications / Q000178:diet therapy* / Q000652:urine; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012964:Sodium / Q000652:urine; D014527:Uric Acid / Q000652:urine
D002129:Calcium Oxalate; D014527:Uric Acid; D019343:Citric Acid; D012964:Sodium; D002118:Calcium