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Internet program for facilitating dietary modifications limiting kidney stone risk.

Jessica N Lange1, Linda Easter, Robert Amoroso

  • 1Wake Forest University Baptist Hospital, Winston-Salem, North Carolina, USA.

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Summary
This summary is machine-generated.

An internet program improved dietary compliance for kidney stone prevention. Participants successfully used the program, showing potential for managing stone risk factors through digital tools.

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Area of Science:

  • Nephrology
  • Urology
  • Digital Health

Background:

  • Dietary modifications are crucial for preventing kidney stone recurrence.
  • Patient compliance with dietary therapy is essential for successful stone prevention.
  • Self-efficacy plays a key role in maintaining dietary compliance.

Purpose of the Study:

  • To develop and pilot an internet-based program to enhance dietary compliance for kidney stone prevention.
  • To assess the effectiveness of the internet program in facilitating adherence to stone-preventive diets.

Main Methods:

  • An internet program was created, offering dietary guidance (fluid intake, protein, sodium, oxalate, calcium) and immediate feedback on compliance.
  • Five adult calcium stone formers provided urine samples under self-selected, metabolic, and post-internet program diet conditions.
  • Urinary stone risk parameters were analyzed using statistical methods (repeated measures ANOVA, Student's t test).

Main Results:

  • Participants found the internet program easy to navigate and recorded meals daily.
  • No significant differences in overall stone risk factors were observed between controlled and internet program phases.
  • A significant increase in oxalate excretion was noted during self-selected dietary intake compared to other phases.

Conclusions:

  • The pilot study suggests that an interactive internet program can facilitate compliance with dietary modifications for kidney stone prevention.
  • The program shows promise in improving adherence and potentially impacting stone risk parameters.