食中的摄入量和结石患者的全因死亡率:一个回顾性队列研究
Shuangning Liu1, Yu Dai1, Baolei Shi1
1Department of Urology, Baoji People's Hospital, Baoji, Shaanxi, China.
Frontiers in nutrition
|July 4, 2025
概括
饮食中较高的摄入量与结石患者的全因死亡率降低有关. 这一发现挑战了目前减少消耗的建议,但对于饮食建议还需要进一步研究.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 流行病学 流行病学
- 营养科学 营养科学
背景情况:
- 饮食中的对患有结石的个体的长期影响尚不清楚.
- 这项研究调查了食摄入量与结石患者的整体死亡率之间的关系.
研究的目的:
- 为了检查饮食中摄入量与被诊断患有结石的患者全因死亡率之间的相关性.
- 提供关于消费对这一特定患者群体死亡风险的潜在影响的见解.
主要方法:
- 这是一项回顾性队列研究,利用了2007-2018年国家健康和营养检查调查 (NHANES) 的数据.
- 包括2,765名参与者,死亡率数据来自国家死亡指数 (NDI).
- 分析涉及多变量考克斯回归,子组分析,卡普兰-梅尔曲线和加权通用添加模型,以评估饮食中的摄入量与死亡率的关联.
主要成果:
- 在17901人年中,记录了372例死亡.
- 饮食中摄入量增加与特定的人口和生活方式因素有关.
- 发现了显著的反向关系:较高的摄入量 (连续和分类分析) 与结石患者全因死亡风险降低有关,显示出线性趋势.
结论:
- 饮食中较高的摄入量与美国结石患者全因死亡率较低相关.
- 这些发现与限制摄入量的一般建议形成鲜明对比.
- 这项研究的观察性质排除了最终的饮食建议.
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