地中海饮食的坚持和结石的风险:基于人口的研究的见解
Si-Yu Chen1,2, Li Wang1,2, Jian-Wei Yang1,2
1Department of Urology, Gansu Province Clinical Research Center for Urinary System Disease, The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, China.
Medicine
|September 24, 2025
概括
坚持替代地中海饮食 (aMED) 可能会降低结石 (KSD) 的风险. 较高的aMED分数与美国成年人中KSD患病率降低相关,这表明饮食模式影响脏健康.
科学领域:
- 营养科学 营养科学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 结石 (KSD) 是一个严重的公共卫生问题.
- 饮食模式越来越被认为是KSD的可修改风险因素.
- 另类地中海饮食 (aMED) 评分量化了对促进健康的饮食模式的坚持.
研究的目的:
- 研究在美国成年人群中遵守aMED得分和结石 (KSD) 患病率之间的关联.
- 探索aMED分数四分位数和KSD风险之间的剂量反应关系.
- 为预防KSD提供潜在的饮食干预措施的证据.
主要方法:
- 国家健康和营养检查调查 (2007-2018) 数据的横截面分析.
- 包括28059名20岁以上的美国成年人,他们有饮食和KSD史.
- 权重多变量逻辑回归和受限立方线分析,以评估aMED分数和KSD流行之间的关联.
主要成果:
- 10.08%的参与者报告了KSD的病史.
- 在aMED得分和KSD的可能性之间观察到负线性关联.
- 与最低四分位数 (Q1) 相比,aMED最高四分位数 (Q4) 中的个体患KSD的风险明显较低 (OR:0.771,P=0.024).
结论:
- 增加对替代地中海饮食的坚持与美国成年人结石的患病率较低有关.
- 这项观察性研究表明,aMED饮食模式对KSD的保护作用.
- 这些发现支持对预防结石的饮食干预措施的进一步研究.
相关概念视频
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
356
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
356
Urinary Tract Calculi III: Medical Management
196
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
196
Urinary Tract Calculi I: Introduction
411
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
411
Chronic Kidney Disease III: Interprofessional Care
344
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
344
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
190
Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
190
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
373
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
373

