“…We observed that patients with lithiasis (group 2) presented higher calcium excretion in 24-hour and fasting urine samples and lower citrate excretion, irrespective of vitamin D and PTHi excretion rates, which is consistent with the results obtained in previous studies. 5,21 On the other hand, patients in group 3 presented more elevated calcium excretion rates in fasting urine and lower urine citrate excretion rates than group 1. However, a lower proportion of patients in group 3 presented hypocitraturia as compared with group 2.…”
“…We observed that patients with lithiasis (group 2) presented higher calcium excretion in 24-hour and fasting urine samples and lower citrate excretion, irrespective of vitamin D and PTHi excretion rates, which is consistent with the results obtained in previous studies. 5,21 On the other hand, patients in group 3 presented more elevated calcium excretion rates in fasting urine and lower urine citrate excretion rates than group 1. However, a lower proportion of patients in group 3 presented hypocitraturia as compared with group 2.…”
“…However, it is generally considered that IH is caused by an alteration in calcium homeostasis at sites where large amounts of calcium must be precisely controlled [5]. Several studies have shown decreased bone mineral density (BMD) in patients with IH [6][7][8][9][10][11][12][13][14][15][16][17][18]. This progressive decrease in bone mineral content suggests that osteoclasts and osteoblasts might play a key role in the chain of events leading to hypercalciuria.…”
Although cytokine measurements did not allow the differentiation between persistent and controlled IH, our findings suggest that MCP-1 might play a role in patients with IH.
“…Since a consistent part of literature [21][22][23] attributes to higher excretion of urinary calcium in patients with kidney stones a higher presence of lower BMD values, we made a meta-regression analysis investigating if differences in 24-h urinary calcium between participants with nephrolithiasis and controls were associated with differences in BMD, independently from heterogeneity.…”
Nephrolithiasis is associated with lower BMD, an increased risk of osteoporosis, and possibly, fractures. Future screening/preventative interventions targeting bone health might be indicated.
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