Effect of Two Different Dietary Weight Loss Strategies on Risk Factors for Urinary Stone Formation and Cardiometabolic Risk Profile in Overweight Women

Siener, Roswitha; Ernsten, Charlotte; Bitterlich, Norman; Alteheld, Birgit; Metzner, C

doi:10.3390/nu14235054

Cited by 4 publications

(4 citation statements)

References 52 publications

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“…Among the five components of MetS, elevated waist circumference, low HDL-C, and elevated blood glucose were independent influencing factors of kidney stones, and their OR values were 1.205 (95% CI: 1.085–1.337), 1.222 (95% CI: 1.105–1.351) and 1.335 (95% CI: 1.202–1.482), respectively. Similar to this study, several studies found an association between MetS and kidney stones ( 34 , 35 ) and confirmed that each of the five components of MetS increased the risk of kidney stones individually ( 13 , 14 , 36 - 38 ). For example, similar findings were obtained in a cross-sectional analysis in South Korea, where kidney stones were diagnosed by ultrasound or CT.…”

Section: Discussionsupporting

confidence: 90%

Kidney stones are associated with metabolic syndrome in a health screening population: a cross-sectional study

Chen¹,

Zhang²,

Shen³

et al. 2023

Transl Androl Urol

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Background In parallel with the rise in obesity and metabolic syndrome (MetS), kidney stones are becoming more common. In this study, the relationship between MetS components and kidney stones in a health screening population was examined. Methods Subjects who underwent health checkups in the Health Promotion Centre of Sir Run Run Shaw Hospital of Zhejiang University between January 2017 and December 2019 were recruited for this study. In this cross-sectional study, 74,326 participants were aged 18 or older. MetS diagnostic criteria were based on the joint statement of the International Diabetes Federation (IDF) and other associations on MetS in 2009. The association between MetS and its components with kidney stones was examined using multivariable logistic regression. Results A total of 74,326 participants took part in this cross-sectional study, including 41,703 men (56.1%) and 32,623 women (43.9%). There were 24,815 (33.4%) patients with MetS and 2,032 (2.7%) patients with kidney stones. The prevalence of kidney stones was 3.3% in subjects with MetS and 2.4% in subjects without MetS (P<0.001). The odds ratio and 95% confidence interval (CI) for kidney stones in MetS patients were 1.157 (95% CI: 1.051–1.273). Accordingly, the prevalence of kidney stones showed a statistically significant trend of gradual increase as the number of MetS components increased (P<0.001). Among the components of MetS, elevated waist circumference, reduced high-density lipoprotein cholesterol (HDL-C), and elevated fasting blood glucose (FBG) were independent influencing factors of kidney stones (P<0.001), with odds ratios of 1.205 (95% CI: 1.085–1.337), 1.222 (95% CI: 1.105–1.351) and 1.335 (95% CI: 1.202–1.482), respectively. Conclusions MetS is an independent risk factor for kidney stones. Therefore, the control of MetS may help reduce the incidence of kidney stones.

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Section: Discussionsupporting

confidence: 90%

Kidney stones are associated with metabolic syndrome in a health screening population: a cross-sectional study

Chen¹,

Zhang²,

Shen³

et al. 2023

Transl Androl Urol

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“…Individually tailored approaches to weight reduction could reduce the risk of UA stone formation in patients with overweight and other components of the metabolic syndrome [ 43 ]. A randomized, controlled study on the impact of a conventional energy-restricted, lacto-vegetarian-oriented mixed diet with or without meal replacement on urinary risk factors for kidney stone formation and cardiometabolic risk profile in non-stone forming overweight women observed a higher relative weight loss, a higher rate of responders, and a significant decrease in serum UA concentration and the relative supersaturation of UA in the meal replacement group [ 44 ].…”

Section: Discussionmentioning

confidence: 99%

Urinary Risk Profile, Impact of Diet, and Risk of Calcium Oxalate Urolithiasis in Idiopathic Uric Acid Stone Disease

2023

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The role of diet in the pathogenesis of uric acid (UA) nephrolithiasis is incompletely understood. This study investigated the effect of dietary intervention on the risk of UA stone formation under standardized conditions. Twenty patients with idiopathic UA stone disease were included in the study. Dietary intake and 24 h urinary parameters were collected on the usual diet of the patients and a standardized balanced mixed diet. Although urinary UA excretion did not change, the relative supersaturation of UA decreased significantly by 47% under the balanced diet primarily due to the significant increase in urine volume and pH. Urinary pH was below 5.8 in 85% of patients under the usual diet, and in 60% of patients under the balanced diet. The supersaturation of calcium oxalate declined significantly under the balanced diet due to the significant decrease in urinary calcium and oxalate excretion and the increase in urine volume. Dietary intervention is a key component in the management of UA nephrolithiasis. Urinary calcium and oxalate excretion should also be monitored in patients with pure UA calculi to reduce the risk of mixed stone formation with calcium oxalate. Lower urinary pH in UA stone patients can only be partially explained by diet.

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“…Having an elevated Body Mass Index (BMI) is the most commonly used way to gauge if one is at risk of forming kidney stones ( 7 , 8 ), which can be caused by being overweight. However, BMI is not without its drawbacks ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

Could METS-VF provide a clue as to the formation of kidney stones?

Guo

Chen

et al. 2023

Front. Endocrinol.

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ObjectiveThe lifetime occurrence rate of kidney stones is 14%, making it one of the most prevalent urological conditions. Other contributing elements, such as obesity, diabetes, diet, and heredity, are also taken into account. Our research sought to explore the potential link between high visceral fat scores (METS-VF) and the occurrence of kidney stones, as a means of understanding how to prevent them.MethodsThis research utilized data from the National Health and Nutrition Examination Survey (NHANES), mirroring the demographics of the United States. We carried out an in-depth analysis of the connection between METS-VF and kidney stones, based on data from 29,246 participants in the National Health and Nutrition Examination Survey spanning 2007 to 2018, involving logistic regression, segmentation, and dose-response curve analysis.ResultsOur study of 29,246 potential participants found that METS-VF was positively associated with the prevalence and progression of kidney stones. After subgroup analysis by gender, race, blood pressure, and blood glucose, our results showed that the ORs for METS-VF and kidney stones were (1.49, 1.44) in males and females, respectively; while in Mexicans, whites, blacks, and In other populations, the OR values were (1.33, 1.43, 1.54, 1.86); in hypertensive and normal populations, the OR values were (1.23, 1.48); in diabetic patients and normoglycemic patients were (1.36,1.43). This proves that it works for all groups of people.SummaryOur studies demonstrate a strong connection between METS-FV and the emergence of kidney stones. It would be beneficial to investigate METS-VF as a marker for kidney stone development and progression in light of these findings.

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Effect of Two Different Dietary Weight Loss Strategies on Risk Factors for Urinary Stone Formation and Cardiometabolic Risk Profile in Overweight Women

Cited by 4 publications

References 52 publications

Kidney stones are associated with metabolic syndrome in a health screening population: a cross-sectional study

Kidney stones are associated with metabolic syndrome in a health screening population: a cross-sectional study

Urinary Risk Profile, Impact of Diet, and Risk of Calcium Oxalate Urolithiasis in Idiopathic Uric Acid Stone Disease

Could METS-VF provide a clue as to the formation of kidney stones?

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