Author, as appears in the article.: Prieto R; Rodriguez A; Sanchis P; Morey M; Fiol M; Grases F; Castañer O; Martínez-González M; Salas-Salvadó J; Romaguera D

Department: Bioquímica i Biotecnologia

e-ISSN: 2072-6643

URV's Author/s: Salas Salvadó, Jorge

Keywords: Vegetables Urinary crystallization risk Risk Renal lithiasis Nephrolithiasis Mediterranean diet Health renal lithiasis mediterranean diet

Abstract: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. Our purpose was to study the relationship of adherence to the Mediterranean diet (MedDiet) with urinary factors that favor the formation of renal calcium and uric acid stones in overweight and obese participants who had metabolic syndrome. This cross‐sectional study examined 267 participants. A well‐known MedDiet score (range 0–9) was calculated for each patient, and patients were then categorized has having low (≤3), medium (4–5), or high (≥6) adherence to the MedDiet. Baseline characteristics and urinary parameters were also analyzed. High calcium salt urinary crystallization risk (CaUCR) and high uric acid urinary crystallization risk (UrUCR) were calculated from urinary parameters using pre‐defined criteria. More than half of patients with MedDiet scores ≤3 had high UrUCR (55.4%) and high CaUCR (53.8%). In contrast, fewer patients with high adherence (≥6) to the MedDiet had high UrUCR (41.2%) and high CaUCR (29.4%). Relative to those with low adherence, individuals with high adherence had a prevalence ratio (PR) of 0.77 for a high UrUCR (95% CI: 0.46–1.12; p for trend: 0.069) and a PR of 0.51 for a high CaUCR (95% CI: 0.26–0.87; p for trend: 0.012) after adjusting for age, sex, body mass index, type 2 diabetes, and total energy intake. Our findings indicate that greater adherence to the MedDiet was associated with a reduced CaUCR and a reduced UrUCR. This suggests that adequate dietary management using the MedDiet patterns may prevent or reduce the incidence and recurrence of calcium salt and uric acid renal stones.

Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Planejamento urbano e regional / demografia Nutrition and dietetics Nutrition & dietetics Nutrição Medicina veterinaria Medicina iii Medicina ii Medicina i Interdisciplinar Food science Farmacia Engenharias iv Engenharias ii Enfermagem Educação física Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências agrárias i Ciência de alimentos Biotecnología

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 20726643

Author's mail: jordi.salas@urv.cat

Author identifier: 0000-0003-2700-7459

Record's date: 2023-02-18

Journal volume: 11

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://www.mdpi.com/2072-6643/11/8/1708

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Nutrients. 11 (8):

APA: Prieto R; Rodriguez A; Sanchis P; Morey M; Fiol M; Grases F; Castañer O; Martínez-González M; Salas-Salvadó J; Romaguera D (2019). Association of adherence to the mediterranean diet with urinary factors favoring renal lithiasis: Cross‐sectional study of overweight individuals with metabolic syndrome. Nutrients, 11(8), -. DOI: 10.3390/nu11081708

Article's DOI: 10.3390/nu11081708

Entity: Universitat Rovira i Virgili

Journal publication year: 2019

Publication Type: Journal Publications