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The Association of Dietary Approaches to Stop Hypertension-Style Diet With Urinary Risk Factors of Kidney Stones Formation in Men With Nephrolithiasis Publisher Pubmed



Maddahi N1 ; Aghamir SMK2 ; Moddaresi SS3 ; Mirzaei K1 ; Alizadeh S4 ; Yekaninejad MS5
Authors
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Authors Affiliations
  1. 1. Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  2. 2. Department of Urology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Urology Research Center, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Clinical Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  5. 5. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran

Source: Clinical Nutrition ESPEN Published:2020


Abstract

Objective: The relation of the Dietary Approaches to Stop Hypertension (DASH)-style diet to urinary lithogenic factors is unclear. This study aimed to assess the association between adherence to the DASH diet and urinary risk factors of kidney stones formation. Methods: A total of 264 men apparently with nephrolithiasis, aged 18–89 years, participated in this cross-sectional study. The food item–based DASH diet based on 8 components (nuts and legumes, red and processed meat, low-fat dairy products, sweetened beverages, fruits, vegetables, sodium, and whole grains) and nutrient-based DASH score based on 9 target nutrients (protein, fiber, total fat, saturated fat, cholesterol, sodium, calcium, potassium, and magnesium) were calculated using a food frequency questionnaire. Urine analysis was performed to measure hypercalciuria, hypocitraturia, hyperoxaluria, hyperuricosuria, and hypercreatinuria as study outcomes. Multivariate logistic regression analysis was used to evaluate the relation of DASH diet to urinary factors. Results: After multivariate adjustment, high adherence to the food-based or nutrient-based DASH dietary patterns was significantly associated with lower odds for hypercreatininuria, hypocitraturia, and hypercalciuria. Higher nutrient-based DASH diet scores were related to lower odds of hyperuricosuria and moderate adherence to the food-based DASH score increased odds for hyperoxaluria. Moreover, expect for “Nuts and legumes” and sodium, other components of DASH diet were significantly related to urinary lithogenic factors. Conclusion: Adherence to the DASH diet may be a strong preventive approach to decrease urinary risk factors of kidney stone formation. © 2020 European Society for Clinical Nutrition and Metabolism
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