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oai:repisalud.isciii.es:20.500.12105/227442024-11-28T21:15:37Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967col_20.500.12105_16983

00925njm 22002777a 4500 dc Prieto, Rafael M author Rodríguez, Adrián author Sanchis, Pilar author Morey, Margalida author Fiol Sala, Miquel author Grases, Felix author Castaner, Olga author Martinez-Gonzalez, Miguel A author Salas-Salvado, Jordi author Romaguera, Dora author 2019-08 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. Prieto Rafael MM, Rodriguez A, Sanchis P, Morey Servera M, Fiol Sala M, Grases F, et al. Association of Adherence to The Mediterranean Diet with Urinary Factors Favoring Renal Lithiasis: Cross-Sectional Study of Overweight Individuals with Metabolic Syndrome. Nutrients. 2019 Aug;11(8):1708. 10.3390/nu11081708 2072-6643 Nutrients http://hdl.handle.net/20.500.13003/15541 31344950 L2002278483 2-s2.0-85070236974 https://hdl.handle.net/20.500.12105/22744 484506000133 Mediterranean diet Renal lithiasis Urinary crystallization risk Association of Adherence to The Mediterranean Diet with Urinary Factors Favoring Renal Lithiasis: Cross-Sectional Study of Overweight Individuals with Metabolic Syndrome