Association between dietary pattern and metabolic disorders in children and adolescents with urolithiasis
Copyright © 2019 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved..
OBJECTIVE: To describe the dietary patterns and occurrence of metabolic disorders in children and adolescents with urolithiasis treatment at a referral hospital in southern Brazil in order to learn the features of urolithiasis in this population to better develop preventive actions.
METHODS: Descriptive study conducted between 2016 and 2017 in a tertiary care referral hospital. Fourty patients aged 2-19 years old with urolithiasis proven by imaging were included. Clinical and dietary data were obtained through interviews and medical records. For statistical analyses, the chi-squared test was performed.
RESULTS: 40 individuals were analyzed. Mean age at diagnosis was 7.2±4 years. 25% were overweight or obese. 95% had metabolic disorders, hypocitraturia being the predominant type. Protein intake was adequate in all participants and carbohydrate intake, in 70% of them; 37.5% had lipid intake above recommended and 65% had low fiber intake. The mean daily sodium intake was 2.64g (±1.74), with 55% of participants ingesting more than the recommended amount. A total of 52.5% had low potassium intake, with a mean of 4.79g/day (±2.49). Calcium intake was adequate in 27.5%. No significant differences were identified in relation to mean daily consumption among participants with or without the various metabolic disorders.
CONCLUSION: Pediatric urolithiasis is often accompanied by metabolic disorders; therefore, metabolic evaluation should be part of the diagnostic process and subsequent analysis of these patients' dietary patterns, helping to optimize treatment and prevent recurrences and complications.
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:96 |
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| Enthalten in: |
Jornal de pediatria - 96(2020), 3 vom: 06. Mai, Seite 333-340 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Vieira, Mariana S [VerfasserIn] |
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| Links: |
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| Themen: |
Cálculo renal |
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| Anmerkungen: |
Date Completed 21.10.2020 Date Revised 10.09.2022 published: Print-Electronic CommentIn: J Urol. 2019 Aug;202(2):205-206. - PMID 31063070 Citation Status MEDLINE |
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| doi: |
10.1016/j.jped.2018.11.008 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM293570787 |
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| 500 | |a Date Completed 21.10.2020 | ||
| 500 | |a Date Revised 10.09.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: J Urol. 2019 Aug;202(2):205-206. - PMID 31063070 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2019 Sociedade Brasileira de Pediatria. Published by Elsevier Editora Ltda. All rights reserved. | ||
| 520 | |a OBJECTIVE: To describe the dietary patterns and occurrence of metabolic disorders in children and adolescents with urolithiasis treatment at a referral hospital in southern Brazil in order to learn the features of urolithiasis in this population to better develop preventive actions | ||
| 520 | |a METHODS: Descriptive study conducted between 2016 and 2017 in a tertiary care referral hospital. Fourty patients aged 2-19 years old with urolithiasis proven by imaging were included. Clinical and dietary data were obtained through interviews and medical records. For statistical analyses, the chi-squared test was performed | ||
| 520 | |a RESULTS: 40 individuals were analyzed. Mean age at diagnosis was 7.2±4 years. 25% were overweight or obese. 95% had metabolic disorders, hypocitraturia being the predominant type. Protein intake was adequate in all participants and carbohydrate intake, in 70% of them; 37.5% had lipid intake above recommended and 65% had low fiber intake. The mean daily sodium intake was 2.64g (±1.74), with 55% of participants ingesting more than the recommended amount. A total of 52.5% had low potassium intake, with a mean of 4.79g/day (±2.49). Calcium intake was adequate in 27.5%. No significant differences were identified in relation to mean daily consumption among participants with or without the various metabolic disorders | ||
| 520 | |a CONCLUSION: Pediatric urolithiasis is often accompanied by metabolic disorders; therefore, metabolic evaluation should be part of the diagnostic process and subsequent analysis of these patients' dietary patterns, helping to optimize treatment and prevent recurrences and complications | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Cálculo renal | |
| 650 | 4 | |a Diet | |
| 650 | 4 | |a Dieta | |
| 650 | 4 | |a Hipercalciúria | |
| 650 | 4 | |a Hypercalciuria | |
| 650 | 4 | |a Kidney calculi | |
| 650 | 4 | |a Pediatrics | |
| 650 | 4 | |a Pediátrica | |
| 650 | 4 | |a Urolithiasis | |
| 650 | 4 | |a Urolitíase | |
| 700 | 1 | |a Francisco, Priscila de C |e verfasserin |4 aut | |
| 700 | 1 | |a Hallal, Ana Luiza L C |e verfasserin |4 aut | |
| 700 | 1 | |a Penido, Maria Goretti M G |e verfasserin |4 aut | |
| 700 | 1 | |a Bresolin, Nilzete L |e verfasserin |4 aut | |
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