The association between the incidence of urolithiasis and nutrition based on Japanese National Health and Nutrition Surveys

The association between the incidence of urolithiasis and nutrition based on Japanese National Health and Nutrition Surveys
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DOI:
10.1007/s00240-013-0567-6
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发表时间:
2013-06-01
期刊:
影响因子:
3.1
通讯作者:
Kohri, Kenjiro
Kohri, Kenjiro
中科院分区:
医学2区
文献类型:
--
作者:
Yasui, Takahiro;Okada, Atsushi;Kohri, Kenjiro

文献摘要

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为了澄清尿石症发病率的地区差异与营养摄入之间的关系,我们评估了日本国家调查的相关数据。根据从430家医院获得的2005年患者数据(n = 92,797),计算了日本12个地区尿石症的发病率。营养摄入数据来自全国健康和营养调查。我们研究了尿石症发病率与不同地区各种食物或营养素的平均摄入量之间的关系。在日本进行的持续调查显示尿石症的发病率在地理区域之间存在固定的差异。尿石症患者的全国平均水平估计为每10万人中有203.1人。在食物方面,水果摄入量与尿石症发病率呈负相关(r = -0.721, p = 0.008),鸡蛋(r = 0.537, p = 0.072)和糖(r = 0.475, p = 0.119)与尿石症发病率呈正相关趋势。在营养方面,钾(r = -0.500, p = 0.098)、维生素K (r = -0.562, p = 0.057)、泛酸(r = -0.560, p = 0.058)的摄入量与发病率呈负相关。尿石症的发病率在低水果和高糖摄入人群的地理区域较高。
To clarify the association between regional variations in urolithiasis incidence and nutrition intake, we evaluated associated data from Japanese national surveys. The incidence of urolithiasis in 12 regions of Japan was calculated from 2005 patient data obtained from 430 hospitals (n = 92,797). Nutrition intake data were obtained from the National Health and Nutrition Survey. We examined the association between urolithiasis incidence and average intake of various types of food or nutrients by region. Continuing surveys in Japan reveal fixed variations in urolithiasis incidence among geographic regions. The national average of patients with urolithiasis was estimated as 203.1 per 100,000 citizens. Regarding food, intake of fruit correlated negatively with the incidence of urolithiasis (r = -0.721, p = 0.008), while intake of eggs (r = 0.537, p = 0.072) and sugar (r = 0.475, p = 0.119) tended to positively correlate with incidence. Regarding nutrients, intake of potassium (r = -0.500, p = 0.098), vitamin K (r = -0.562, p = 0.057), and pantothenic acid (r = -0.560, p = 0.058) tended to negatively correlate with incidence. The incidence of urolithiasis is higher in geographic areas with populations having low fruit and high sugar intake.