Szendrői Attila, Tordé Ákos, Vargha Judit, Bánfi Gergely, Horváth András, Horváth Csaba, Nyirády Péter
Urológiai Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest, Üllői út 78/B, 1082.
I. Belgyógyászati Klinika, Semmelweis Egyetem, Általános Orvostudományi Kar Budapest.
Orv Hetil. 2017 Jun;158(22):851-855. doi: 10.1556/650.2017.30747.
In Hungary and in the developed countries urinary stones occur more often due to nutritional habits, obesity and sedentary lifestyle beside the endocrine and metabolic causes. In the daily urological and family doctor practice prevention should have an important role. Prevention is based not only on body weight control, physical exercise and medical treatment, but on proper diet as well. The nutritional components can change the consistence of urine, causing supersaturation, which is essential in stone formation. Specific nutritional components can either prevent stone formation (increased fluid intake, citrate, magnesium, fruits and vegetables) or either increase stone formation (decreased fluid intake, proteins, carbohydrates, oxalate, salt, increased calcium intake, ascorbic-acid etc). We summarized evidence-based practical dietary suggestions on the primary and secondary prevention of urinary stones. Orv Hetil. 2017; 158(22): 851-855.
在匈牙利和发达国家,除内分泌和代谢原因外,由于饮食习惯、肥胖和久坐不动的生活方式,尿路结石更为常见。在日常泌尿外科和家庭医生的诊疗工作中,预防应发挥重要作用。预防不仅基于体重控制、体育锻炼和医学治疗,还基于合理饮食。营养成分会改变尿液的成分,导致过饱和,这在结石形成过程中至关重要。特定的营养成分既可以预防结石形成(增加液体摄入量、柠檬酸盐、镁、水果和蔬菜),也可以增加结石形成(减少液体摄入量、蛋白质、碳水化合物、草酸盐、盐、增加钙摄入量、抗坏血酸等)。我们总结了基于证据的关于尿路结石一级和二级预防的实用饮食建议。《匈牙利医学周报》。2017年;158(22): 851 - 855。