Kotsiris Dimitrios, Adamou Konstantinos, Kallidonis Panagiotis
Department of Urology, University of Patras, Patras, Greece.
Curr Opin Urol. 2018 Sep;28(5):408-413. doi: 10.1097/MOU.0000000000000521.
Urolithiasis is a very common condition, which can be accompanied by serious complications. Diagnosis, treatment, and prevention are of great cost for national health systems. Many studies have been published about the role of diet in both stone formation and prevention. The aim of this review is to summarize the most recent developments that correlate diet to lithiasis.
Recurrent stone formers should undergo metabolic evaluation and stone chemical analysis. Current evidence propose difference approaches based on the metabolic disorder that is diagnosed. Diet could have a detrimental role in the prevention of recurrences. Prevention advises include increased fluid uptake, vegetables and fruit intake but decreased sugar, salt, and meat consumption.
The analysis of the food contents and their role to lithogenesis prevention are of great importance. Modifying diet to prevent stones could help many people who suffer from lithiasis to avoid recurrence and the consequences. Furthermore, the cost for diagnosis and treatment could be significantly reduced. Therefore, the field of dietary factors in lithogenesis should be further investigated.
尿石症是一种非常常见的病症,可能伴有严重并发症。诊断、治疗和预防对国家卫生系统而言成本高昂。关于饮食在结石形成和预防中的作用,已有许多研究发表。本综述的目的是总结饮食与结石症相关的最新进展。
复发性结石患者应接受代谢评估和结石化学分析。目前的证据根据所诊断出的代谢紊乱提出了不同的方法。饮食在预防复发方面可能起有害作用。预防建议包括增加液体摄入量、蔬菜和水果摄入量,但减少糖、盐和肉类消费。
分析食物成分及其在预防结石形成中的作用非常重要。通过调整饮食来预防结石可以帮助许多结石症患者避免复发及其后果。此外,诊断和治疗成本可能会大幅降低。因此,应进一步研究饮食因素在结石形成中的作用领域。