Curhan G C, Willett W C, Rimm E B, Stampfer M J
Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts 02115, USA.
J Urol. 1996 Jun;155(6):1847-51.
The association between the intake of vitamins C and B6, and kidney stone formation was examined.
We conducted a prospective study of the relationship between the intake of vitamins C and B6 and the risk of symptomatic kidney stones in a cohort of 45,251 men 40 to 75 years old with no history of kidney calculi. Vitamin intake from foods and supplements was assessed using a semiquantitative food frequency questionnaire completed in 1986.
During 6 years of followup 751 incident cases of kidney stones were documented. Neither vitamin C nor vitamin B6 intake was significantly associated with the risk of stone formation. For vitamin C the age-adjusted relative risk for men consuming 1,500 mg. daily or more compared to less than 250 mg. daily was 0.78 (95% confidence interval 0.54 to 1.11). For vitamin B6 the age-adjusted relative risk for men consuming 40 mg. daily or more compared to less than 3 mg. daily was 0.91 (95% confidence interval 0.64 to 1.31). After adjusting for other potential stone risk factors the relative risks did not change significantly.
These data do not support an association between a high daily intake of vitamin C or vitamin B6 and the risk of stone formation, even when consumed in large doses.
研究维生素C和维生素B6的摄入量与肾结石形成之间的关联。
我们对45251名年龄在40至75岁且无肾结石病史的男性队列进行了一项前瞻性研究,以探讨维生素C和维生素B6的摄入量与有症状肾结石风险之间的关系。使用1986年完成的半定量食物频率问卷评估食物和补充剂中的维生素摄入量。
在6年的随访期间,记录了751例新发肾结石病例。维生素C和维生素B6的摄入量均与结石形成风险无显著关联。对于维生素C,每日摄入1500毫克或更多的男性与每日摄入少于250毫克的男性相比,年龄调整后的相对风险为0.78(95%置信区间为0.54至1.11)。对于维生素B6,每日摄入40毫克或更多的男性与每日摄入少于3毫克的男性相比,年龄调整后的相对风险为0.91(95%置信区间为0.64至1.31)。在对其他潜在的结石风险因素进行调整后,相对风险没有显著变化。
这些数据不支持每日高剂量摄入维生素C或维生素B6与结石形成风险之间存在关联,即使是大剂量摄入时也是如此。