{"id":59672,"date":"2014-03-01T00:00:00","date_gmt":"2018-12-04T07:26:39","guid":{"rendered":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/urinary-lithogenic-risk-profile-in-recurrent-stone-formers\/"},"modified":"2018-12-04T08:26:39","modified_gmt":"2018-12-04T07:26:39","slug":"urinary-lithogenic-risk-profile-in-recurrent-stone-formers","status":"publish","type":"resume","link":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/resume-scientifique\/urinary-lithogenic-risk-profile-in-recurrent-stone-formers\/","title":{"rendered":"Urinary Lithogenic Risk Profile in Recurrent Stone Formers With Hyperoxaluria: A Randomized Controlled Trial Comparing DASH (Dietary Approaches to Stop Hypertension)-Style and Low-Oxalate Diets."},"content":{"rendered":"<p><strong>BACKGROUND: <\/strong>Patients with nephrolithiasis and hyperoxaluria generally are advised to follow a low-oxalate diet. However, most people do not eat isolated nutrients, but meals consisting of a variety of foods with complex combinations of nutrients. A more rational approach to nephrolithiasis prevention would be to base dietary advice on the cumulative effects of foods and different dietary patterns rather than single nutrients.<\/p>\n<p><strong>STUDY DESIGN: <\/strong>Randomized controlled trial.<\/p>\n<p><strong>SETTING &amp; PARTICIPANTS: <\/strong>Recurrent stone formers with hyperoxaluria (urine oxalate &gt; 40mg\/d).<\/p>\n<p><strong>INTERVENTION: <\/strong>The intervention group was asked to follow a calorie-controlled Dietary Approaches to Stop Hypertension (DASH)-style diet (a diet high in fruit, vegetables, whole grains, and low-fat dairy products and low in saturated fat, total fat, cholesterol, refined grains, sweets, and meat), whereas the control group was prescribed a low-oxalate diet. Study length was 8 weeks.<\/p>\n<p><strong>OUTCOMES: <\/strong>Primary: change in urinary calcium oxalate supersaturation.<\/p>\n<p><strong>SECONDARY: <\/strong>Changes in 24-hour urinary composition.<\/p>\n<p><strong>RESULTS: <\/strong>57 participants were randomly assigned (DASH group, 29; low-oxalate group, 28). 41 participants completed the trial (DASH group, 21; low-oxalate group, 20). As-treated analysis showed a trend for urinary oxalate excretion to increase in the DASH versus the low-oxalate group (point estimate of difference, 9.0mg\/d; 95% CI,&nbsp;-1.1 to 19.1mg\/d; P=0.08). However, there was a trend for calcium oxalate supersaturation to decrease in the DASH versus the low-oxalate group (point estimate of difference,&nbsp;-1.24; 95% CI,&nbsp;-2.80 to 0.32; P=0.08) in association with an increase in magnesium and citrate excretion and urine pH in the DASH versus low-oxalate group.<\/p>\n<p><strong>LIMITATIONS: <\/strong>Limited sample size, as-treated analysis, nonsignificant results.<\/p>\n<p><strong>CONCLUSIONS: <\/strong>The DASH diet might be an effective alternative to the low-oxalate diet in reducing calcium oxalate supersaturation and should be studied more.<\/p>\n","protected":false},"template":"","mots_cles":[],"class_list":["post-59672","resume","type-resume","status-publish","hentry"],"acf":{"adresse":"Urology and Nephrology Research Center, Department of Urology, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.","annee":"2014","mois":"3","numero":"63:3","page":"456-63","auteurs":[{"ID":1180,"post_author":"0","post_date":"2018-12-03 15:57:05","post_date_gmt":"2018-12-03 14:57:05","post_content":"","post_title":"Nazanin Noori","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"nazanin-noori","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:05","post_modified_gmt":"2018-12-03 14:57:05","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/nazanin-noori\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1181,"post_author":"0","post_date":"2018-12-03 15:57:05","post_date_gmt":"2018-12-03 14:57:05","post_content":"","post_title":"Elaheh Honarkar","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"elaheh-honarkar","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:05","post_modified_gmt":"2018-12-03 14:57:05","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/elaheh-honarkar\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1182,"post_author":"0","post_date":"2018-12-03 15:57:06","post_date_gmt":"2018-12-03 14:57:06","post_content":"","post_title":"David S Goldfarb","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"david-s-goldfarb","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:06","post_modified_gmt":"2018-12-03 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14:57:07","post_content":"","post_title":"Maryam Taheri","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"maryam-taheri","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:07","post_modified_gmt":"2018-12-03 14:57:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/maryam-taheri\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1185,"post_author":"0","post_date":"2018-12-03 15:57:07","post_date_gmt":"2018-12-03 14:57:07","post_content":"","post_title":"Nasser Shakhssalim","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"nasser-shakhssalim","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:07","post_modified_gmt":"2018-12-03 14:57:07","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/nasser-shakhssalim\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1186,"post_author":"0","post_date":"2018-12-03 15:57:08","post_date_gmt":"2018-12-03 14:57:08","post_content":"","post_title":"Mahmoud Parvin","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"mahmoud-parvin","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:08","post_modified_gmt":"2018-12-03 14:57:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/mahmoud-parvin\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"},{"ID":1187,"post_author":"0","post_date":"2018-12-03 15:57:08","post_date_gmt":"2018-12-03 14:57:08","post_content":"","post_title":"Abbas Basiri","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"abbas-basiri","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:08","post_modified_gmt":"2018-12-03 14:57:08","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/auteur\/abbas-basiri\/","menu_order":0,"post_type":"auteur_resume","post_mime_type":"","comment_count":"0","filter":"raw"}],"sources":[{"ID":1188,"post_author":"0","post_date":"2018-12-03 15:57:09","post_date_gmt":"2018-12-03 14:57:09","post_content":"","post_title":"American journal of kidney diseases : the official journal of the National Kidney Foundation","post_excerpt":"","post_status":"publish","comment_status":"closed","ping_status":"closed","post_password":"","post_name":"american-journal-of-kidney-diseases-the-official-journal-of-the-national-kidney-foundation","to_ping":"","pinged":"","post_modified":"2018-12-03 15:57:09","post_modified_gmt":"2018-12-03 14:57:09","post_content_filtered":"","post_parent":0,"guid":"https:\/\/aprifel-pp.mentalworks.biz\/fr\/source\/american-journal-of-kidney-diseases-the-official-journal-of-the-national-kidney-foundation\/","menu_order":0,"post_type":"source","post_mime_type":"","comment_count":"0","filter":"raw"}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.6 (Yoast SEO v23.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Urinary Lithogenic Risk Profile in Recurrent Stone Formers With Hyperoxaluria: A Randomized Controlled Trial Comparing DASH (Dietary Approaches to Stop Hypertension)-Style and Low-Oxalate Diets. - Aprifel<\/title>\n<meta name=\"description\" content=\"Urinary Lithogenic Risk Profile in Recurrent Stone Formers With Hyperoxaluria: A Randomized Controlled Trial Comparing DASH (Dietary Approaches to Stop Hypertension)-Style and Low-Oxalate Diets. - Aprifel\" \/>\n<meta name=\"robots\" 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