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Diet
Can Alter Risk of Kidney Stones
Belying the common belief that calcium
contributes to kidney stones, a new study of young women has found
eating foods rich in this mineral may actually reduce the risk
of getting the painful condition.
Dietary calcium, whole grains and
vegetables all appear to lower the chances you'll get kidney stones,
while a high sugar intake may do the opposite, the study finds.
Contrary to what was believed in
the past, eating more protein doesn't increase your risk of kidney
stones either, the researchers say. The study also found no additional
risk from taking calcium supplements.
"Dietary factors are important,"
says study author Dr. Gary Curhan, an associate professor of medicine
and a nephrologist at Brigham and Women's Hospital in Boston.
"Dietary modification may reduce an individual's risk of kidney
stones. Our findings challenge the belief that calcium should
be restricted."
Curhan presented the findings Nov.
16 at the American Society of Nephrology's annual meeting in San
Diego.
Curhan and his colleagues gathered
data from the large Nurses' Health Study II, which includes more
than 100,000 women. For this study, the researchers focused on
96,000 women between the ages of 27 and 44 at the start of the
study who had completed dietary information surveys in 1991 and
1995.
At the start of the study, none
of the women had kidney stones. At the end of the eight-year study
period, 1,223 women had developed kidney stones.
Kidney stones form from substances
in the urine. The most common type of stone forms from calcium
oxalate in the urine. Other substances that contribute to stone
formation include uric acid, struvite and cystine, the researchers
say.
Stones come in varying sizes --
from a grain of sand to the size of a golf ball. Some stones pass
through the urinary tract system on their own, but some get stuck
and block the flow of urine. When this happens, medical intervention
is necessary.
The researchers found women who
had the highest dietary calcium intake from foods such as milk,
cheese and yogurt reduced their risk of kidney stones by 27 percent.
Consumption of phytate, a naturally occurring substance found
in whole grains and vegetables, lowered the risk of kidney stones
by 37 percent, and a higher fluid intake also appeared to reduce
the risk of kidney stones.
What did raise the risk of developing
kidney stones was sugar. Sugar increased kidney stone risk in
young women by slightly more than 30 percent. Meat and calcium
supplements didn't appear to significantly increase or decrease
the risk.
Dr. Khalid Zafar, a nephrologist
at William Beaumont Hospital in Royal Oak, Mich, says, "The take-home
message here is that people with kidney stones should not decrease
dietary calcium and they can take supplements and eat meat."
He says the finding that supplements
don't increase the risk of kidney stones in young women is especially
important, because women need calcium to prevent osteoporosis,
and many don't get sufficient amounts from their diet.
More information
To learn more about kidney stones,
visit the National
Institute of Diabetes and Digestive and Kidney Diseases or
the Kidney
Foundation of Canada.
Reference
Source 101
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