Association of Adherence to The Mediterranean Diet with Urinary Factors Favoring Renal Lithiasis: Cross-Sectional Study of Overweight Individuals with Metabolic Syndrome

Our purpose was to study the relationship of adherence to the Mediterranean diet (MedDiet) with urinary factors that favor the formation of renal calcium and uric acid stones in overweight and obese participants who had metabolic syndrome. This cross-sectional study examined 267 participants. A well-known MedDiet score (range 0–9) was calculated for each patient, and patients were then categorized has having low (≤3), medium (4–5), or high (≥6) adherence to the MedDiet. Baseline characteristics and urinary parameters were also analyzed. High calcium salt urinary crystallization risk (CaUCR) and high uric acid urinary crystallization risk (UrUCR) were calculated from urinary parameters using pre-defined criteria. More than half of patients with MedDiet scores ≤3 had high UrUCR (55.4%) and high CaUCR (53.8%). In contrast, fewer patients with high adherence (≥6) to the MedDiet had high UrUCR (41.2%) and high CaUCR (29.4%). Relative to those with low adherence, individuals with high adherence had a prevalence ratio (PR) of 0.77 for a high UrUCR (95% CI: 0.46–1.12; p for trend: 0.069) and a PR of 0.51 for a high CaUCR (95% CI: 0.26–0.87; p for trend: 0.012) after adjusting for age, sex, body mass index, type 2 diabetes, and total energy intake. Our findings indicate that greater adherence to the MedDiet was associated with a reduced CaUCR and a reduced UrUCR. This suggests that adequate dietary management using the MedDiet patterns may prevent or reduce the incidence and recurrence of calcium salt and uric acid renal stones.

THE DETERMINANT FACTOR OF URINARY STONE FORMATION ON PALM OIL PROCESSING WORKERS AT PTPN VII BETUNG

High temperature of work environment affects fluid and electrolyte balance of workers. It is also affecting the urine production by increasing its concentration and if it lasts for a long time causes urinary crystallization. This work was aimed to analyze the determinant factor of urinary stone formation within palm processing workers at PTPN VII Betung. Population sample in this work is 103 workers which represents total population of workers at PTPN VII of Betung unit. Research was designed quantitatively using cross-sectional study. Data collection was carried out using several instruments i.e. questioner, interview and observation. The obtained data was processed through univariate, bivariate and multivariate analysis. Result shows the number of workers with a positive urinary crystallization are 18 workers (17.5%). Characteristic of respondent are typically aged < 45 years (68%), hydration status was not dehydrated (53.2%). Multiple logistic regression analysis result shows hydration status variable (OR = 5.508) affects the formation of urinary stone with worker’s age as confounder