Abstract

Introduction: Worldwide, the incidence of kidney stones has been progressively increasing. Various factors can influence the risk of stone formation, including lifestyle and eating habits. The dietary investigation is a standard of care in patients with urolithiasis. The objectives of this study were to determine the dietary habits of lithiasis patients in the city of Kinshasa and to investigate the association between dietary habits and the composition of the stones. Material and Methods: From January 2017 to September 2019, 85 patients attending 8 hospitals participated in the nutrition survey. Various foods commonly consumed in the Democratic Republic of Congo were categorized based on their composition: foods rich in animal proteins, foods rich in calcium, foods high in sugar, foods high in oxalate, and various vegetables and fruits. We also investigated daily water intake. The composition of the collected stones was analyzed by infrared spectrophotometry. Results: The mean (SD) age of patients was 47.1 (14.0) years, 63.5% of patients were males, 75.3% of the patients had stones located in the upper urinary tract, and 7.1% were undernourished. Most of patients consumed vegetables (77.6%), animal proteins (62.4%), and foods rich in oxalate (58.8%). The daily water intake was less than 1500 mL in more than half of the patients (68.2%). Major anhydrous uric acid stones were associated with a high body mass index (p = 0.025). Male patients with a high oxalate diet had more calcium oxalate stones (64.3%) compared to other types of stones (p = 0.041). Conclusion: High consumptions of vegetables and low water intake were linked to the formation of calcium oxalate monohydrate stones. More data are needed to confirm these findings.

Highlights

  • Worldwide, the incidence of kidney stones has been progressively increasing

  • High consumptions of vegetables and low water intake were linked to the formation of cal

  • Prior evidence reported that high dietary calorie, animal protein and oxalate intake and low daily water intake, calcium and potassium consumption correlated with higher incidence of calcium oxalate stone formation, representing important risk factors in kidney stone formation [7] [8]

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Summary

Introduction

Urolithiasis is a common health problem with a multifactorial etiology arising from the interaction of various factors including metabolic, genetic, and environmental [1]. Despite a wealth of studies investigating the association between kidney stone formation and nutrition habits, data on the nutritional status and dietary habits of patients afflicted with kidney stones in the Democratic Republic of Congo (DRC) are lacking. To fill this gap, the present study was designed to determine the dietary habits of patients who followed for urolithiasis in the city of Kinshasa and to evaluate the association between dietary habits and the composition of the stones

Study Design and Setting
Dietary Survey
Infrared Analysis of Stones and Study Parameters
Statistical Analysis
Results
Discussion
Conflicts of Interest
Full Text
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