| The impact of societal changes on patterns of urolithiasis. | |
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MedLine Citation:
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PMID: 19940772 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: The purpose of the present review is to track changes in prevalence and composition of stone disease as a result of lifestyle changes over the past century. RECENT FINDINGS: Increasing rates of obesity, diabetes mellitus and metabolic syndrome have resulted in increasing rates of nephrolithiasis among women, decreasing the male-to-female ratio from 1.3: 1 to 1.7: 1. Urine composition results have revealed a decrease in urinary pH (<5.5) and an increase in urinary uric acid supersaturation. This has resulted in increased rates of uric acid stones. Modern bariatric surgeries have further increased the risk of calcium oxalate stone formation. Offending agents, intentionally or unintentionally added to food or drug products, have also led to the appearance of previously unrecognized stone types, that is, melamine and indinavir calculi. SUMMARY: Societal changes have had a tremendous impact on stone prevalence and composition. Prompt healthier lifestyle education as well as tighter quality control in the Food and Drug Industry is paramount to reducing nephrolithiasis rates and its complications. |
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Authors:
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Dorit E Zilberman; Daniel Yong; David M Albala |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in urology Volume: 20 ISSN: 1473-6586 ISO Abbreviation: Curr Opin Urol Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-03 Completed Date: 2010-03-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200621 Medline TA: Curr Opin Urol Country: United States |
Other Details:
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Languages: eng Pagination: 148-53 Citation Subset: IM |
Affiliation:
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Division of Urologic Surgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Diabetes Complications
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complications Humans Life Style* Nephrolithiasis / etiology Obesity / complications Sociology Urolithiasis / epidemiology*, etiology, metabolism |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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