Evidence map›Paper›PMID 31344950›Full record

ArticleNutrients2019

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

Rafael M Prieto, Adrian Rodriguez, Pilar Sanchis, Margalida Morey, Miquel Fiol, Felix Grases, Olga Castañer, Miguel A Martínez-González, Jordi Salas-Salvadó, Dora Romaguera

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. The Relevance of Phytate for the Treatment of Chronic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2024
    Review
  4. Review
  5. Article
  6. Kidney Stone Prevention.Advances in nutrition (Bethesda, Md.) · 2023
    Review
  7. Review
  8. Diet and Stone Disease in 2022.Journal of clinical medicine · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Rafael M PrietoLaboratory of Renal Lithiasis Research, University Institute of Health Science Research (IUNICS-IdISBa). University of the Balearic Islands, 07122 Palma de Mallorca, Spain. rafelm.prieto@uib.cat.
Adrian RodriguezLaboratory of Renal Lithiasis Research, University Institute of Health Science Research (IUNICS-IdISBa). University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
Pilar SanchisLaboratory of Renal Lithiasis Research, University Institute of Health Science Research (IUNICS-IdISBa). University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
Margalida MoreyCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Miquel FiolCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Felix GrasesLaboratory of Renal Lithiasis Research, University Institute of Health Science Research (IUNICS-IdISBa). University of the Balearic Islands, 07122 Palma de Mallorca, Spain.
Olga CastañerCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Miguel A Martínez-GonzálezCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Jordi Salas-SalvadóCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Dora RomagueraCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Instituto de Salud Carlos III · ESHealth Research Institute of the Balearic Islands · ESHarvard University · US

Funding

Centro de Investigación Biomédica en Red CB06/03/0043European Research Council 340918Instituto de Salud Carlos III PI14/00853Instituto de Salud Carlos III PI17/00525
6 · The paper itself

Abstract

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.

Indexed as

Diet, HealthyDiet, MediterraneanPatient ComplianceAgedBiomarkersCross-Sectional StudiesFeeding BehaviorFemaleHumansMaleMetabolic SyndromeMiddle AgedOverweightPrevalenceProtective FactorsRandomized Controlled Trials as TopicBiomarkersMediterranean dietrenal lithiasisurinary crystallization risk

Identifiers

PMID31344950
PMCPMC6723981
OpenAlexW2963621216

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.