Epidemiological characteristics of renal stone patients age (21-60) and barriers in their dietary modification in Saurashtra Region

Arpan Chandubhai Patel, Nishank Harris Mehta

Abstract


Background: Dietary factors remain an entity attributed to a kidney stone and thus renal stone becomes more of a 'lifestyle' disease relying more on prevention for its amelioration than advanced and specific treatment modalities. Although there are various studies conducted in past to show importance of dietary modification in patient with kidney stone , no single study was conducted to identify perceived barriers in dietary modification by patient.

Methods: Through this population based cross-sectional study, a total of 50 patients with a radiologically diagnosed ‘case’ of renal stone were enrolled in the study and interviewed through proforma approved by institutional ethical committee to study patients characteristics and perceived barriers in dietary modification. Data were analyzed with help of Epi Info™ 7 (CDC Atlanta).

Results: Kidney stone prevalence is higher in men (66%) in compare to females and common with age group 31-40 years. Hindu caste (82%), low socioeconomic status (76%), and education less than 8th (42%) and not aware of need (62%) were common characteristics among them. Not clearly informed about benefits of Diet modification (54%) and Don't Remember (42%) constituted common barriers.

Conclusions: Along with educating them regarding kidney stone disease it is important to identify all barriers at individualize level because motivating patients with kidney stones to maintain behavior for recommended diet, first requires an understanding of the factors influencing this behavior and approach should be tailored for individual patient.

 


Keywords


Renal stone, Saurashtra region, Dietary modification

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References


Ganpule AP, Shashikant Mishra, and Mahesh R. Desai. Percutaneous nephrolithotomy for pediatric urolithiasis: Indian J Urol. 2010 Oct-Dec; 26(4): 549–554.

Lotan Y: Economics and cost of care of stone disease: Adv Chronic Kidney Dis 2009 Jan; 16(1):5-10.

Goldfarb DS: Prospects for dietary therapy of recurrent Nephrolithiasis: Adv Chronic Kidney Dis. 2009 Jan; 16(1):21-9.

Lotan Y, Buendia Jiménez I, Lenoir-Wijnkoop I et al: Primary prevention of nephrolithiasis is cost-effective for a national healthcare system: BJU Int. 2012 Dec;110(11 Pt C).

Taylor EN, Stampfer MJ, Curhan GC: Dietary factors and the risk of incident kidney stones in men: new insights after 14 years of follow-up; J Am Soc Nephrol. 2004 Dec;15(12):3225-32.

Johnson CM, Wilson DM, O’Fallon WM et al. Renal stone epidemiology: A 25 year study in Rochester, Minnesota. Kidney Int.1979; 16: 624–31.

Saxena A, Sharma RK: Nutritional aspect of Nephrolithiasis: Indian J Urol. 2010 Oct;26(4):523-30.

Taylor EN, Stampfer MJ: Dietary factors and the risk of incident kidney stones in men: new insights after 14 years of follow-up. J Am Soc Nephrol. 2004 Dec;15(12):3225-32.

Kartha G, Calle JC, Marchini GS et al Impact of stone disease: chronic kidney disease and quality of life; Urol Clin North Am. 2013 Feb;40(1):135-47.

Chou YH, Li CC, Hsu H et al: Renal function in patients with urinary stones of varying compositions; Kaohsiung J Med Sci. 2011 Jul;27(7): 264-7.

Coe FL, Evan A, Worcester E.: Pathophysiology-based treatment of idiopathic calcium kidney stones; Clin J Am Soc Nephrol. 2011 Aug;6(8):2083-92.

Taylor EN, Fung TT, Curhan GC.: DASH-style diet associates with reduced risk for kidney stones; J Am Soc Nephrol. 2009 Oct; 20(10):2253-9.

The National Kidney Foundation: A to Z Health Guide Kidney.org (2013) The National Kidney Foundation: A to Z Health Guide. [online] Available at: http://www.kidney.org/atoz/content/diet.cfm [Accessed: 17 Mar 2013].

Diet for Kidney Stone Prevention - National Kidney and Urologic Diseases Information Clearinghouse Kidney.niddk.nih.gov (2010) Diet for Kidney Stone Prevention - National Kidney and Urologic Diseases Information Clearinghouse. [online] Available at: http://kidney.niddk.nih.gov/kudiseases/pubs/kidneystonediet/index.aspx [Accessed: 17 Mar 2013].

Barnela SR, Soni SS, Saboo SS et al: Medical management of renal stone; Indian J Endocrinol Metab. 2012 Mar;16(2):236-9.

Barton P, Andronis L, Briggs A: Effectiveness and cost effectiveness of cardiovascular disease prevention in whole populations: modelling study; BMJ. 2011 Jul 28;343.

Martikainen JA, Soini EJ, Laaksonen DE: Health economic consequences of reducing salt intake and replacing saturated fat with polyunsaturated fat in the adult Finnish population: estimates based on the FINRISK and FINDIET studies. Eur J Clin Nutr. 2011 Oct;65(10):1148-55.

Campbell, T. C., & Campbell, T. M. (2005). The China study: the most comprehensive study of nutrition ever conducted and the startling implications for diet, weight loss and long-term health. Dallas, Tex, BenBella Books.