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Vitamin D Intake and the Risk of Incident Kidney Stones

机译:维生素D摄入量和发生肾结石的风险

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摘要

Purpose Kidney stones are a common and painful condition. Longitudinal prospective studies on the association between the intake of vitamin D and the risk of incident kidney stones are lacking. Materials and Methods We performed a prospective analysis of 193,551 participants in the Health Professionals Follow-up Study and Nurses’ Health Study I and II. Participants were divided into categories of total (less than 100, 100 to 199, 200 to 399, 400 to 599, 600 to 999, 1,000 IU per day or greater) and supplemental (none, less than 400, 400 to 599, 600 to 999, 1,000 IU per day or greater) vitamin D intake. During a followup of 3,316,846 person-years there were 6,576 incident kidney stone events. Cox proportional hazards regression models were adjusted for age, body mass index, comorbidities, use of medications and intake of other nutrients. Results After multivariate adjustment there was no statistically significant association between vitamin D intake and risk of stones in the HPFS (HR for 1,000 or greater vs less than 100 IU per day 1.08, 95% CI 0.80, 1.47, p for trend = 0.92) and the NHS I (HR 0.99, 95% CI 0.73, 1.35, p for trend = 0.70), whereas there was a suggestion of a higher risk in the NHS II (HR 1.18, 95% CI 0.94, 1.48, p for trend = 0.02). Similar results were found for supplemental vitamin D intake. Conclusions Vitamin D intake in typical amounts was not statistically associated with risk of kidney stone formation, although higher risk with higher doses than those studied here cannot be excluded.
机译:目的肾结石是一种常见且痛苦的疾病。缺乏关于维生素D摄入与发生肾结石风险之间关系的纵向前瞻性研究。材料和方法我们对193551名健康专业人员随访研究和护士健康研究I和II的参与者进行了前瞻性分析。参与者分为以下类别:总计(每天少于100、100至199、200至399、400至599、600至999、1,000 IU或更高)和补充(无,少于400、400至599、600至IU)。 999,每天1,000 IU或更高)的维生素D摄入量。在3,316,846人年的随访中,发生了6,576起肾结石事件。对Cox比例风险回归模型进行了年龄,体重指数,合并症,药物使用和其他营养素摄入的调整。结果经过多变量调整后,HPFS中的维生素D摄入与结石风险之间无统计学意义的相关性(HR为1,000或更高与每天少于100 IU的比率为1.08、95%CI 0.80、1.47,趋势p = 0.92)和NHS I(HR 0.99,95%CI 0.73,1.35,趋势p = 0.70),而有人建议NHS II风险较高(HR 1.18,95%CI 0.94,1.48,趋势p = 0.02 p )。补充维生素D的摄入量也发现了相似的结果。结论维生素D的典型摄入量与肾结石形成的风险没有统计学关系,尽管不能排除比本文研究的更高的高剂量风险。

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