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Beverage use and risk for kidney stones in women.

Abstract

BACKGROUND

An increase in fluid intake is routinely recommended for patients who have had kidney stones to decrease the likelihood of recurrence. However, data on the effect of particular beverages on stone formation in women are limited.

OBJECTIVE

To examine the association between the intake of 17 beverages and risk for kidney stones in women.

DESIGN

Prospective cohort study with 8 years of follow-up.

SETTING

United States.

PARTICIPANTS

81093 women in the Nurses' Health Study who were 40 to 65 years of age in 1986 and had no history of kidney stones.

MEASUREMENTS

Beverage use and diet were assessed in 1986 and 1990 with a validated, self-administered food-frequency questionnaire. The main outcome measure was incident symptomatic kidney stones.

RESULTS

During 553 081 person-years of follow-up over an 8-year period, 719 cases of kidney stones were documented. After risk factors other than fluid intake were controlled for, the relative risk for stone formation for women in the highest quintile of total fluid intake compared with women in the lowest quintile was 0.62 (95% CI, 0.48 to 0.80). Inclusion of consumption of specific beverages in the multivariate model significantly added to prediction of risk for kidney stones (P < 0.001). In a multivariate model that adjusted simultaneously for the 17 beverages and other possible risk factors, risk for stone formation decreased by the following amount for each 240-mL (8-oz) serving consumed daily: 10% (CI, 5% to 15%) for caffeinated coffee, 9% (CI, 2% to 15%) for decaffeinated coffee, 8% (CI, 1% to 15%) for tea, and 59% (CI, 32% to 75%) for wine. In contrast, a 44% (CI, 9% to 92%) increase in risk was seen for each 240-mL serving of grapefruit juice consumed daily.

CONCLUSIONS

An increase in total fluid intake can reduce risk for kidney stones, and the choice of beverage may be meaningful.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Brigham and Womens' Hospital, Boston, Massachusetts 02115, USA.

    , ,

    Source

    Annals of internal medicine 128:7 1998 Apr 01 pg 534-40

    MeSH

    Adult
    Aged
    Beverages
    Feeding Behavior
    Female
    Follow-Up Studies
    Humans
    Kidney Calculi
    Middle Aged
    Multivariate Analysis
    Prospective Studies
    Risk Factors
    Sex Factors
    Surveys and Questionnaires

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    9518397

    Citation

    Curhan, G C., et al. "Beverage Use and Risk for Kidney Stones in Women." Annals of Internal Medicine, vol. 128, no. 7, 1998, pp. 534-40.
    Curhan GC, Willett WC, Speizer FE, et al. Beverage use and risk for kidney stones in women. Ann Intern Med. 1998;128(7):534-40.
    Curhan, G. C., Willett, W. C., Speizer, F. E., & Stampfer, M. J. (1998). Beverage use and risk for kidney stones in women. Annals of Internal Medicine, 128(7), pp. 534-40.
    Curhan GC, et al. Beverage Use and Risk for Kidney Stones in Women. Ann Intern Med. 1998 Apr 1;128(7):534-40. PubMed PMID: 9518397.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Beverage use and risk for kidney stones in women. AU - Curhan,G C, AU - Willett,W C, AU - Speizer,F E, AU - Stampfer,M J, PY - 1998/6/10/pubmed PY - 1998/6/10/medline PY - 1998/6/10/entrez SP - 534 EP - 40 JF - Annals of internal medicine JO - Ann. Intern. Med. VL - 128 IS - 7 N2 - BACKGROUND: An increase in fluid intake is routinely recommended for patients who have had kidney stones to decrease the likelihood of recurrence. However, data on the effect of particular beverages on stone formation in women are limited. OBJECTIVE: To examine the association between the intake of 17 beverages and risk for kidney stones in women. DESIGN: Prospective cohort study with 8 years of follow-up. SETTING: United States. PARTICIPANTS: 81093 women in the Nurses' Health Study who were 40 to 65 years of age in 1986 and had no history of kidney stones. MEASUREMENTS: Beverage use and diet were assessed in 1986 and 1990 with a validated, self-administered food-frequency questionnaire. The main outcome measure was incident symptomatic kidney stones. RESULTS: During 553 081 person-years of follow-up over an 8-year period, 719 cases of kidney stones were documented. After risk factors other than fluid intake were controlled for, the relative risk for stone formation for women in the highest quintile of total fluid intake compared with women in the lowest quintile was 0.62 (95% CI, 0.48 to 0.80). Inclusion of consumption of specific beverages in the multivariate model significantly added to prediction of risk for kidney stones (P < 0.001). In a multivariate model that adjusted simultaneously for the 17 beverages and other possible risk factors, risk for stone formation decreased by the following amount for each 240-mL (8-oz) serving consumed daily: 10% (CI, 5% to 15%) for caffeinated coffee, 9% (CI, 2% to 15%) for decaffeinated coffee, 8% (CI, 1% to 15%) for tea, and 59% (CI, 32% to 75%) for wine. In contrast, a 44% (CI, 9% to 92%) increase in risk was seen for each 240-mL serving of grapefruit juice consumed daily. CONCLUSIONS: An increase in total fluid intake can reduce risk for kidney stones, and the choice of beverage may be meaningful. SN - 0003-4819 UR - https://www.unboundmedicine.com/medline/citation/9518397/full_citation L2 - https://www.annals.org/article.aspx?volume=128&amp;issue=7&amp;page=534 DB - PRIME DP - Unbound Medicine ER -