Original scientific paper

https://doi.org/10.20471/acc.2019.58.03.06

Rizični čimbenici i koštana masa u bolesnika s recidivirajućom urolitijazom: presječno istraživanje na 144 ispitanika

Ivana Marić ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Tomislav Kizivat ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Martina Smolić ; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Robert Smolić ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Teuta Opačak-Bernardi ; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Krešimir Šolić ; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Hrvoje Roguljić ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Jasminka Milas Ahić ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Antun Tucak ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Croatian Academy of Me
Ivan Mihaljević ; Clinical Institute of Nuclear Medicine and Radiation Protection, Osijek University Hospital Centre, Osijek, Croatia; Department of Mineral Research, Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Croatian Academy of Me

Abstract

Bolesnici s urolitijazom, osobito oni s hiperkalciurijom, imaju smanjenu koštanu mineralnu gustoću (bone mineral density, BMD). Rizični čimbenici gubitka koštane mase su uznapredovala dob, sjedilački način života, pušenje i smanjen unos kalcija. Cilj našeg istraživanja bio je ustanoviti povezanost rizičnih čimbenika i dnevnog unosa mlije-ka i mliječnih prerađevina s odrednicama BMD u bolesnika s recidivirajućom kalcijskom urolitijazom te ih usporedi-ti sa zdravim ispitanicima. Istraživanje je provedeno na Zavodu za mineralni metabolizam Medicinskog fakulteta u Osijeku. U istraživanju su sudjelovala 144 ispitanika, od čega 56 bolesnika s recidivirajućom kalcijskom urolitija-zom i 78 zdravih ispitanika. BMD je određen metodom dvoenergetske apsorpciometrije X zraka (DXA). Podatci o čimbenicima rizika dobiveni su anketnim upitnikom, a unos hrane je ocijenjen osobnim intervjuom koji je uključi-vao pitanja o unosu mlijeka i mliječnih proizvoda. Snižen BMD zabilježen je u 44,64% bolesnika s recidivirajućom urolitijazom i u 35,90% zdravih ispitanika. Bolesnici s recidivirajućom urolitijazom konzumirali su znatno manje mlijeka i mliječnih proizvoda u odnosu na zdrave ispitanike. Nepotrebna je preporuka smanjenog unosa kalcija bolesnicima s recidivirajućom urolitijazom zbog utjecaja na gubitak koštane mase, a DXA treba biti dio rutinske procjene bolesnika s recidivirajućom urolitijazom.

Keywords

urolitijaza; mineralna gustoća kosti; tjelesna težina; indeks tjelesne mase; tjelesna aktivnost; pušenje; unos kal-cija

Hrčak ID:

230175

URI

https://hrcak.srce.hr/230175

Publication date:

1.9.2019.

Article data in other languages: english

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