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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 195 - 200 (6page)
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Purpose: Basal metabolic rate (BMR) is an indicator of overall body metabolism and may portend unique aberrations in urine physico-chemistry and stone recurrence. The present study examined the effect of predicted BMR on 24 hours urinary metabolic profiles and stone recurrence in obese stone patients. Materials and Methods: Data from 308 obese patients (body mass index [BMI] ≥30 kg/m2) diagnosed with urinary stone disease between 2003 and 2015 were analyzed retrospectively. BMR was calculated using the Harris–Benedict equation, and patients were classified into two predicted BMR categories (<1,145 kcal/day, ≥1,145 kcal/day). Urinary metabolic parameters and risk of stone recurrence were compared between the two groups. Results: The high BMR group was more likely to be younger and female, and to have a high BMI and lower incidence of diabetes than the low BMR group (each p<0.05). There was a positive correlation between BMR and 24 hours urinary sodium, uric acid, and phosphate excretion. The amounts of stone-forming constituents such as calcium and uric acid were significantly higher in the high BMR group. Kaplan–Meier estimates showed that the high BMR group had a significantly shorter stone recurrence-free period than the low BMR group (log-rank test, p<0.001). Multivariate Cox regression analyses revealed that predicted BMR was an independent factor of stone recurrence (hazard ratio, 2.759; 95% confidence interval, 1.413–5.386; p=0.003). Conclusions: BMR may be an easily measured parameter that can be used to identify risk of stone recurrence in obese stone patients.
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참고문헌 (25)
참고문헌 신청
Taguchi K / 2019 / The Urological Association of Asia clinical guideline for urinary stone disease / Int J Urol 26:688~709
David Mukasa / 2020 / A prediction model of Nephrolithiasis Risk: A population-based cohort study in Korea / Investigative and Clinical Urology 61(2):188~199
Zhu W / 2019 / Dietary vinegar prevents kidney stone recurrence via epigenetic regulations / EBioMedicine 45:231~250
Ossandón SE / 2016 / Impact of secondary prophylaxis in the management of patients with high recurrence risk of urolithiasis / Rev Med Chil 144:710~715
Iremashvili V / 2019 / External validation of the recurrence of kidney stone nomogram in a surgical cohort / J Endourol 33:475~479
David Mukasa / 2020 / A prediction model of Nephrolithiasis Risk: A population-based cohort study in Korea / Investigative and Clinical Urology 61(2):188~199
Zhu W / 2019 / Dietary vinegar prevents kidney stone recurrence via epigenetic regulations / EBioMedicine 45:231~250
Ossandón SE / 2016 / Impact of secondary prophylaxis in the management of patients with high recurrence risk of urolithiasis / Rev Med Chil 144:710~715
Iremashvili V / 2019 / External validation of the recurrence of kidney stone nomogram in a surgical cohort / J Endourol 33:475~479
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