Idiopathic urolithiasis in Tunisian children: A report of 134 cases

We evaluated the metabolic and the nutritional aspects of 134 urolithiasis children in order to outline the characteristics of idiopathic urolithiasis in children. This prospective study group of 134 children (56 females, 78 males) with renal calculi was evaluated. The age range of the patients was...

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Main Authors: A Alaya, R Sakly, A Nouri, M F Najjar, M Belgith, R Jouini
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Saudi Journal of Kidney Diseases and Transplantation
Online Access:http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=5;spage=1055;epage=1061;aulast=Alaya
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author A Alaya
R Sakly
A Nouri
M F Najjar
M Belgith
R Jouini
author_facet A Alaya
R Sakly
A Nouri
M F Najjar
M Belgith
R Jouini
author_sort A Alaya
collection DOAJ
description We evaluated the metabolic and the nutritional aspects of 134 urolithiasis children in order to outline the characteristics of idiopathic urolithiasis in children. This prospective study group of 134 children (56 females, 78 males) with renal calculi was evaluated. The age range of the patients was six months to 16 years. A dietary survey was performed on every child. All patients were investigated with respect to stone localization and serum and urine risk factors. Statistical analysis of data was carried out using software SPSS 11.0 for Windows. Hypercalciuria was the most common risk factor detected in this group (28.3%). A decrease of water intake was noted in all age groups, especially in the rural area (549.6 mL/day vs. 1150.6 mL/day), and there was an increase in animal protein intake in 17 cases (mean: 1.9 g/kg). In addition, increased intake of starchy foods and food with high oxalate content (sorgum) were detected in the ten to 16 years age group (51%) of our study. Calcium oxalate monohydrate represents the principal component of idiopathic stone (58.2%), which is more frequent in children (68%) than in infants (51.7%) (P <0.02). The major etiology of idiopathic urolithiasis highlights the influence of dietary habit in stone formers in our country. The increased occurrence of calcium oxalate stones in school age children confirms the change in the etiology of urolithiasis according to age.
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spelling doaj.art-0f55692d1417422d9596a1fc8d78df912022-12-22T01:13:06ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422013-01-012451055106110.4103/1319-2442.118099Idiopathic urolithiasis in Tunisian children: A report of 134 casesA AlayaR SaklyA NouriM F NajjarM BelgithR JouiniWe evaluated the metabolic and the nutritional aspects of 134 urolithiasis children in order to outline the characteristics of idiopathic urolithiasis in children. This prospective study group of 134 children (56 females, 78 males) with renal calculi was evaluated. The age range of the patients was six months to 16 years. A dietary survey was performed on every child. All patients were investigated with respect to stone localization and serum and urine risk factors. Statistical analysis of data was carried out using software SPSS 11.0 for Windows. Hypercalciuria was the most common risk factor detected in this group (28.3%). A decrease of water intake was noted in all age groups, especially in the rural area (549.6 mL/day vs. 1150.6 mL/day), and there was an increase in animal protein intake in 17 cases (mean: 1.9 g/kg). In addition, increased intake of starchy foods and food with high oxalate content (sorgum) were detected in the ten to 16 years age group (51%) of our study. Calcium oxalate monohydrate represents the principal component of idiopathic stone (58.2%), which is more frequent in children (68%) than in infants (51.7%) (P <0.02). The major etiology of idiopathic urolithiasis highlights the influence of dietary habit in stone formers in our country. The increased occurrence of calcium oxalate stones in school age children confirms the change in the etiology of urolithiasis according to age.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=5;spage=1055;epage=1061;aulast=Alaya
spellingShingle A Alaya
R Sakly
A Nouri
M F Najjar
M Belgith
R Jouini
Idiopathic urolithiasis in Tunisian children: A report of 134 cases
Saudi Journal of Kidney Diseases and Transplantation
title Idiopathic urolithiasis in Tunisian children: A report of 134 cases
title_full Idiopathic urolithiasis in Tunisian children: A report of 134 cases
title_fullStr Idiopathic urolithiasis in Tunisian children: A report of 134 cases
title_full_unstemmed Idiopathic urolithiasis in Tunisian children: A report of 134 cases
title_short Idiopathic urolithiasis in Tunisian children: A report of 134 cases
title_sort idiopathic urolithiasis in tunisian children a report of 134 cases
url http://www.sjkdt.org/article.asp?issn=1319-2442;year=2013;volume=24;issue=5;spage=1055;epage=1061;aulast=Alaya
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AT rsakly idiopathicurolithiasisintunisianchildrenareportof134cases
AT anouri idiopathicurolithiasisintunisianchildrenareportof134cases
AT mfnajjar idiopathicurolithiasisintunisianchildrenareportof134cases
AT mbelgith idiopathicurolithiasisintunisianchildrenareportof134cases
AT rjouini idiopathicurolithiasisintunisianchildrenareportof134cases