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S9-8

(P)

THE PREVALENCE OF URINARY STONE DISEASE IN CHILDREN OF SAMSUN AREA

AND ITS RELATION WITH DIETARY HABITS

Saban SARIKAYA

1

, Cihan YALMAN

2

, Ender OZDEN

2

, Yakup BOSTANCI

2

, Yarkin Kamil YAKUPOGLU

2

, Gurkan GENC

3

, Murat

DANACI

4

and Ali Faik YILMAZ

2

1) Ondokuzmayis University School of Medicine, Urology, Samsun, TURKEY - 2) Ondokuz Mayis University, School of

Medicine, Urology, Samsun, TURKEY - 3) Ondokuz Mayis University, School of Medicine, Pediatric Nephrology, Samsun,

TURKEY - 4) Ondokuz Mayis University, School of Medicine, Radiology, Samsun, TURKEY

PURPOSE

We aimed to investigate the prevalence of pediatric urolithiasis in our region by evaluating asymptomatic randomly

selected children with ultrasonography (USG) in three different primary schools. Also, we tried to determine the effect of

nutritional habits on the incidence of urinary stone disease (USD).

MATERIAL AND METHODS

After obtaining informed consents from the families of 1053 children (506 boys and 547 girls; mean age of 8.9±2.4 (4-

14) years) from three different primary schools were included in this study. In order to expose the nutritional habits in

the past year, a questionnaire consisting of 84 questions were answered by the parents of the children. Then the

children were examined with abdominal ultrasonography for the presence of USD. For statistical analysis, the children

were divided into two groups according to presence or absence of calculi.

RESULTS

The prevalence of USD in children was found as 0.94 % (10/1053) in Samsun area. Children with family history of USD

are 3.8 times more likely to have urolithiasis. In univariate analysis lemonade, coke and orange juice found to be a risk

factor for USD: Consumption of water, cabbage pickle, corn, apple, rice, pasta and dried nuts were found to be

protective from USD. In the multivariate analysis; consumption of lemonade was the only risk factor for development of

USD in children, however consumption of pickled cabbage was the only protective factor.

CONCLUSIONS

The prevalence of pediatric USD in Samsun is lower than the other endemic areas in Turkey. Further metabolic studies

are required for the protective effect of pickled gabbage consumption.