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.