单位:[1]Department of Urology,Institute of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.华中科技大学同济医学院附属同济医院外科学系泌尿外科[2]Department of Urology,Guizhou provincial people's hospital,Guiyang,China.华中科技大学同济医学院附属同济医院外科学系泌尿外科
The relationship of ascorbic acid (AA) supplements and risk of kidney stones among men and women is controversial. This systematic evaluation was performed to obtain comprehensive evidence about the relationship of AA supplements and risk of kidney stones among men and women.
A systematic search of Pubmed, the Cochrane Library, Web of Science, Embase was performed to identify studies that exhibited the relationship of AA supplements and risk of kidney stones among men and women were published up to Mar 2017. Outcomes of interest included kidney stones incidence and risk factors.
Four studies estimating the association between AA supplements and risk of kidney stones were included for meta-analysis. The kidney stones incidence was significantly higher in men than women with AA supplements (OR= 1.62; 95% CI: 1.09 to 2.42; P=0.02). AA supplements (250-499mg/d, 1000-1499mg/d) was remarkably correlated with the risk of renal stones among men (OR= 1.14, 95% CI: 1.00 to 1.28, P=0.04; OR= 1.12, 95% CI: 1.11 to 1.13, P<0.00001; respectively). However, AA supplements (500-999 mg/d, >1500 mg/d) did not correlate with the risk of renal stones among men (OR= 1.20, 95% CI: 0.99 to 1.46, P=0.06; OR= 1.28, 95% CI: 1.00 to 1.63, P= 0.05; respectively). In addition, AA supplements (250-499mg/d, 500-999mg/d, 1000-1499mg/d, >1500mg/d) did not remarkably correlate with the risk of renal stones among women (OR= 1.00, 95% CI: 0.82 to 1.22, P=0.98; OR= 1.08, 95% CI: 0.99 to 1.18, P=0.09; OR= 0.99, 95% CI: 0.90 to 1.08, P=0.77; OR= 0.99, 95% CI: 0.99 to 1.09, P=0.88; respectively).
AA supplements was remarkably correlated with higher risk for kidney stones incidence in men, but not in women. Further multicenter, prospective and long-term follow-up RCTs are required to verify these findings.
基金:
This study was funded by Hubei Province health and family planning scientific research project (Number: WJ2017M257), Natural Science Foundation of Hubei Province of China (Number: 2017CFB516) and Science and Technology project of Enshi of China (2013- 2014). And we are very grateful to Male Musa for his language modification as a native speaker.
Doctoral Foundation of Guizhou Provincial People’s Hospital (GZSYBS[2018]02), thank you very much.
第一作者单位:[1]Department of Urology,Institute of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.[2]Department of Urology,Guizhou provincial people's hospital,Guiyang,China.
通讯作者:
通讯机构:[1]Department of Urology,Institute of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,China.[*1]Department of Urology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China.
推荐引用方式(GB/T 7714):
Kehua Jiang,Kun Tang,Haoran Liu,et al.Ascorbic Acid Supplements and Kidney Stones Incidence Among Men and Women: A systematic review and meta-analysis.[J].Urology journal.2019,16(2):115-120.doi:10.22037/uj.v0i0.4275.
APA:
Kehua Jiang,Kun Tang,Haoran Liu,Hua Xu,Zhangqun Ye&Zhiqiang Chen.(2019).Ascorbic Acid Supplements and Kidney Stones Incidence Among Men and Women: A systematic review and meta-analysis..Urology journal,16,(2)
MLA:
Kehua Jiang,et al."Ascorbic Acid Supplements and Kidney Stones Incidence Among Men and Women: A systematic review and meta-analysis.".Urology journal 16..2(2019):115-120