Khalkhal Faculty of Medical Sciences, Khalkhal, Iran
Abstract: (72 Views)
Background & objectives:The crisis of access to adequate and hygienic water resources, alongside unhealthy lifestyles, plays a significant role in the prevalence of various urinary stone-related diseases. The daily water intake and the compounds present in water sources can impact urinary elements and kidney stone formation. However, discrepancies have been noted in various studies. Therefore, this study aims to investigate the concentration of microelements in urinary stones and the blood of residents of Ardabil province and its correlation with different water sources. Methods:This case-control study involved 40 cases and 40 controls, comprising individuals with urinary stones who consumed water from various sources in Ardabil city. The study analyzed various water sources, including mineral water, tap water, river water, dam water, well water, spring water, and filtered water, in terms of trace element concentrations (Strontium, Vanadium, Sodium, and Potassium) and their association with urinary stone formation. Additionally, the physicochemical characteristics of water sources such as pH, turbidity, residual chlorine, total dissolved solids (TDS), and electrical conductivity (EC) were examined. Minor elements were measured using an ICP-MS device. Data analysis utilized SPSS version 22 software and ANOVA and Tukey statistical tests. Results:The study findings revealed a significant difference in the concentration of sodium in the blood based on the types of water sources consumed (p<0.05). Individuals who used filtered water exhibited higher sodium levels in their blood compared to those using tap water. No notable differences were observed in the concentration of other minor elements. According to the Tukey test results, the sodium content in filtered water exceeded that in tap water. Conclusion:This study observed significant differences in the concentrations of Sodium, Strontium, and Vanadium in urinary stones and blood based on the types of water consumed. The sodium levels in the blood of individuals using purified water were higher than those using tap water. Additionally, filtered water had higher sodium content compared to tap water. These findings suggest that the type of water consumed can influence the sodium concentration and other body compounds, aiding individuals in selecting water sources or obtaining water purification devices based on their health conditions.
Type of Study: Research |
Subject: General Received: 2024/09/15 | Accepted: 2024/07/31 | Published: 2024/07/31
References
1. Ungureanu N, Vlăduț V, Voicu G. Water scarcity and wastewater reuse in crop irrigation. Sustainability. 2020;12(21):9055. [DOI:10.3390/su12219055]
2. Bancessi A, Catarino L, José Silva M, Ferreira A, Duarte E, Nazareth T. Quality assessment of three types of drinking water sources in Guinea-Bissau. International journal of environmental research and public health. 2020;17(19):7254. [DOI:10.3390/ijerph17197254]
3. Li P, Wu J. Drinking water quality and public health. Exposure and Health. 2019;11(2):73-9. [DOI:10.1007/s12403-019-00299-8]
4. Sulaiman SK, Enakshee J, Traxer O, Somani BK. Which type of water is recommended for patients with stone disease (hard or soft water, tap or bottled water): Evidence from a systematic review over the last 3 decades. Current Urology Reports. 2020;21(3):1-8. [DOI:10.1007/s11934-020-0968-3]
5. Kim SA, Moore LV, Galuska D, Wright AP, Harris D, Grummer-Strawn LM, et al. Vital signs: fruit and vegetable intake among children-United States, 2003-2010. MMWR Morbidity and mortality weekly report. 2014;63(31):671.
6. Ticinesi A, Nouvenne A, Chiussi G, Castaldo G, Guerra A, Meschi T. Calcium oxalate nephrolithiasis and gut microbiota: Not just a gut-kidney axis. A nutritional perspective. Nutrients. 2020;12(2):548. [DOI:10.3390/nu12020548]
7. Ticinesi A, Nouvenne A, Borghi L, Meschi T. Water and other fluids in nephrolithiasis: state of the art and future challenges. Critical reviews in food science and nutrition. 2017;57(5):963-74. [DOI:10.1080/10408398.2014.964355]
8. Ferraro PM, Taylor EN, Gambaro G, Curhan GC. Soda and other beverages and the risk of kidney stones. Clinical Journal of the American Society of Nephrology. 2013;8(8):1389-95. [DOI:10.2215/CJN.11661112]
9. Gambaro G, Croppi E, Coe F, Lingeman J, Moe O, Worcester E, et al. Metabolic diagnosis and medical prevention of calcium nephrolithiasis and its systemic manifestations: a consensus statement. Journal of nephrology. 2016;29(6):715-34. [DOI:10.1007/s40620-016-0329-y]
10. Yen Y, Cheng B, Chan C, Lin C, Chen H. Heavy metal components in blood and urinary stones of urolithiasis patients. Biological trace element research. 2018;185:266-74. [DOI:10.1007/s12011-018-1253-x]
11. Zhang D, Li S, Zhang Z, Li N, Yuan X, Jia Z, et al. Urinary stone composition analysis and clinical characterization of 1520 patients in central China. Scientific reports. 2021;11(1):6467. [DOI:10.1038/s41598-021-85723-3]
12. Dias MF, Reis MP, Acurcio LB, Carmo AO, Diamantino CF, Motta AM, et al. Changes in mouse gut bacterial community in response to different types of drinking water. Water research. 2018;132:79-89. [DOI:10.1016/j.watres.2017.12.052]
13. Murakami S, Goto Y, Ito K, Hayasaka S, Kurihara S, Soga T, et al. The consumption of bicarbonate-rich mineral water improves glycemic control. Evidence-Based Complementary and Alternative Medicine. 2015;2015. [DOI:10.1155/2015/824395]
14. Hansen TH, Thomassen MT, Madsen ML, Kern T, Bak EG, Kashani A, et al. The effect of drinking water pH on the human gut microbiota and glucose regulation: results of a randomized controlled cross-over intervention. Scientific reports. 2018;8(1):1-12. [DOI:10.1038/s41598-018-34761-5]
15. Barghouthy Y, Corrales M, Somani B. The Relationship between Modern Fad Diets and Kidney Stone Disease: A Systematic Review of Literature. Nutrients. 2021;13(12):4270. [DOI:10.3390/nu13124270]
16. Cheungpasitporn W, Thongprayoon C, Mao MA, Kittanamongkolchai W, Sathick IJJ, Dhondup T, et al. Incidence of kidney stones in kidney transplant recipients: a systematic review and meta-analysis. World Journal of Transplantation. 2016;6(4):790. [DOI:10.5500/wjt.v6.i4.790]
17. Han H, Segal AM, Seifter JL, Dwyer JT. Nutritional management of kidney stones (nephrolithiasis). Clinical nutrition research. 2015;4(3):137-52. [DOI:10.7762/cnr.2015.4.3.137]
18. Yen Y, Cheng B, Chan C, Lin C, Chen H. Heavy metal components in blood and urinary stones of urolithiasis patients. Biological trace element research. 2018;185(2):266-74. [DOI:10.1007/s12011-018-1253-x]
19. Zhao Q, Wang Y, Cao Y, Chen A, Ren M, Ge Y, et al. Potential health risks of heavy metals in cultivated topsoil and grain, including correlations with human primary liver, lung and gastric cancer, in Anhui province, Eastern China. Science of the Total Environment. 2014;470:340-7. [DOI:10.1016/j.scitotenv.2013.09.086]
20. Chewcharat A, Curhan G. Trends in the prevalence of kidney stones in the United States from 2007 to 2016. Urolithiasis. 2021;49(1):27-39. [DOI:10.1007/s00240-020-01210-w]
21. Dhondup T, Kittanamongkolchai W, Vaughan LE, Mehta RA, Chhina JK, Enders FT, et al. Risk of ESRD and mortality in kidney and bladder stone formers. American Journal of Kidney Diseases. 2018;72(6):790-7. [DOI:10.1053/j.ajkd.2018.06.012]
22. Nishijima T, Hamada Y, Watanabe K, Komatsu H, Kinai E, Tsukada K, et al. Ritonavir-boosted darunavir is rarely associated with nephrolithiasis compared with ritonavir-boosted atazanavir in HIV-infected patients. PLoS One. 2013;8(10):e77268. [DOI:10.1371/journal.pone.0077268]
23. Fan Q, Gong S, Hong X, Feng X, Zhang F. Clinical-grade Garcinia cambogia extract dissolves calcium oxalate crystals in Drosophila kidney stone models. Eur Rev Med Pharmacol Sci. 2020;24:6434-45.
24. Hsi RS, Yan PL, Crivelli JJ, Goldfarb DS, Shahinian V, Hollingsworth JM. Comparison of Selective vs Empiric Pharmacologic Preventive Therapy of Kidney Stone Recurrence With High-Risk Features. Urology. 2022. [DOI:10.1016/j.urology.2021.12.037]
25. Mitra P, Pal DK, Das M. Does quality of drinking water matter in kidney stone disease: A study in West Bengal, India. Investigative and clinical urology. 2018;59(3):158-65. [DOI:10.4111/icu.2018.59.3.158]
27. Tasian GE, Ross M, Song L, Audrain-McGovern J, Wiebe D, Warner SG, et al. Ecological momentary assessment of factors associated with water intake among adolescents with kidney stone disease. The Journal of urology. 2019;201(3):606-14. [DOI:10.1016/j.juro.2018.07.064]
28. Robertson W. Dietary recommendations and treatment of patients with recurrent idiopathic calcium stone disease. Urolithiasis. 2016;44(1):9-26. [DOI:10.1007/s00240-015-0849-2]
29. Passman CM, Holmes RP, Knight J, Easter L, Pais Jr V, Assimos DG. Effect of soda consumption on urinary stone risk parameters. Journal of endourology. 2009;23(3):347-50. [DOI:10.1089/end.2008.0225]
30. Goldfarb DS. Empiric therapy for kidney stones. Urolithiasis. 2019;47(1):107-13. [DOI:10.1007/s00240-018-1090-6]
31. Konjengbam H, Meitei SY. Association of kidney stone disease with dietary factors: a review. Anthropological Review. 2020;83(1):65-73. [DOI:10.2478/anre-2020-0005]
32. D'Alessandro C, Ferraro PM, Cianchi C, Barsotti M, Gambaro G, Cupisti A. Which diet for calcium stone patients: a real-world approach to preventive care. Nutrients. 2019;11(5):1182. [DOI:10.3390/nu11051182]
33. Gul Z, Monga M. Medical and dietary therapy for kidney stone prevention. Korean Journal of urology. 2014;55(12):775-9. [DOI:10.4111/kju.2014.55.12.775]
34. Stoots SJ, Geraghty R, Kamphuis GM, Jamnadass E, Henderickx MM, Ventimiglia E, et al. Variations in the mineral content of bottled 'carbonated or sparkling'water across Europe: A comparison of 126 brands across 10 countries. Central European Journal of Urology. 2021;74(1):71. [DOI:10.5173/ceju.2021.0331.R1]
35. Akram S, Rehman F. Hardness in drinking-water, its sources, its effects on humans and its household treatment. J Chem Appl. 2018;4(1):1-4. [DOI:10.13188/2380-5021.1000009]
36. Cheungpasitporn W, Rossetti S, Friend K, Erickson SB, Lieske JC. Treatment effect, adherence, and safety of high fluid intake for the prevention of incident and recurrent kidney stones: a systematic review and meta-analysis. Journal of nephrology. 2016;29(2):211-9. [DOI:10.1007/s40620-015-0210-4]
37. Sorensen MD. Calcium intake and urinary stone disease. Translational andrology and urology. 2014;3(3):235.
38. Singh VK, Rai PK. Kidney stone analysis techniques and the role of major and trace elements on their pathogenesis: a review. Biophysical reviews. 2014;6(3):291-310. [DOI:10.1007/s12551-014-0144-4]
39. Keshavarzi B, Yavarashayeri N, Irani D, Moore F, Zarasvandi A, Salari M. Trace elements in urinary stones: a preliminary investigation in Fars province, Iran. Environmental geochemistry and health. 2015;37(2):377-89. [DOI:10.1007/s10653-014-9654-z]
40. Kuta J, Machát J, Benová D, Červenka R, Zeman J, Martinec P. Association of minor and trace elements with mineralogical constituents of urinary stones: A hard nut to crack in existing studies of urolithiasis. Environmental geochemistry and health. 2013;35(4):511-22. [DOI:10.1007/s10653-013-9511-5]
41. Al-Kazwini AT, Al-Arif MS, Abu-Mweis SS, Al-Hammouri TF. The relationship between kidney stones and dietary habits. Research and Reports in Urology. 2019;11:201. [DOI:10.2147/RRU.S211483]
42. Tsygankova A, Lundovskaya O, Aleksandrova A, Korolkov I, Filatov E, Pechkovsky E, et al., editors. Kidney stones analysis by ICP-OES. Journal of Physics: Conference Series; 2020: IOP Publishing. [DOI:10.1088/1742-6596/1611/1/012055]
43. Jadoon S, Wang J, Mahmood Q, Li X-D, Zeb BS, Naseem I, et al. Association of nephrolithiasis with drinking water quality and diet in Pakistan. Environmental Engineering & Management Journal (EEMJ). 2020;19(8). [DOI:10.30638/eemj.2020.122]
44. Walli HA, editor Assessment the relationship between kidney stone formation and river water by EDX. Journal of Physics: Conference Series; 2019: IOP Publishing. [DOI:10.1088/1742-6596/1294/7/072003]
Dargahi * A, Zandian H, Mohseni Rad H, Hosseinkhani A, Gholizadeh H, Vosoughi M. Investigation of Microelement Concentrations in the Blood and Urinary Stones of Residents of Ardabil Province and Their Relationship with Various Sources of Drinking Water. j.health 2024; 15 (2) :152-169 URL: http://healthjournal.arums.ac.ir/article-1-2897-en.html