DIFFICULTIES IN IMPLEMENTING THE DIETARY REGIMEN IN OBESE LITHIASIC PATIENTS

Abstract

Obesity and kidney stones are two related diseases. We initiated a program that involved monitoring patients who had an episode of urinary lithiasis in the past three months and providing a personalized diet regimen adapted to the type of kidney stone. Material and methods: Of the 687 patients diagnosed with urinary lithiasis and obesity between January 2021 and February 2023, only 243 accepted a first evaluation. We enrolled 115 females and 128 males, aged between 32 and 74 years, whit a mean age of 54.51 (SD+/- 11.13). Results: Of the 243 patients who accepted the first evaluation, 49.79% (n=121) followed the recommended plan, which included a diet, drinking at least 2.5 liters of water daily, and frequent measurement of urinary pH. Of these, 34.97% (n=85) patients measured their urinary pH twice daily, while 10.69% (n=26) measured it only once in the morning. It is important to note that every patient who adhered to the dietary and urological recommendations was able to sustain an average weight reduction rate of roughly 1 kg/week. Additionally, body weight and urine pH were negatively related, with larger body weights corresponding to lower pH readings. A bodyweight surplus of less than 30 kg had no impact on lipid constants, but over this amount, the average went over the upper limit. Working with obese urolithiasis patients might be difficult, but it’s essential to get results. Conclusions: However, patients who adhered to the guidelines and the weight reduction program had positive outcomes, which encouraged us to stick with this strategy. Additionally, we discovered that no patient gained weight again throughout a time spanning from 4 months to 2 years while under intensive surveillance and counseling. This proves that our weight loss plan is successful and long-lasting.