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The Associations Between Tea and Coffee Drinking and Risk of Calcium-Oxalate Renal Stones

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Abstract

Findings regarding the association between tea and coffee consumption and oxalate-calcium stone are sparse and uncertain. The purpose of this study was to investigate the relations of tea and coffee with the risk of calcium oxalate stone formation. A total sample of 215 newly diagnosed patients with calcium oxalate stones and 215 controls matched for sex and age were recruited. Dietary intake of participants was assessed using a validated food frequency questionnaire over the preceding year and participants were asked to determine how many glasses of tea and cups of coffee they usually use. The associations between tea and coffee and kidney stone were examined using multivariable logistic regression. Compared with controls, cases had greater intake of tea (2.18±0.76 vs. 1.82±0.79 glasses/d) but lower intake of coffee (1.18±0.38 vs. 1.26±0.44 cups/week). After adjustment for potential confounders, compared with those who drank <2 glasses of tea/d, individuals with tea consumption of ≥4 glasses/d had greater risk for having calcium oxalate stone (OR= 2.73; 95 % CI: 1.50, 4.99). In the crude model, compared with coffee consumption for <1 cup/week, consumption of ≥1 cup/week was associated with a 38 % decrease in the risk of calcium oxalate stone. However, adjustment for potential confounders disappeared the significance (OR=0.81; 95 % CI: 0.48, 1.35). These results suggest that while high consumption of tea is associated with increased risk of calcium oxalate kidney stone, coffee drinking is not pertinent. However, due to low consumption of coffee in this population, our results should be interpreted cautiously.

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Data Availability

The datasets analyzed during the current study are available from the corresponding author on reasonable request.

Code Availability

Not Applicable.

Abbreviations

ANCOVA:

“Analysis of covariance” is a general linear model which evaluates whether the means of a dependent variable are equal across levels of a categorical independent variable while statistically controlling for the effects of other continuous variables

ANOVA:

“Analysis of variance” is a collection of statistical models and their associated estimation procedures used to analyze the differences among means

BMI:

“Body mass index” is defined as the body mass divided by the square of the body height and is intended to quantify tissue mass

FFQ:

“Food frequency questionnaire” is a dietary assessment tool delivered as a questionnaire to estimate frequency and portion size information about food and beverage consumption over a specified period of time

IPAQ:

“International physical activity questionnaire” is a 27-item self-reported measure of physical activity

Met:

“Metabolic equivalent of task” is the objective measure of the ratio of the rate at which a person expends energy

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Acknowledgements

The authors would like to extend their gratitude and acknowledgements to all study participants and study team members for their time and energy spent on this project.

Funding

This work was supported by Electronic Health and Statistics Surveillance Research Center, Science and Research Branch. Islamic Azad University.

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Authors and Affiliations

Authors

Contributions

FH and BA contributed to conception and analysis. BA and RS contributed to the study design and data collection. FH and RS contributed to manuscript draft. BA contributed to data interpretation and supervised the study. All authors approved the final manuscript for submission.

Corresponding author

Correspondence to Behnood Abbasi.

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Ethics Approval

Ethical approval (IR.IAU.SRB.REC.1398.146) was obtained from Iran National Committee for Ethics in Biomedical Research.

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All patients provided written informed consent.

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Patients signed informed consent regarding publishing their data.

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The authors report no conflict of interests.

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Haghighatdoost, F., Sadeghian, R. & Abbasi, B. The Associations Between Tea and Coffee Drinking and Risk of Calcium-Oxalate Renal Stones. Plant Foods Hum Nutr 76, 516–522 (2021). https://doi.org/10.1007/s11130-021-00933-4

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