Table 3.
Relative risk of incident kidney stones in men < 60 years of age (HPFS) and women (NHS I and NHS II) by quintile of dairy calcium intake.
Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | P for trend | |
---|---|---|---|---|---|---|
HPFS | ||||||
Quintile median* (mg/day) | 151 | 272 | 385 | 528 | 839 | |
Cases | 252 | 261 | 214 | 216 | 190 | |
Person-years | 61,397 | 64,447 | 62,981 | 62,671 | 60,048 | |
Age-adjusted RR (95% CI) | 1.0 | 0.98 (0.82–1.16) | 0.82 (0.69–0.99) | 0.83 (0.70–1.00) | 0.77 (0.64–0.93) | 0.002 |
Multivariate RR+ (95% CI) | 1.0 | 0.95 (0.79–1.13) | 0.79 (0.66–0.95) | 0.80 (0.67–0.97) | 0.77 (0.63–0.95) | 0.01 |
NHS I | ||||||
Quintile median* (mg/day) | 143 | 266 | 377 | 523 | 816 | |
Cases | 400 | 411 | 351 | 363 | 281 | |
Person-years | 284,583 | 287,508 | 289,352 | 289,877 | 290,242 | |
Age-adjusted RR (95% CI) | 1.0 | 1.01 (0.88–1.16) | 0.86 (0.75–1.00) | 0.89 (0.77–1.03) | 0.70 (0.60–0.82) | <0.001 |
Multivariate RR+ (95% CI) | 1.0 | 1.02 (0.89–1.18) | 0.91 (0.78–1.05) | 0.97 (0.84–1.13) | 0.83 (0.69–0.99) | 0.05 |
NHS II | ||||||
Quintile median* (mg/day) | 181 | 319 | 446 | 615 | 937 | |
Cases | 559 | 500 | 443 | 444 | 385 | |
Person-years | 254,554 | 256,792 | 258,225 | 259,369 | 260,835 | |
Age-adjusted RR (95% CI) | 1.0 | 0.89 (0.79–1.01) | 0.79 (0.70–0.89) | 0.79 (0.69–0.89) | 0.68 (0.60–0.77) | <0.001 |
Multivariate RR+ (95% CI) | 1.0 | 0.91 (0.81–1.03) | 0.83 (0.73–0.95) | 0.85 (0.74–0.97) | 0.76 (0.65–0.88) | 0.001 |
For illustrative purposes, dairy calcium values were derived from responses to the 1994 (men and older women) and 1995 (younger women) dietary questionnaires. Updated period-specific values were used in the prospective analyses.
+Results are adjusted for age, BMI (six categories), history of diabetes, history of hypertension, use of thiazide diuretics (yes or no), family history of kidney stones (yes or no; HPFS and NHS II), fluid intake (in quintiles), alcohol use (seven categories), calcium supplement use (four categories), and intakes of non-dairy dietary calcium, animal protein, potassium, sodium, vitamin C, sodium, oxalate, magnesium, and caffeine (all in quintiles).
HPFS: Health Professionals Follow-up Study
NHS: Nurses’ Health Study