Association Between Body Fat Mass and Kidney Stones in US Adults: Analysis of the National Health and Nutrition Examination Survey 2011–2018

Abufaraj, Mohammad; Siyam, Abdelmuez; Xu, Tianlin; Imm, Kellie; Cao, Chao; Waldoer, Thomas; Schernhammer, Eva; Shariat, Shahrokh F.; Yang, Lin

doi:10.1016/j.euf.2021.03.010

Cited by 16 publications

(19 citation statements)

References 25 publications

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“…The total number of in-hospital procedures for all upper tract urolithiasis increased from 70,099 cases in 2006 to 94,815 cases in 2019 and we observed a strong trend towards endoscopic or percutaneous procedures. This increase in surgical interventions is most likely attributed to an increased life-time prevalence of urinary tract stones due to a higher prevalence of metabolic disorders in the population (obesity, metabolic syndrome, type 2 diabetes mellitus) and also, due to fact that with the widespread use of computed tomography (CT) more asymptomatic upper tract urinary calculi are being diagnosed [ 12 , 13 ].…”

Section: Discussionmentioning

confidence: 99%

Contemporary treatment trends for upper urinary tract stones in a total population analysis in Germany from 2006 to 2019: will shock wave lithotripsy become extinct?

et al. 2021

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Purpose To describe the change in upper urinary tract stone management in Germany over a 14-year period. Methods Using remote data processing we analyzed the nationwide German billing data from 2006 to 2019. To analyze the clinics’ case numbers and regional trends, we used the reimbursement.INFO tool based on standardized quality reports of all German hospitals. To also cover shock wave lithotripsy (SWL) as an outpatient procedure, we analyzed the research database of the Institute for Applied Health Research with a representative anonymous sample of 4 million insured persons. Results The number of inpatient interventional therapies for upper tract urolithiasis in Germany increased from 70,099 cases in 2006 to 94,815 cases in 2019 (trend p < 0.0001). In-hospital SWL declined from 41,687 cases in 2006 to 10,724 cases in 2019 (decline of 74%; trend p < 0.0001). The percentage of SWL as an outpatient procedure increased between 2013 and 2018 from 36 to 46% of all performed SWL, while total SWL case numbers declined. Contrarily, the number of ureteroscopies increased from 32,203 cases in 2006 to 78,125 cases in 2019 (increase of 143%; trend p < 0.0001). The number of percutaneous nephrolithotomy also increased from 1673 cases in 2006 to 8937 in 2019 (increase of 434%; trend p < 0.0001). Conclusion We observed an increase in interventional therapy for upper tract urolithiasis in Germany with a dramatic shift from SWL to endoscopic/percutaneous treatment. These changes may be attributed to enormous technological advances of the endoscopic armamentarium and to reimbursement issues.

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Section: Discussionmentioning

confidence: 99%

Contemporary treatment trends for upper urinary tract stones in a total population analysis in Germany from 2006 to 2019: will shock wave lithotripsy become extinct?

et al. 2021

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“…Third, history of GDM and kidney stones were self-reported, and previous medical records about GDM are not available in the NHANES. However, these data from NHANES are considered to be valid and have been widely used in epidemiological studies ( 16 , 17 , 29 , 30 ), and misclassification of patients with undiagnosed GDM and kidney stones as controls would have biased the study results toward the null.…”

Section: Discussionmentioning

confidence: 99%

Association Between Gestational Diabetes Mellitus and Future Risk of Kidney Stones

Mao

Hu²,

Liu

et al. 2022

Front. Public Health

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ObjectiveThe association between history of gestational diabetes mellitus (GDM) and risk of kidney stones has not been reported. GDM increases the risk of long-term complications including diabetes, hypertension and metabolic syndrome, which are risk factors of kidney stones. This study aimed to explore the association between previous GDM and odds of kidney stones.MethodsWomen (age ≥ 20 years) who had delivered at least one live birth were included from the 2007–2018 National Health and Nutrition Examination Survey cohort (N = 12,003). Patients with kidney stones and history of GDM were identified by in-home interview for all participants. Subgroup analyses were conducted by age, race/ethnicity, postpartum duration and status of hypertension, obesity, current diabetes and metabolic syndrome.ResultsPrevious GDM was positively associated with odds of kidney stones [multivariate-adjusted odds ratio (95% confidence interval): 1.41 (1.13–1.77)], and the association was stronger with odds of passing 2 or more times of kidney stones [1.72 (1.31–2.26)]. In subgroup analyses, the association between previous GDM and odds of kidney stones was significant in women within 15 years of a pregnancy complicated by GDM [1.54 (1.12–2.11)], in obese participants [1.56 (1.18–2.06)], in women without hypertension [1.49 (1.07–2.08)], current diabetes [1.38 (1.02–1.87)] and metabolic syndrome [1.56 (1.10–2.19)], in women of Non-Hispanic White [1.59 (1.15–2.18)] and in women aged more than 50 year [1.45 (1.02–2.07)].ConclusionsPrevious GDM was positively associated with odds of kidney stones, and the association was independent of type 2 diabetes, hypertension and metabolic syndrome.

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“…Metabolic syndrome, characterized by various metabolic disorders in the body, can increase urinary calcium, uric acid, and oxalate excretion, and reduce urinary citrate excretion, leading to the formation of calcium oxalate and uric acid stones ( 25 – 27 ). Obesity is often a manifestation of abnormal lipid metabolism in the body, and a higher proportion of fat is positively associated with a higher risk of kidney stones in both men and women ( 28 , 29 ). At the same time, different lipoprotein levels in the body affect different stone types, such as the significant prevalence of uric acid stones caused by high-density lipoprotein and triglyceride levels ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

Association between visceral adiposity index and kidney stones in American adults: A cross-sectional analysis of NHANES 2007–2018

et al. 2022

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ObjectiveTo explore the association between Visceral Adiposity Index (VAI) and kidney stones in an American adult population.Materials and methodsNational Health and Nutrition Examination Survey (NHANES) datasets from 2007 to 2018 were used. Participants aged ≥20 years who reported kidney stone history and VAI were included. Weighted proportions, multivariable analysis, generalized additive model (GAM), and spline smoothing were used to evaluate the associations between VAI and kidney stones by adjusting gender, age, race, education, marital status, poverty income ratio, smoking, alcohol, high blood pressure, diabetes, congestive heart failure, cancer, vigorous activity, moderate activity, HEI2015 total score, and energy.ResultsTotally 13,871 American adults were included. All the participants were divided by the VAI into four groups according to the quartile: Q1 (11.96–42.89), Q2 (42.90–74.45), Q3 (74.45–131.43), and Q4 (131.45–611.34). The mean ± standard deviation of the VAI in the four groups were Q1 (29.07 ± 8.22), Q2 (57.53 ± 8.81), Q3 (99.52 ± 16.25), and Q4 (225.92 ± 95.83). In the fully adjusted multivariable model, VAI was positively correlated with urolithiasis [odds ratio (OR) = 1.001; 95% confidence interval (CI) 1.000–1.001]. Compared with the first quartile of VAI, the population in the fourth quartile of VAI had a higher prevalence of kidney stones (OR = 1.329; 95% CI 1.104–1.600). Subgroup analysis detected no significant interaction effect after adjusting for covariates.ConclusionThe value of VAI is positively correlated with the prevalence of kidney stones, which suggest VAI can be used to assess the potential risk of the prevalence of kidney stones.

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Association Between Body Fat Mass and Kidney Stones in US Adults: Analysis of the National Health and Nutrition Examination Survey 2011–2018

Cited by 16 publications

References 25 publications

Contemporary treatment trends for upper urinary tract stones in a total population analysis in Germany from 2006 to 2019: will shock wave lithotripsy become extinct?

Contemporary treatment trends for upper urinary tract stones in a total population analysis in Germany from 2006 to 2019: will shock wave lithotripsy become extinct?

Association Between Gestational Diabetes Mellitus and Future Risk of Kidney Stones

Association between visceral adiposity index and kidney stones in American adults: A cross-sectional analysis of NHANES 2007–2018

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