nach oben

08.08.2023 | Original Article

Prevalence of urolithiasis among adults in the PERSIAN Guilan cohort study

verfasst von: Ardalan Akhavan, Farahnaz Joukar, Saman Maroufizadeh, Niloofar Faraji, Tahereh Zeinali, Masoud Khosravi, Mohaddeseh Gholami, Alireza Mansour-Ghanaei, Mohammadreza Naghipour, Fariborz Mansour-Ghanaei

Erschienen in: Journal of Public Health

Einloggen, um Zugang zu erhalten

Abstract

Objective

Kidney stone disease (urolithiasis) leads to severe health-related problems such as flank pain in patients, and it has seen increasing prevalence and incidence in the past few decades. In this regard, we aimed to study the epidemiology of urolithiasis and the associated demographic factors in the Prospective Epidemiological Research Studies of Iranian Adults (PERSIAN) Guilan cohort study (PGCS) population.

Methods

This cross-sectional study was conducted from 2014 to 2017, and the population consisted of 10,520 individuals aged 35–70 years in the PGCS (Sowme'e Sara, Guilan, Iran). Demographic data and clinical characteristics of the participants, including age, gender, educational level, employment status, history of smoking and hookah, alcohol and opium consumption, the metabolic equivalent of task (MET), habitat, marital status, body mass index (BMI), and history of hypertension and type 2 diabetes mellitus (T2DM) were recorded.

Results

The prevalence of urolithiasis was 15.6%, and the majority of cases were men (18.5% vs 13.1%). Adjusted analysis showed that male gender, marriage, widowed, divorced, rural residency, higher BMI, hookah smoking, hypertension, and T2DM were significantly associated with a higher risk of urolithiasis (P < 0.005). By contrast, alcohol consumption was significantly associated with a lower risk of urolithiasis (OR 0.76, CI 95% 0.63–0.91, P = 0.03).

Conclusion

According to our results, urolithiasis is more prevalent in men, people with high BMI, rural residents, and smokers. Also, the higher reported prevalence of urolithiasis among the study population compared to other regions of Iran may represent the effect of lifestyle on the incidence of kidney stones.

Abu-Ghanem Y, Kleinmann N, Winkler HZ, Zilberman DE (2016) Nephrolithiasis in Israel: epidemiological characteristics of return patients in a tertiary care center. Isr Med Assoc J 18:725–728PubMed

Alelign T, Petros B (2018) Kidney Stone Disease: An Update on Current Concepts. Adv Urol 2018:3068365. https://doi.org/10.1155/2018/3068365CrossRefPubMedPubMedCentral

Baatiah NY, Alhazmi RB, Albathi FA, et al (2020) Urolithiasis: prevalence, risk factors, and public awareness regarding dietary and lifestyle habits in Jeddah, Saudi Arabia in 2017. Urol Ann 12:57–62

Bae SR, Seong J-M, Kim LY et al (2014) The epidemiology of reno-ureteral stone disease in Koreans: a nationwide population-based study. Urolithiasis 42:109–114. https://doi.org/10.1007/s00240-014-0643-6CrossRefPubMed

Basiri A, Shakhssalim N, Khoshdel AR et al (2010) The demographic profile of urolithiasis in Iran: a nationwide epidemiologic study. Int Urol Nephrol 42:119–126. https://doi.org/10.1007/s11255-009-9588-zCrossRefPubMed

Basiri A, Shakh Salim N, Khoushdel AR et al (2011) Drinking water composition and incidence of urinary calculus: introducing a new index. Iran J KIDNEY Dis 5:15–20PubMed

Boarin M, Villa G, Capuzzi C et al (2018) Dietary and lifestyle recommendations for urolithiasis prevention: a systematic literature review. Int J Urol Nurs 12:53–70CrossRef

Cicerello E, Mangano MS, Cova G, Ciaccia M (2021) Changing in gender prevalence of nephrolithiasis. Urol J 88:90–93CrossRef

Edvardsson VO, Indridason OS, Haraldsson G et al (2013) Temporal trends in the incidence of kidney stone disease. Kidney Int 83:146–152. https://doi.org/10.1038/ki.2012.320CrossRefPubMed

Farshid S, Aghdashi A, Fallahi H et al (2020) Evaluation of osteoporosis frequency in patients with recurrent kidney stones. Acta Med Iran:494–499

Fouladi N, Alimohamadi H, Hosenkhani A et al (2012) Relationship between types of urinary tract stones and it's probably risk factors in patients referred to therapeutic-surgery centers in Ardabil City. J Ardabil Univ Med Sci 12:59–67

Huang W-Y, Chen Y-F, Carter S et al (2013) Epidemiology of upper urinary tract stone disease in a Taiwanese population: a nationwide, population based study. J Urol 189:2158–2163CrossRefPubMed

Khalili P, Jamali Z, Sadeghi T et al (2021) Risk factors of kidney stone disease: a cross-sectional study in the southeast of Iran. BMC Urol 21:141. https://doi.org/10.1186/s12894-021-00905-5CrossRefPubMedPubMedCentral

Luo H, Turner LR, Hurst C et al (2014) Exposure to ambient heat and urolithiasis among outdoor workers in Guangzhou, China. Sci Total Environ 472:1130–1136CrossRefPubMed

Mansour-Ghanaei F, Joukar F, Naghipour MR et al (2019) The PERSIAN Guilan Cohort Study (PGCS). Arch Iran Med 22:39–45PubMed

Nouri AI, Hassali MA (2018) Assessment of kidney stone disease prevalence in a teaching hospital. African J Urol 24:180–185. https://doi.org/10.1016/j.afju.2018.05.003CrossRef

Pourmand G, Pourmand B (2012) Epidemiology of stone disease in Iran. In: Urolithiasis. Springer, pp 85–87

Poustchi H, Eghtesad S, Kamangar F et al (2018) Prospective Epidemiological Research Studies in Iran (the PERSIAN Cohort Study): rationale, objectives, and design. Am J Epidemiol 187:647–655. https://doi.org/10.1093/aje/kwx314CrossRefPubMed

Rafiei H, Malekpoor F, Amiri M, Madiseh MR (2014) Kidney stone development among older adults in Iran. J Indian Acad Geriatr 10:10–13

Rule AD, Bergstralh EJ, Melton LJ 3rd et al (2009) Kidney stones and the risk for chronic kidney disease. Clin J Am Soc Nephrol 4:804–811. https://doi.org/10.2215/CJN.05811108CrossRefPubMedPubMedCentral

Safarinejad MR (2007) Adult urolithiasis in a population-based study in Iran: prevalence, incidence, and associated risk factors. Urol Res 35:73–82CrossRefPubMed

Scales CDJ, Smith AC, Hanley JM, Saigal CS (2012) Prevalence of kidney stones in the United States. Eur Urol 62:160–165. https://doi.org/10.1016/j.eururo.2012.03.052CrossRefPubMedPubMedCentral

Shirazi F, Shahpourian F, Khachian A et al (2010) The relationship of epidemiologic AND demographic factors with urinary stones. Iran J Nurs 23:73–80

Sorokin I, Mamoulakis C, Miyazawa K et al (2017) Epidemiology of stone disease across the world. World J Urol 35:1301–1320CrossRefPubMed

Taylor EN, Stampfer MJ, Curhan GC (2005a) Obesity, weight gain, and the risk of kidney stones. JAMA 293:455–462. https://doi.org/10.1001/jama.293.4.455CrossRefPubMed

Taylor EN, Stampfer MJ, Curhan GC (2005b) Diabetes mellitus and the risk of nephrolithiasis. Kidney Int 68:1230–1235. https://doi.org/10.1111/j.1523-1755.2005.00516.xCrossRefPubMed

Thakore P, Liang TH (2021) Urolithiasis. In: StatPearls [Internet]. StatPearls Publishing

Venugopal V, Latha PK, Shanmugam R et al (2020) Risk of kidney stone among workers exposed to high occupational heat stress-A case study from southern Indian steel industry. Sci Total Environ 722:137619CrossRefPubMed

Wang K, Ge J, Han W et al (2022) Risk factors for kidney stone disease recurrence: a comprehensive meta-analysis. BMC Urol 22:62. https://doi.org/10.1186/s12894-022-01017-4CrossRefPubMedPubMedCentral

Zhu C, Wang D-Q, Zi H et al (2021) Epidemiological trends of urinary tract infections, urolithiasis and benign prostatic hyperplasia in 203 countries and territories from 1990 to 2019. Mil Med Res 8:64. https://doi.org/10.1186/s40779-021-00359-8CrossRefPubMedPubMedCentral

Zisman AL, Evan AP, Coe FL, Worcester EM (2015) Do kidney stone formers have a kidney disease? Kidney Int 88:1240–1249. https://doi.org/10.1038/ki.2015.254CrossRefPubMedPubMedCentral

Titel: Prevalence of urolithiasis among adults in the PERSIAN Guilan cohort study
verfasst von: Ardalan Akhavan
Farahnaz Joukar
Saman Maroufizadeh
Niloofar Faraji
Tahereh Zeinali
Masoud Khosravi
Mohaddeseh Gholami
Alireza Mansour-Ghanaei
Mohammadreza Naghipour
Fariborz Mansour-Ghanaei
Publikationsdatum: 08.08.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Journal of Public Health
Print ISSN: 2198-1833
Elektronische ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-023-02039-4