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Published on: November 7, 2017
Kidney stone disease and risk factors for coronary heart disease
Satoshi Hamano1, Hiroomi Nakatsu, Noriyuki Suzuki
1Department of Urology, Asahi General Hospital, Asahi-city, Chiba, Japan. shammer@d3.dion.ne.jp
Insights
Coronary heart disease (CHD) risk factors like smoking, hypertension, and high cholesterol are linked to calcium oxalate (CaOX) kidney stones. Managing these risk factors may help prevent CaOX stone formation.
Area of Science:
- Nephrology
- Cardiology
- Epidemiology
Background:
- Investigated the association between coronary heart disease (CHD) risk factors and calcium oxalate (CaOX) kidney stone formation.
- Utilized a case-control study design to compare stone formers with a control group.
Purpose of the Study:
- To determine the impact of common CHD risk factors on the prevalence of CaOX stone disease.
- To identify specific risk factors that significantly correlate with CaOX stone formation.
Main Methods:
- Collected data on body mass index (BMI), alcohol consumption, smoking, hypertension, hypercholesterolemia, diabetes mellitus, and hyperuricemia.
- Analyzed data from 181 CaOX stone formers and 187 controls using univariate and multivariate logistic regression.
Main Results:
- A history of CHD was more prevalent in CaOX stone formers (3.9%) than in controls (0%, P = 0.007).
- Smoking habit (OR 4.29), hypertension (OR 3.57), and hypercholesterolemia (OR 2.74) were significant independent predictors of CaOX stone formation in multivariate analysis.
- BMI did not reach statistical significance in the multivariate model (P = 0.09).
Conclusions:
- CaOX stone formers exhibit a significant association with several CHD risk factors.
- Smoking, hypertension, and hypercholesterolemia are key modifiable risk factors linked to CaOX stone disease.
- These findings suggest potential benefits of managing cardiovascular risk factors for kidney stone prevention.
Background:
We conducted a case-control study to examine the impact of coronal heart disease (CHD) risk factors on calcium oxalate (CaOX) stone formation.
Methods:
Variables included body mass index (BMI), current alcohol use, smoking habit, hypertension, hypercholesterolemia, diabetes mellitus, and hyperuricemia. Data suf fi cient for analysis were obtained for 181 CaOX stone formers and 187 controls.
Results:
Seven of 181 stone formers (3.9%) had a history of CHD compared with none of 187 control subjects (P = 0.007). In univariate logistic regression analysis, smoking habit (OR 4.41, 95% CI 2.85-6.84, P < 0.0001), hypertension (OR 4.24, 95% CI 2.61-6.91, P < 0.0001), hypercholesterolemia (OR 3.03, 95% CI 1.77-5.20, P < 0.0001) and BMI (OR 1.10, 95% CI 1.04-1.17, P = 0.007) reached statistical signi fi cance. In a multivariate logistic regression analysis, smoking habit (OR 4.29, 95% CI 2.68-6.86, P < 0.0001), hypertension (OR 3.57, 95% CI 2.11-6.07, P < 0.0001), and hypercholesterolemia (OR 2.74, 95% CI 1.51-5.00, P = 0.001) reached statistical signi fi cance, while BMI (OR 1.06, 95% CI 0.99-1.12, P = 0.09) did not.
Conclusions:
CaOX stone formers are signi fi cantly associated with several CHD risk factors, including smoking habit, hypertension, hypercholesterolemia, and obesity.
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