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Updated: May 29, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

[Obesity as risk factor for lithiasic recurrence].

J Sáenz¹, A Páez, R O Alarcón

¹Servicio de Urología, Hospital de Fuenlabrada, Departamento de Cirugía Universidad Rey Juan Carlos, Madrid, España. javiersaenzmedina@yahoo.es

Actas Urologicas Espanolas

|September 30, 2011

Summary

Body Mass Index (BMI) influences urinary stone multiplicity at diagnosis but not recurrence. Further research with larger patient cohorts is needed to confirm BMI's role in preventing stone recurrence.

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Area of Science:

Urology
Nephrology
Metabolic Disorders

Context:

Obesity is a growing global health concern.
Obesity is linked to various health complications, including urinary stone disease.
Body Mass Index (BMI) is a key indicator of obesity and metabolic status.

Purpose:

To investigate the relationship between Body Mass Index (BMI) categories and urinary stone characteristics.
To compare the likelihood of urinary stone recurrence across different BMI groups.
To analyze the influence of age and gender on BMI-related lithiasic recurrence.

Summary:

This study analyzed 346 patients with urinary stones, categorizing them by BMI: low-normal weight (27.7%), overweight (43.6%), and obesity (28.6%).
While a significant linear trend was observed between higher BMI and increased stone multiplicity at diagnosis (p=0.03), stone size and composition did not differ significantly across groups.
Survival analysis of 158 patients showed no significant difference in lithiasic recurrence rates based on BMI category (p=0.86), even after multivariate analysis adjusting for age and gender.

Impact:

Findings suggest BMI is associated with the initial burden of urinary stones but not necessarily their long-term recurrence.
Highlights the need for larger-scale studies to definitively establish the role of BMI in urinary stone recurrence.
Informs clinical practice regarding risk stratification and personalized management of urinary stone disease in obese and overweight individuals.