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Prevalence and Risk Factors of Urolithiasis Among the Population of Hail, Saudi Arabia
Akram A Bokhari1, Hadi A Aldarwish2, Saleh A Alsanea2
1Urology, University of Hail College of Medicine, Hail, SAU.
Insights
Urolithiasis (kidney stones) is common in Hail, Saudi Arabia. Key risk factors include older age, male gender, low education, diabetes, hypertension, and family history.
Area of Science:
- Urology and Public Health
Background:
- Urolithiasis, or the formation of urinary stones, is a significant global health issue with severe potential complications.
- Risk factors include age, gender, diet, physical activity, and comorbidities like diabetes and hypertension.
- High temperatures and specific demographics, such as middle-aged men in hot climates like Saudi Arabia, are strongly linked to increased risk.
Purpose of the Study:
- To investigate the prevalence of urolithiasis in Hail, Saudi Arabia.
- To identify non-nutritional risk factors associated with urolithiasis in this population.
Main Methods:
- A cross-sectional study utilizing an electronic questionnaire administered to residents of Hail, Saudi Arabia.
- Data collected included demographic information, medical history, and self-reported urolithiasis status.
- Statistical analysis was performed using SPSS version 22.
Main Results:
- The study included 1150 participants (mean age 26.3 ± 12.8 years; 50.9% male).
- A prevalence of 13.7% (158 participants) was found for urolithiasis.
- Significant risk factors identified were increased age, male gender, low education, diabetes, hypertension, hyperthyroidism, and a family history of renal stones.
Conclusions:
- The Hail region exhibits a high prevalence of urolithiasis.
- Several non-nutritional factors, including demographic and medical conditions, are significantly associated with urolithiasis.
- Public health awareness campaigns focusing on identified risk factors are recommended, alongside further research into non-nutritional risk factors.
Abstract:
Background Urolithiasis is the formation of calculi in the urinary system. It is a public health concern worldwide that can lead to serious long-term consequences. Age, gender, dietary habits, and physical activity levels are all factors that increase the risk of urolithiasis formation. Furthermore, the presence of comorbid medical conditions such as diabetes and hypertension are other major risk factors. Among the most prominent determinants that raise the likelihood of acquiring urolithiasis is exposure to high temperatures, especially in middle-aged men. Consequently, Saudi residents are two and a half times more prone than the global average to develop urolithiasis, especially those in the Kingdom's hottest regions. Methodology This cross-sectional study assessed the self-reported prevalence and non-nutritional risk factors of urolithiasis among the population of Hail, Saudi Arabia, through an electronic questionnaire. The questionnaire contained 16 questions divided into three categories. Participants' permission was obtained before completing the questionnaire. The Statistical Package for Social Sciences (SPSS) version 22 (IBM Corp., Armonk, NY, USA) was used to analyze the data. Results Of the 1150 participants with a mean age of 26.3 ± 12.8 years old, nearly half were males (50.9%). Urolithiasis was detected among 158 (13.7%) participants. The following factors showed significant relation with having urolithiasis: increased age, male gender, a low level of education, diabetes, hypertension, and hyperthyroidism. A family history of renal stones was also associated with double the risk of having urolithiasis. Conclusion The results showed a high prevalence of urolithiasis in the Hail region, with many risk factors associated with it. It is important to support and promote awareness campaigns that address the critical risk factors of urolithiasis. Further studies should be conducted to arrive at a better understanding of the association between non-nutritional risk factors and developing urolithiasis.
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