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• W2016090102 abstract "No AccessJournal of UrologyAdult urology1 Nov 2007Ethnic Differences in Relative Risk of Idiopathic Calcium Nephrolithiasis in North Americais accompanied byDietary Oxalate and Calcium Oxalate NephrolithiasisVariability of Oxalobacter Formigenes and Oxalate in Stool Samples Andrew Mente, R. John D’A. Honey, John R. McLaughlin, Shelley B. Bull, and Alexander G. Logan Andrew MenteAndrew Mente Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada Recipient of fellowship from the Canadian Institutes of Health Research. More articles by this author , R. John D’A. HoneyR. John D’A. Honey Division of Urology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada Department of Medicine, University of Toronto, Toronto, Ontario, Canada Department of Surgery, University of Toronto, Toronto, Ontario, Canada More articles by this author , John R. McLaughlinJohn R. McLaughlin Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada More articles by this author , Shelley B. BullShelley B. Bull Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada More articles by this author , and Alexander G. LoganAlexander G. Logan Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Medicine, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada Department of Surgery, University of Toronto, Toronto, Ontario, Canada More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2007.07.024AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Data on susceptibility to kidney stone disease are sparse in individuals of nonEuropean ancestry residing in North America. We determined the relative risk of calcium nephrolithiasis among people of different ethnic backgrounds living in the same geographic region. Materials and Methods: Using a cross-sectional design 1,128 consecutive patients with idiopathic calcium nephrolithiasis 18 to 50 years old were recruited from a population based Kidney Stone Center in Toronto. Age and gender adjusted odds ratios and 95% confidence intervals were calculated by logistic regression using the 2001 Canada Census population data. Results: Compared to Europeans the relative risk of calcium nephrolithiasis was significantly higher in individuals of Arabic (OR 3.8, 2.7–5.2), West Indian (OR 2.5, 1.8–3.4), West Asian (OR 2.4, 1.7–3.4) and Latin American (OR 1.7, 1.2–2.4) origin, and significantly lower in those of East Asian (OR 0.4, 0.3–0.5) and African (OR 0.7, 0.5–0.9) background. Several ethnic groups had kidney stone risk factors that were significantly different from those of the European group including higher urinary uric acid, urea excretion and estimated protein intake, and lower urinary citrate, potassium, magnesium and phosphate excretion. However, none was consistent with the variation in relative risk of stone disease overall. Conclusions: The propensity for the development of calcium nephrolithiasis differed markedly among ethnic groups in North America. While environmental factors could not be completely ruled out, this variability may reflect the influence of genetic susceptibility because there was no dominant environmental factor to account for the differences in relative risk of stone disease. References 1 : Kidney stones: pathophysiology and medical management. Lancet2006; 367: 333. Google Scholar 2 : Time trends in reported prevalence of kidney stones in the United States: 1976–1994. Kidney Int2003; 63: 1817. Google Scholar 3 : National trend of the incidence of urolithiasis in Japan from 1965 to 1995. Kidney Int1999; 56: 1899. Google Scholar 4 : Demographic and geographic variability of kidney stones in the United States. Kidney Int1994; 46: 893. 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Link, Google Scholar 13 : Ethnic background has minimal impact on the etiology of nephrolithiasis. J Urol2005; 173: 2001. Link, Google Scholar 14 : Risk factors for urinary tract calculi in Trinidad. Trop Med Int Health2003; 8: 348. Google Scholar 15 : Trinidad Ethnicity. Knoxville: University of Tennessee Press1993. Google Scholar 16 : Regional variation in nephrolithiasis incidence and prevalence among United States men. J Urol1994; 151: 838. Link, Google Scholar 17 : Obesity, weight gain, and the risk of kidney stones. JAMA2005; 293: 455. Google Scholar 18 : Composition of urinary calculi collected in the Durban area. S Afr Med J1982; 61: 121. Google Scholar 19 : Spectrum of stone composition: structural analysis of 1050 upper urinary tract calculi from northern India. Int J Urol2005; 12: 12. Google Scholar 20 : Development and evaluation of cultural food frequency questionnaires for South Asians, Chinese, and Europeans in North America. J Am Diet Assoc2003; 103: 1178. Google Scholar © 2007 by American Urological AssociationFiguresReferencesRelatedDetailsCited byEisner B, Porten S, Bechis S and Stoller M (2018) The Role of Race in Determining 24-Hour Urine Composition in White and Asian/Pacific Islander Stone FormersJournal of Urology, VOL. 183, NO. 4, (1407-1411), Online publication date: 1-Apr-2010.Related articlesJournal of Urology17 Sep 2007Dietary Oxalate and Calcium Oxalate NephrolithiasisJournal of Urology17 Sep 2007Variability of Oxalobacter Formigenes and Oxalate in Stool Samples Volume 178Issue 5November 2007Page: 1992-1997 Advertisement Copyright & Permissions© 2007 by American Urological AssociationKeywordsAsian continental ancestry groupethnic groupsurineurinary calculinephrolithiasisAcknowledgmentsMaria Braganza performed subject recruitment, health interviews and data entry.MetricsAuthor Information Andrew Mente Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada Recipient of fellowship from the Canadian Institutes of Health Research. More articles by this author R. John D’A. Honey Division of Urology, St. Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada Department of Medicine, University of Toronto, Toronto, Ontario, Canada Department of Surgery, University of Toronto, Toronto, Ontario, Canada More articles by this author John R. McLaughlin Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada More articles by this author Shelley B. Bull Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada More articles by this author Alexander G. Logan Prosserman Centre for Health Research, Samuel Lunenfeld Research Institute, Mount Sinai Hospital, University of Toronto, Toronto, Ontario, Canada Department of Medicine, University of Toronto, Toronto, Ontario, Canada Department of Public Health Sciences, University of Toronto, Toronto, Ontario, Canada Department of Surgery, University of Toronto, Toronto, Ontario, Canada More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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