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• W2079464493 abstract "No AccessJournal of UrologyAdult Urology1 Feb 2010The Association of Increasing Body Mass Index and Kidney Stone Diseaseis accompanied byBody Mass Index as a Predictor of Urological Disease and Outcomes—Overly Simplistic?Ethylene Glycol Induced Hyperoxaluria Increases Plasma and Renal Tissue Asymmetrical Dimethylarginine in Rats: A New Pathogenetic Link in Hyperoxaluria Induced Disorders Michelle J. Semins, Andrew D. Shore, Martin A. Makary, Thomas Magnuson, Roger Johns, and Brian R. Matlaga Michelle J. SeminsMichelle J. Semins More articles by this author , Andrew D. ShoreAndrew D. Shore More articles by this author , Martin A. MakaryMartin A. Makary More articles by this author , Thomas MagnusonThomas Magnuson More articles by this author , Roger JohnsRoger Johns More articles by this author , and Brian R. MatlagaBrian R. Matlaga More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2009.09.085AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Previous epidemiological works have reported that obesity is a risk factor for kidney stone disease. However, the effect of increasing degrees of obesity on stone formation has yet to be defined. To address this question we examined how an increasing body mass index affects the risk of kidney stone disease. Materials and Methods: We evaluated claims from a 5-year period (2002 to 2006) in a national private insurance database to identify subjects diagnosed with or treated for kidney stones. From a data set of 95,598 patients, subjects were identified by ICD-9 or CPT codes specific to kidney stone disease. Descriptive analyses were performed and odds ratios were calculated. Results: Gender distribution of the 3,257 stone formers was 42.9% male and 57.1% female. Obesity (body mass index greater than 30 kg/m2) was associated with a significantly greater likelihood of being diagnosed with a kidney stone. However, when obese patients were stratified by body mass index there were no significant differences in the likelihood of a kidney stone diagnosis, suggesting a stabilization of risk once body mass index increased above 30 kg/m2. The association of body mass index and a stone removal procedure was significant only for men and women with a body mass index between 30 and 45 kg/m2 relative to a body mass index less than 25 kg/m2 (p <0.001). Conclusions: An obese body mass index is associated with an increased risk of kidney stone disease. However, the magnitude of this risk appears to be stable in the morbidly obese population. Once body mass index is greater than 30 kg/m2, further increases do not appear to significantly increase the risk of stone disease. References 1 : Prevalence of overweight and obesity in the United States, 1999–2004. JAMA2006; 295: 1549. Google Scholar 2 : Obesity, weight gain, and the risk of kidney stones. JAMA2005; 293: 455. Google Scholar 3 : Time trends in reported prevalence of kidney stones in the United States: 1976–1994. Kidney Int2003; 63: 1817. Google Scholar 4 : Body size and risk of kidney stones. J Am Soc Nephrol1998; 9: 1645. Crossref, Medline, Google Scholar 5 : Impact of body weight on urinary electrolytes in urinary stone formers. Urology2000; 55: 825. Crossref, Medline, Google Scholar 6 : Lithogenic risk factors in the morbidly obese population. J Urol2008; 179: 1401. Link, Google Scholar 7 : Metabolic risk factors and the impact of medical therapy on the management of nephrolithiasis in obese patients. J Urol2004; 172: 159. Link, Google Scholar 8 : Body size and 24-hour urine composition. Am J Kidney Dis2006; 48: 905. Google Scholar 9 : Association of urinary pH with body weight in nephrolithiasis. Kidney Int2004; 65: 1422. Google Scholar 10 : Influence of body size on urinary stone composition in men and women. Urol Res2006; 34: 193. Google Scholar 11 : Obesity and urolithiasis. Adv Chronic Kidney Dis2009; 16: 11. Google Scholar 12 : Metabolic syndrome and uric acid nephrolithiasis. Semin Nephrol2008; 28: 174. Google Scholar Johns Hopkins University School of Medicine, Baltimore, Maryland© 2010 by American Urological AssociationFiguresReferencesRelatedDetailsCited byBandari J, Dangle P, Lyon T, Lee A, Schneck F, Cannon G, Stephany H and Ost M (2016) 24-Hour Urinary Parameters in Overweight and Obese Children with UrolithiasisJournal of Urology, VOL. 196, NO. 2, (526-530), Online publication date: 1-Aug-2016.Roddy J, Ghousheh A, Christensen M and Durkee C (2013) Metabolic Evaluation of Urolithiasis and Obesity in a Midwestern Pediatric PopulationJournal of Urology, VOL. 191, NO. 3, (771-776), Online publication date: 1-Mar-2014.Assimos D (2012) Re: Association Between Body Mass Index, Lipid Profiles, and Types of Urinary StonesJournal of Urology, VOL. 189, NO. 4, (1359-1359), Online publication date: 1-Apr-2013.Kokorowski P, Routh J, Hubert K, Graham D and Nelson C (2012) Association of Urolithiasis with Systemic Conditions Among Pediatric Patients at Children's HospitalsJournal of Urology, VOL. 188, NO. 4S, (1618-1622), Online publication date: 1-Oct-2012.Kim S, Luan X, Canning D, Landis J and Keren R (2011) Association Between Body Mass Index and Urolithiasis in ChildrenJournal of Urology, VOL. 186, NO. 4S, (1734-1739), Online publication date: 1-Oct-2011.Related articlesJournal of Urology14 Dec 2009Body Mass Index as a Predictor of Urological Disease and Outcomes—Overly Simplistic?Journal of Urology17 Dec 2009Ethylene Glycol Induced Hyperoxaluria Increases Plasma and Renal Tissue Asymmetrical Dimethylarginine in Rats: A New Pathogenetic Link in Hyperoxaluria Induced Disorders Volume 183Issue 2February 2010Page: 571-575 Advertisement Copyright & Permissions© 2010 by American Urological AssociationKeywordsobesityepidemiologykidney calculiAcknowledgmentsThe Hariri Family Foundation, Mr. and Mrs. Chad and Nissa Richison, the Blue Cross and Blue Shield Plans, and the many staff members at these sites actively contributed to this study by providing data and expert advice. These organizations included BCBS of Tennessee, Highmark BCBS of Pennsylvania, BCBS of Michigan, BCBS of North Carolina, Independence Blue Cross (of Pennsylvania), Wellmark BCBS of Iowa and South Dakota, and the Hawaii Medical Service Association. Eric Bass and Jonathan Weiner provided study support.MetricsAuthor Information Michelle J. Semins More articles by this author Andrew D. Shore More articles by this author Martin A. Makary More articles by this author Thomas Magnuson More articles by this author Roger Johns More articles by this author Brian R. Matlaga More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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