Prevalence of kidney stones and associated risk factors in the Shunyi District of Beijing

Kidney stone formation is a multifactorial condition that involves interaction of environmental and genetic factors. Presence of kidney stones is strongly related to other diseases, which may result in a heavy economic and social burden. Clinical data on the prevalence and influencing factors in kidney stone disease in the north of China are scarce. In this study, we explored the prevalence of kidney stone and potentially associated risk factors in the Shunyi District of Beijing, China.

A population-based cross-sectional study was conducted from December 2011 to November 2012 in a northern area of China. Participants were interviewed in randomly selected towns. Univariate analysis of continuous and categorical variables was first performed by calculation of Spearman's correlation coefficient and Pearson Chi squared value, respectively. Variables with statistical significance were further analysed by multivariate logistic regression to explore the potential influencing factors.

A total of 3350 participants (1091 males and 2259 females) completed the survey and the response rate was 99.67%. Among the participants, 3.61% were diagnosed with kidney stone. Univariate analysis showed that significant differences were evident in 31 variables. Blood and urine tests were performed in 100 randomly selected patients with kidney stone and 100 healthy controls. Serum creatinine, calcium, and uric acid were significantly different between the patients with kidney stone and healthy controls. Multivariate logistic regression revealed that being male (odds ratio=102.681; 95% confidence interval, 1.062-9925.797), daily intake of white spirits (6.331; 1.204-33.282), and a history of urolithiasis (1797.775; 24.228-133 396.982) were factors potentially associated with kidney stone prevalence.

Male gender, drinking white spirits, and a history of urolithiasis are potentially associated with kidney stone formation.

Hong Kong medical journal = Xianggang yi xue za zhi. 2017 Apr 18 [Epub ahead of print]

Y G Jiang, L H He, G T Luo, X D Zhang

Department of Urology, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China., Department of Occupational & Environmental Health Sciences, School of Public Health Peking University, Beijing 100191, China., Department of Urology, Beijing Shun-Yi Hospital, Beijing 101300, China.