Association of Body Fat Percentage with Kidney Stone Disease: a Cross-sectional and Longitudinal Study Among Bus Drivers

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2023 Nov 7

PMID 37932777

Authors

Xujuan Zheng

Qianqian Chen

Yanxia Wu

Juan Xiong

Affiliations

Soon will be listed here.

Abstract

Background: The association between body fat percentage (BFP) and kidney stone disease (KSD) among bus drivers has not been explored in the existing literature. Thus, this study was conducted to explore the influence of BFP on the risk of KSD as well as KSD development for bus drivers to fill the research gap.

Methods: A cross-sectional and longitudinal cohort study was designed. In total, 3433 bus drivers were included in the cross-sectional analyses, and 1864 bus drivers without KSD at baseline and with regular follow-up were included in the longitudinal cohort study.

Results: During a median follow-up of 2.9 years, KSD occurred in 15.0% of bus drivers. Multivariate logistic analysis found that each 5% higher BFP was not only significantly related with higher odds of KSD (odds ratio [OR] = 1.48), but also associated with higher odds of developing KSD (OR = 1.27). The risk of prevalent KSD in obesity group based on BFP was 2.47 times of the normal group; and the corresponding risk of developing KSD was 1.61 times. For obesity bus drives with age < 40, the corresponding risk increased to 4.54 times.

Conclusion: Bus drivers were reported to have a high prevalence of KSD as well as development of KSD. As a significant predictive factor for KSD, BFP can be used to monitor and prevent bus drivers from kidney stone formation. Bus drivers in obesity group based on BFP, especially with age < 40 years should become priority subjects for targeted prevention.

Citing Articles

The association between Geriatric Nutritional Risk Index and KSD disease: results from National Health and Nutrition Examination Survey 2007-2018.

Tang Z, Zhong H, Zhi Q, Chen Y, Zhang J, Li Z Front Nutr. 2024; 11:1430668.

PMID: 39574520 PMC: 11580257. DOI: 10.3389/fnut.2024.1430668.

References

Xiong Y, Wangsheng F, Wang S, Zhou W, Huang X, Bao H . Positive association between body fat percentage and hyperuricemia in patients with hypertension: The China H-type hypertension registry study. Nutr Metab Cardiovasc Dis. 2021; 31(11):3076-3084. DOI: 10.1016/j.numecd.2021.07.002. View

Thongprayoon C, Krambeck A, Rule A . Determining the true burden of kidney stone disease. Nat Rev Nephrol. 2020; 16(12):736-746. DOI: 10.1038/s41581-020-0320-7. View

Mao W, Wu J, Zhang Z, Xu Z, Xu B, Chen M . Neutrophil-lymphocyte ratio acts as a novel diagnostic biomarker for kidney stone prevalence and number of stones passed. Transl Androl Urol. 2021; 10(1):77-86. PMC: 7844488. DOI: 10.21037/tau-20-890. View

Wang L, Zhou B, Zhao Z, Yang L, Zhang M, Jiang Y . Body-mass index and obesity in urban and rural China: findings from consecutive nationally representative surveys during 2004-18. Lancet. 2021; 398(10294):53-63. PMC: 7617101. DOI: 10.1016/S0140-6736(21)00798-4. View

Gillams K, Juliebo-Jones P, Juliebo S, Somani B . Gender Differences in Kidney Stone Disease (KSD): Findings from a Systematic Review. Curr Urol Rep. 2021; 22(10):50. PMC: 8497339. DOI: 10.1007/s11934-021-01066-6. View

Levitt D, Heymsfield S, Pierson Jr R, Shapses S, Kral J . Physiological models of body composition and human obesity. Nutr Metab (Lond). 2009; 6:7. PMC: 2649131. DOI: 10.1186/1743-7075-6-7. View

Li L, Wang C, Bao Y, Peng L, Gu H, Jia W . Optimal body fat percentage cut-offs for obesity in Chinese adults. Clin Exp Pharmacol Physiol. 2012; 39(4):393-8. DOI: 10.1111/j.1440-1681.2012.05684.x. View

Cupisti A, Meola M, Dalessandro C, Bernabini G, Pasquali E, Carpi A . Insulin resistance and low urinary citrate excretion in calcium stone formers. Biomed Pharmacother. 2006; 61(1):86-90. DOI: 10.1016/j.biopha.2006.09.012. View

Wu Y, Wu W, Lin Y, Xiong J, Zheng X . Blood pressure states transitions among bus drivers: the application of multi-state Markov model. Int Arch Occup Environ Health. 2022; 95(10):1995-2003. DOI: 10.1007/s00420-022-01903-2. View

10.

Chewcharat A, Curhan G . Trends in the prevalence of kidney stones in the United States from 2007 to 2016. Urolithiasis. 2020; 49(1):27-39. DOI: 10.1007/s00240-020-01210-w. View

11.

Wang W, Fan J, Huang G, Li J, Zhu X, Tian Y . Prevalence of kidney stones in mainland China: A systematic review. Sci Rep. 2017; 7:41630. PMC: 5282506. DOI: 10.1038/srep41630. View

12.

Siener R . Nutrition and Kidney Stone Disease. Nutrients. 2021; 13(6). PMC: 8229448. DOI: 10.3390/nu13061917. View

13.

Lee M, Ke H, Huang J, Huang S, Geng J . Obesity-related indices and its association with kidney stone disease: a cross-sectional and longitudinal cohort study. Urolithiasis. 2021; 50(1):55-63. DOI: 10.1007/s00240-021-01288-w. View

14.

Poore W, Boyd C, Singh N, Wood K, Gower B, Assimos D . Obesity and Its Impact on Kidney Stone Formation. Rev Urol. 2020; 22(1):17-23. PMC: 7265184. View

15.

Schwaderer A, Wolfe A . The association between bacteria and urinary stones. Ann Transl Med. 2017; 5(2):32. PMC: 5300853. DOI: 10.21037/atm.2016.11.73. View

16.

Carbone A, Al Salhi Y, Tasca A, Palleschi G, Fuschi A, De Nunzio C . Obesity and kidney stone disease: a systematic review. Minerva Urol Nefrol. 2018; 70(4):393-400. DOI: 10.23736/S0393-2249.18.03113-2. View

17.

Abufaraj M, Siyam A, Xu T, Imm K, Cao C, Waldoer T . Association Between Body Fat Mass and Kidney Stones in US Adults: Analysis of the National Health and Nutrition Examination Survey 2011-2018. Eur Urol Focus. 2021; 8(2):580-587. DOI: 10.1016/j.euf.2021.03.010. View

18.

Chen K, Wee S, Pang B, Lau L, Jabbar K, Seah W . Relationship between BMI with percentage body fat and obesity in Singaporean adults - The Yishun Study. BMC Public Health. 2021; 21(1):1030. PMC: 8170923. DOI: 10.1186/s12889-021-11070-7. View

19.

Zhu Y, Wang Z, Maruyama H, Onoda K, Huang Q . Body Fat Percentage and Normal-Weight Obesity in the Chinese Population: Development of a Simple Evaluation Indicator Using Anthropometric Measurements. Int J Environ Res Public Health. 2022; 19(7). PMC: 8998592. DOI: 10.3390/ijerph19074238. View

20.

Littlejohns T, Neal N, Bradbury K, Heers H, Allen N, Turney B . Fluid Intake and Dietary Factors and the Risk of Incident Kidney Stones in UK Biobank: A Population-based Prospective Cohort Study. Eur Urol Focus. 2019; 6(4):752-761. DOI: 10.1016/j.euf.2019.05.002. View