The Pandora's Box of Bariatric Surgery: Unveiling the Association with Kidney Stone Risk-A Cross-Sectional Study.

IF 2.9 3区医学 Q1 SURGERY

Obesity Surgery Pub Date : 2025-04-01 Epub Date: 2025-03-14 DOI:10.1007/s11695-025-07795-8

Jinlong Wang, Liguo Tian, Ping Xiao, Yan Jiao

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引用次数: 0

Abstract

Background: Metabolic and bariatric surgery is an effective intervention for severe obesity, known for improving comorbidities such as type 2 diabetes, hypertension, and hyperlipidemia. However, its association with kidney stone formation remains uncertain. This study investigates the relationship between bariatric surgery and kidney stone prevalence using data from NHANES 2015-2018.

Methods: We conducted a cross-sectional analysis of 8,087 participants from NHANES (2015-2018). Bariatric surgery and kidney stone history were self-reported. Logistic regression models adjusted for demographic, clinical, and lifestyle factors were used to evaluate associations. Stratified analyses explored effect modification by subgroups.

Results: Kidney stones were more prevalent among participants with bariatric surgery (26.57%) compared to those without (10.92%, P < 0.001). Bariatric surgery was associated with increased odds of kidney stones in the crude model (OR: 2.95, 95% CI: 1.57-5.55) and adjusted models (OR: 2.69, 95% CI: 1.27-5.70). Subgroup analyses highlighted stronger associations among females and participants with moderate physical activity.

Conclusion: Metabolic and bariatric surgery is linked to an elevated risk of kidney stones, influenced by demographic and clinical factors. Personalized counseling on hydration and dietary modifications is essential for mitigating this risk.

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减肥手术的潘多拉盒子：揭示与肾结石风险的关联——一项横断面研究。

背景：代谢和减肥手术是严重肥胖的有效干预措施，以改善2型糖尿病、高血压和高脂血症等合并症而闻名。然而，其与肾结石形成的关系仍不确定。本研究使用NHANES 2015-2018的数据调查减肥手术与肾结石患病率之间的关系。方法：我们对NHANES（2015-2018）的8087名参与者进行了横断面分析。自我报告减肥手术和肾结石病史。采用调整了人口统计学、临床和生活方式因素的Logistic回归模型来评估相关性。分层分析通过亚组探讨效果的改变。结果：在接受减肥手术的参与者中，肾结石的患病率（26.57%）高于未接受减肥手术的参与者（10.92%）。结论：受人口统计学和临床因素的影响，代谢和减肥手术与肾结石风险升高有关。关于补水和饮食调整的个性化咨询对于减轻这种风险至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Obesity Surgery 医学-外科

CiteScore

5.80

自引率

24.10%

发文量

567

审稿时长

3-6 weeks

期刊介绍： Obesity Surgery is the official journal of the International Federation for the Surgery of Obesity and metabolic disorders (IFSO). A journal for bariatric/metabolic surgeons, Obesity Surgery provides an international, interdisciplinary forum for communicating the latest research, surgical and laparoscopic techniques, for treatment of massive obesity and metabolic disorders. Topics covered include original research, clinical reports, current status, guidelines, historical notes, invited commentaries, letters to the editor, medicolegal issues, meeting abstracts, modern surgery/technical innovations, new concepts, reviews, scholarly presentations and opinions. Obesity Surgery benefits surgeons performing obesity/metabolic surgery, general surgeons and surgical residents, endoscopists, anesthetists, support staff, nurses, dietitians, psychiatrists, psychologists, plastic surgeons, internists including endocrinologists and diabetologists, nutritional scientists, and those dealing with eating disorders.