Correlation between lifestyle choices, dietary factors, and the risk of adult urolithiasis: insights from a systematic review and meta-analysis.

IF 1.7 3区医学 Q4 ANDROLOGY

Translational andrology and urology Pub Date : 2025-05-30 Epub Date: 2025-05-27 DOI:10.21037/tau-2024-768

Limei Hua, Jingran Cao, Xinhong Zhao, Xiaodong Meng, Jianhong Qiu

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Abstract

Background: Urinary stone disease (USD) encompasses kidney stones, ureteral stones, bladder stones, and urethral calculi. This study systematically assesses the correlation between dietary factors, lifestyle, and the risk of adult USD, while also exploring relevant clinical intervention measures.

Methods: A comprehensive search was conducted across multiple databases, including the Chinese Biomedical Databases (CBM), Wanfang Database, Cochrane Library, China National Knowledge Infrastructure (CNKI), VIP Full-text Database, ScienceDirect, EMBASE, and PubMed, to identify correlation and multivariate analyses regarding the risk of adult urolithiasis. Two researchers independently retrieved data and assessed the risk of bias for each included study using the Cochrane Handbook 5.3 standards.

Results: Following the Meta-Analyses of Observational Studies in Epidemiology (MOOSE), six studies were included, with a total sample size of 3,500 participants. Among these studies, three reported a correlation between age and the risk of adult urolithiasis (Chi²=0.70, df=2, P=0.70, I²=0%). Four studies examined the relationship between family history of urolithiasis and the risk of developing adult urolithiasis (Chi²=32.66, df=3, P<0.001, I²=91%). Two studies found a connection between increased vinegar intake and the risk of adult urolithiasis (Chi²=0.00, df=1, P=0.95, I²=0%). Two studies reported on the relationship between higher legume consumption and the risk of adult urolithiasis (Chi²=0.00, df=1, P>0.99, I²=0%). Furthermore, three studies indicated a significant relationship between increased daily water intake and the risk of adult urolithiasis (Chi²=21.80, df=2, P<0.001, I²=91%). Funnel plots indicated that most of the included studies exhibited symmetrical distributions, although a small percentage displayed asymmetry, suggesting potential publication bias linked to study heterogeneity and the limited number of included studies.

Conclusions: Identified risk factors for USD include advanced age, a family history of urolithiasis, high intake of animal protein and fat, insufficient daily water consumption, and reduced intake of vinegar and legumes. To validate these correlations, future research should focus on longer intervention durations and improved methodological quality.

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生活方式选择、饮食因素与成人尿石症风险之间的相关性：来自系统回顾和荟萃分析的见解。

背景：泌尿系结石疾病（USD）包括肾结石、输尿管结石、膀胱结石和尿道结石。本研究系统评估饮食因素、生活方式与成人USD风险的相关性，并探讨相关临床干预措施。方法：综合检索中国生物医学数据库（CBM）、万方数据库、Cochrane图书馆、中国知网（CNKI）、VIP全文数据库、ScienceDirect、EMBASE、PubMed等多个数据库，对成人尿石症风险进行相关性分析和多变量分析。两名研究人员独立检索数据，并使用Cochrane手册5.3标准评估每个纳入研究的偏倚风险。结果：根据流行病学观察性研究（MOOSE）的meta分析，纳入了6项研究，总样本量为3500名参与者。在这些研究中，有3项研究报告了年龄与成人尿石症风险的相关性（Chi2=0.70, df=2， P=0.70, I2=0%）。4项研究探讨了尿石症家族史与成人尿石症发病风险的关系（ch2 =32.66, df=3, P2=91%）。两项研究发现，醋摄入量增加与成人尿石症风险之间存在联系（Chi2=0.00, df=1， P=0.95, I2=0%）。两项研究报道了豆类摄入与成人尿石症风险之间的关系（Chi2=0.00, df=1， P> = 0.99, I2=0%）。此外，三项研究表明，每日饮水量增加与成人尿石症风险之间存在显著关系（Chi2=21.80, df=2, P2=91%）。漏斗图显示，大多数纳入的研究呈现对称分布，尽管有一小部分研究呈现不对称分布，这表明潜在的发表偏倚与研究异质性和纳入研究数量有限有关。结论：已确定的USD危险因素包括高龄、尿石症家族史、动物蛋白和脂肪摄入量高、每日饮水量不足、醋和豆类摄入量减少。为了验证这些相关性，未来的研究应侧重于更长的干预持续时间和提高方法质量。

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

Translational andrology and urology Medicine-Urology

CiteScore

4.10

自引率

5.00%

发文量

期刊介绍： ranslational Andrology and Urology (Print ISSN 2223-4683; Online ISSN 2223-4691; Transl Androl Urol; TAU) is an open access, peer-reviewed, bi-monthly journal (quarterly published from Mar.2012 - Dec. 2014). The main focus of the journal is to describe new findings in the field of translational research of Andrology and Urology, provides current and practical information on basic research and clinical investigations of Andrology and Urology. Specific areas of interest include, but not limited to, molecular study, pathology, biology and technical advances related to andrology and urology. Topics cover range from evaluation, prevention, diagnosis, therapy, prognosis, rehabilitation and future challenges to urology and andrology. Contributions pertinent to urology and andrology are also included from related fields such as public health, basic sciences, education, sociology, and nursing.