{"title":"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。","authors":"Limei Hua, Jingran Cao, Xinhong Zhao, Xiaodong Meng, Jianhong Qiu","doi":"10.21037/tau-2024-768","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (Chi<sup>2</sup>=0.70, df=2, P=0.70, I<sup>2</sup>=0%). Four studies examined the relationship between family history of urolithiasis and the risk of developing adult urolithiasis (Chi<sup>2</sup>=32.66, df=3, P<0.001, I<sup>2</sup>=91%). Two studies found a connection between increased vinegar intake and the risk of adult urolithiasis (Chi<sup>2</sup>=0.00, df=1, P=0.95, I<sup>2</sup>=0%). Two studies reported on the relationship between higher legume consumption and the risk of adult urolithiasis (Chi<sup>2</sup>=0.00, df=1, P>0.99, I<sup>2</sup>=0%). Furthermore, three studies indicated a significant relationship between increased daily water intake and the risk of adult urolithiasis (Chi<sup>2</sup>=21.80, df=2, P<0.001, I<sup>2</sup>=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.</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":23270,"journal":{"name":"Translational andrology and urology","volume":"14 5","pages":"1283-1294"},"PeriodicalIF":1.7000,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169994/pdf/","citationCount":"0","resultStr":"{\"title\":\"Correlation between lifestyle choices, dietary factors, and the risk of adult urolithiasis: insights from a systematic review and meta-analysis.\",\"authors\":\"Limei Hua, Jingran Cao, Xinhong Zhao, Xiaodong Meng, Jianhong Qiu\",\"doi\":\"10.21037/tau-2024-768\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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 (Chi<sup>2</sup>=0.70, df=2, P=0.70, I<sup>2</sup>=0%). Four studies examined the relationship between family history of urolithiasis and the risk of developing adult urolithiasis (Chi<sup>2</sup>=32.66, df=3, P<0.001, I<sup>2</sup>=91%). Two studies found a connection between increased vinegar intake and the risk of adult urolithiasis (Chi<sup>2</sup>=0.00, df=1, P=0.95, I<sup>2</sup>=0%). Two studies reported on the relationship between higher legume consumption and the risk of adult urolithiasis (Chi<sup>2</sup>=0.00, df=1, P>0.99, I<sup>2</sup>=0%). Furthermore, three studies indicated a significant relationship between increased daily water intake and the risk of adult urolithiasis (Chi<sup>2</sup>=21.80, df=2, P<0.001, I<sup>2</sup>=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.</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":23270,\"journal\":{\"name\":\"Translational andrology and urology\",\"volume\":\"14 5\",\"pages\":\"1283-1294\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169994/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Translational andrology and urology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.21037/tau-2024-768\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/27 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"ANDROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Translational andrology and urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.21037/tau-2024-768","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/27 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"ANDROLOGY","Score":null,"Total":0}
Correlation between lifestyle choices, dietary factors, and the risk of adult urolithiasis: insights from a systematic review and meta-analysis.
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.
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.
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