Evidence map›Paper›PMID 40961176›Full record

ArticleInternational journal of surgery (London, England)2026

Individual and joint associations of modifiable metabolic status and lifestyle with kidney stones among sedentary population: insights from a nationally representative dataset.

Qihang Li, Xin Huang, Yitong Lu, Xiaoqian Du, Qiuhui Xuan

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Article in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Qihang LiDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China.
Xin HuangKey Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education; Department of Neurology, Shandong Provincial Hospital affiliated to Shandong First Medical University, Jinan, Shandong, China.
Yitong LuKey Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education; Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Xiaoqian DuKey Laboratory of Endocrine Glucose & Lipids Metabolism and Brain Aging, Ministry of Education; Department of Endocrinology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China.
Qiuhui XuanDepartment of Endocrinology, Shandong Provincial Hospital, Shandong University, Jinan, Shandong, China.ORCID 0000-0002-2996-6111

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney stone is one of the most common urological conditions in sedentary individuals. Although specific behaviors such as diet and prolonged sitting are known risk factors, the individual and joint effects of metabolic status and lifestyle on kidney stone risk remain understudied. MATERIALS AND

methodsThis cross-sectional study analyzed data from 10 801 sedentary individuals aged over 20 from the U.S. National Health and Nutrition Examination Survey between 2007 and 2018. Metabolic status indicators included central obesity, hyperglycemia, hypertension, and dyslipidemia, assessed using anthropometric and laboratory data and self-reported disease history. Lifestyle factors including physical inactivity, addictive behaviors, and unhealthy diet as well as kidney stone history were also estimated from self-reported questionnaire. We estimated the risk of kidney stone associated with individual and joint factors using weighted multivariable logistic regression, presenting odds ratios (ORs) and 95% confidence intervals (CIs).

resultsAmong the participants, 9.1% reported kidney stone. Individual poor metabolic status and unhealthy lifestyle were associated with higher prevalence of kidney stones. Higher cumulative scores in poor metabolic status or unhealthy lifestyle corresponded with an increased prevalence of kidney stones, rising from 4.37% to 15.59% and 8.01% to 15.39%, respectively. Additionally, participants with "worst metabolic status" or "worst lifestyle" separately had a 1.32-fold and 77% increase for risk of kidney stone, respectively (OR = 2.321, 95% CI: 1.479-3.645; OR = 1.774, 95% CI: 1.260-2.499). Furthermore, when metabolic status was not optimal, the worst lifestyle significantly increased the risk of kidney stone. The risk nearly increased by threefold in participants with both worst metabolic and lifestyle (OR = 3.918, 95% CI: 1.659-9.256).

conclusionsWorsening metabolic health combined with an unhealthy lifestyle significantly elevates kidney stone risk in sedentary populations, emphasizing the need to address both factors simultaneously for effective prevention.

Indexed as

Kidney CalculiLife StyleSedentary BehaviorAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceRisk FactorsUnited StatesYoung Adultkidney stonelifestylemetabolic statussedentary population

Identifiers

PMID40961176
PMCPMC12825901

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