ArticleOsong public health and research perspectives2025
Association of demographic and biochemical factors with hypercalciuria among Meitei adults in Manipur, Northeast India: a cross-sectional study.
Article in Osong public health and research perspectives, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to investigate the association of demographic variables and serum calcium with hypercalciuria among the Meitei adult population of Manipur, Northeast India.
methodsA cross-sectional study was conducted involving 413 participants (272 females and 141 males) aged 19 to 60 years. Participants were selected through a multistage sampling method from 5 valley districts of Manipur. Demographic and biochemical parameters were collected, including serum calcium, creatinine, and spot urine calcium and creatinine levels. One-way analysis of variance, Tukey's post hoc test, chi-square test, multinomial logistic regression, and receiver operating characteristic (ROC) curve analysis were performed. The area under the ROC curve was calculated to determine the cut-off value of random urine calcium.
resultsThe overall prevalence of hypercalciuria was 18.64%. The incidence of hypercalciuria increased with age; 41 to 60 age group were 3 times more likely to develop hypercalciuria than those in the 19 to 40 age group (95% confidence interval [CI], 1.86-5.47; p<0.001). A significant association (p<0.05) was also found between serum calcium and urine calcium levels. Hypocalcemic individuals were 3.5 times more likely to have hypercalciuria than normocalcemic individuals (95% CI, 1.33-9.31; p=0.01). ROC analysis revealed a predictive cut-off value of 23.07 mg/dL for random urine calcium.
conclusionThis study demonstrates a high prevalence of hypercalciuria exceeding the global average. Given that Manipur has also been reported to have a high prevalence of kidney stones, this finding indicates a considerable health risk. Early intervention could therefore improve public health outcomes related to calcium and mineral metabolism.
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