Hong Kong Journal of Nephrology
Volume 11, Issue 1 , Pages 14-19, April 2009

Personal Characteristics and Urinary Stones

  • Fatemeh Shirazi

      Affiliations

    • School of Nursing & Midwifery, Tehran University of Medical Sciences and Health Services, Tehran, Iran
    • Corresponding Author InformationCorrespondence to: Fatemeh Shirazi, School of Nursing & Midwifery, Iran University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Farangis Shahpourian

      Affiliations

    • Center for Nursing Care Research, Tehran University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Alice Khachian

      Affiliations

    • School of Nursing & Midwifery, Tehran University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Fatemeh Hosseini

      Affiliations

    • School of Management & Medical Information Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Anahita Houshiar rad

      Affiliations

    • Nutrition Research Department, National Nutrition and Food Technology Research Institute, Shaheed Beheshti University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Shiva Heidari

      Affiliations

    • School of Nursing & Midwifery, Tehran University of Medical Sciences and Health Services, Tehran, Iran
  • ,
  • Mahnaz Sanjari

      Affiliations

    • Endocrinology & Metabolism Research Center, Tehran University of Medical Sciences and Health Services, Tehran, Iran

Background

Urinary stone disease is a common, painful and costly condition that has affected humankind since antiquity, and there is evidence to show that its incidence has continually increased during past decades. Studies have shown that many extrinsic and intrinsic factors are related to this disease in different population groups. The aim of this study was to identify the personal characteristics that are associated with urinary stone formation.

Methods

All subjects were recruited in the same 7-month period: there were 161 patients with idiopathic renal stone disease and 254 age- and gender-matched healthy subjects. Each participant was individually interviewed with regard to their sociodemographic characteristics and family medical history.

Results

Of patients with renal stones, 66.5% were male; the male to female ratio was 1.98 to 1. The prevalence of renal stone was highest in men aged 30–50 years and in women aged 40–60 years. The main differences between stone formers and healthy subjects were that stone formers had higher body mass index (p = 0.007), lower educational (p = 0.001) and economic (p = 0.037) levels, and more positive family history of urinary stones (p < 0.0001), especially in their siblings. The percentage of unemployed subjects and housekeepers were higher in the case group. The type and duration of employment were significantly different in the two groups (p = 0.014 for type and p = 0.003 for duration). With regard to the job environment (i.e. workplace), most of the individuals in the case group worked outdoors (p = 0.025) and in warm places (p < 0.0001).

Conclusion

There are many personal characteristics that might be associated with an elevated risk of renal stone formation. People with high-risk characteristics could be more prone to stone formation and should be more carefully evaluated and followed-up.

Key words:  personal characteristics , urinary stones , urolithiasis

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PII: S1561-5413(09)60004-1

doi:10.1016/S1561-5413(09)60004-1

Hong Kong Journal of Nephrology
Volume 11, Issue 1 , Pages 14-19, April 2009