Type 2 & other diabetes

Metabolic Syndrome and the Risk of Kidney Stones: Evidence from 487 860 UK Biobank Participants

J Clin Endocrinol MetabPublished Retrospective analysis of a prospective cohort study

Authors' conclusion

Metabolic syndrome is a significant and independent risk factor for the development of kidney stones. This association suggests that kidney stones may represent a systemic disorder influenced by the interplay of various metabolic risk factors.

Study context

Population
UK Biobank participants free from kidney stones at baseline; metabolic syndrome based on 5 criteria: abdominal obesity, high TG, low HDL-C, high blood pressure (HBP) and T2D
Participants
487,860 participants
Exposure
Metabolic syndrome traits vs absence
Outcome
Incident kidney stones
Follow-up
Average 12.6 years
Methodological detailsUK Biobank, Cox proportional hazards regression
  • UK Biobank
  • Cox proportional hazards regression

Main finding

As reported in the abstract

Kidney stones by metabolic syndrome trait
Developed kidney stones
5213 of 487 860
Waist circumference, HR
1.15 (95% CI, 1.10-1.20)
High-density lipoprotein (HDL) cholesterol, HR
0.66 (95% CI, 0.55-0.79)
HBP, HR
1.11 (95% CI, 1.03-1.19)
T2D, HR
1.14 (95% CI, 1.04-1.21)

Observational data: associations, not effects.

Further findings

Clustering of metabolic syndrome significantly associated with kidney stone formation; risk gradually increases as the number of traits increases

Original publication

Metabolic Syndrome and the Risk of Kidney Stones: Evidence from 487 860 UK Biobank Participants. J Clin Endocrinol Metab. Published 3 May 2024. doi:10.1210/clinem/dgae295

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