Urolithiasis occurrence is increasing in both adults and children in the United States, with nearly 1 in 11 adults having a stone at some time in their life. Unfortunately, stone occurrence in children also appears to have increased from 1% to 2% in the 1950s to 1970s to almost 10%.
Two-thirds of patients attending a urology clinic for the management of urolithiasis failed to meet physical activity guidelines. In addition, patients with recent symptomatic urolithiasis were significantly more likely to be current smokers than those without recent symptomatic urolithiasis, according to a recent study.
This article examines the relationship between the metabolic syndrome and kidney stone disease. We explain elements of the metabolic workup and practical strategies for prevention and management of stones in patients with the metabolic syndrome.
Two separate studies provide insight into a pair of factors—diabetes and changes in the American diet—that may boost the risk of kidney stone formation, including the formation of certain stone subtypes. A third study, meanwhile, suggests that medical professionals who work in operating rooms face a higher risk of stones, possibly because of high stress and low fluid intake.
The prevalence of urolithiasis in the United States and the cost of its care will increase dramatically in the future if the epidemics of obesity and diabetes mellitus continue unchecked, according to analyses conducted by researchers at the University of Texas Southwestern Medical Center, Dallas.
With rates of stone disease on the rise in the U.S., researchers have turned their attention to possible causes. New research exploring the possible influence of diabetes, diet, and even being a surgeon will be presented at the upcoming AUA annual meeting.