Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.

<h4>Background</h4>This study investigates the relationship between sagittal abdominal diameter (SAD), a measure of abdominal obesity, and kidney stone disease (KSD) in the U.S. population. Additionally, it explores potential underlying mechanisms and evaluates the clinical utility of a...

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Main Authors: Wei Song, Shugen Li, Guangchun Wang, Shang Gao
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0317717
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author Wei Song
Shugen Li
Guangchun Wang
Shang Gao
author_facet Wei Song
Shugen Li
Guangchun Wang
Shang Gao
author_sort Wei Song
collection DOAJ
description <h4>Background</h4>This study investigates the relationship between sagittal abdominal diameter (SAD), a measure of abdominal obesity, and kidney stone disease (KSD) in the U.S. population. Additionally, it explores potential underlying mechanisms and evaluates the clinical utility of a predictive model.<h4>Methods</h4>Data were collected from 11,671 participants, including 1,136 cases of KSD. Univariate and multivariate logistic regression analyses, dose-response curves, and mediation effect assessments were employed to examine the association between SAD and KSD. A predictive model was developed and validated using calibration curves, receiver operating characteristic (ROC) curves, and clinical decision curves. Additionally, hematological indicators were analyzed to identify potential mediating factors.<h4>Results</h4>SAD showed a strong and positive association with KSD, even after adjusting for confounders such as gender, age, and education. The predictive model demonstrated moderate accuracy (AUC =  0.661) and clinical utility. Hematological analyses indicated that granulocyte count (GRAN) significantly mediated the relationship between SAD and KSD (P <  0.001).<h4>Conclusions</h4>SAD is a significant risk factor for KSD, underscoring the role of abdominal obesity in kidney stone formation. The predictive model demonstrates potential clinical applications for early risk assessment and management of KSD.
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spelling doaj-art-177fa59f249a465b85945af431f6f7162025-02-01T05:30:47ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e031771710.1371/journal.pone.0317717Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.Wei SongShugen LiGuangchun WangShang Gao<h4>Background</h4>This study investigates the relationship between sagittal abdominal diameter (SAD), a measure of abdominal obesity, and kidney stone disease (KSD) in the U.S. population. Additionally, it explores potential underlying mechanisms and evaluates the clinical utility of a predictive model.<h4>Methods</h4>Data were collected from 11,671 participants, including 1,136 cases of KSD. Univariate and multivariate logistic regression analyses, dose-response curves, and mediation effect assessments were employed to examine the association between SAD and KSD. A predictive model was developed and validated using calibration curves, receiver operating characteristic (ROC) curves, and clinical decision curves. Additionally, hematological indicators were analyzed to identify potential mediating factors.<h4>Results</h4>SAD showed a strong and positive association with KSD, even after adjusting for confounders such as gender, age, and education. The predictive model demonstrated moderate accuracy (AUC =  0.661) and clinical utility. Hematological analyses indicated that granulocyte count (GRAN) significantly mediated the relationship between SAD and KSD (P <  0.001).<h4>Conclusions</h4>SAD is a significant risk factor for KSD, underscoring the role of abdominal obesity in kidney stone formation. The predictive model demonstrates potential clinical applications for early risk assessment and management of KSD.https://doi.org/10.1371/journal.pone.0317717
spellingShingle Wei Song
Shugen Li
Guangchun Wang
Shang Gao
Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
PLoS ONE
title Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
title_full Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
title_fullStr Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
title_full_unstemmed Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
title_short Increased sagittal abdominal diameter is associated with a higher risk of kidney stones.
title_sort increased sagittal abdominal diameter is associated with a higher risk of kidney stones
url https://doi.org/10.1371/journal.pone.0317717
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AT guangchunwang increasedsagittalabdominaldiameterisassociatedwithahigherriskofkidneystones
AT shanggao increasedsagittalabdominaldiameterisassociatedwithahigherriskofkidneystones