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Mazumder H, Mondol MH, Rahman M, Khan R, Doza S, Unicomb L, Jahan F, Mukhopadhyay A, Makris KC, Caban-Martinez A, Iqbal R, Ahmed F, Creencia L, Shamsudduha M, Mzayek F, Jia C, Zhang H, Musah A, Fleming LE, Mou X, Kovesdy CP, Gribble MO, Naser AM. Sex-Specific Association of Ambient Temperature With Urine Biomarkers in Southwest Coastal Bangladesh. Kidney Int Rep 2024; 9:1860-1875. [PMID: 38899224 PMCID: PMC11184407 DOI: 10.1016/j.ekir.2024.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2023] [Revised: 02/23/2024] [Accepted: 03/04/2024] [Indexed: 06/21/2024] Open
Abstract
Introduction Men are vulnerable to ambient heat-related kidney disease burden; however, limited evidence exists on how vulnerable women are when exposed to high ambient heat. We evaluated the sex-specific association between ambient temperature and urine electrolytes, and 24-hour urine total protein, and volume. Methods We pooled a longitudinal 5624 person-visits data of 1175 participants' concentration and 24-hour excretion of urine electrolytes and other biomarkers (24-hour urine total protein and volume) from southwest coastal Bangladesh (Khulna, Satkhira, and Mongla districts) during November 2016 to April 2017. We then spatiotemporally linked ambient temperature data from local weather stations to participants' health outcomes. For evaluating the relationships between average ambient temperature and urine electrolytes and other biomarkers, we plotted confounder-adjusted restricted cubic spline (RCS) plots using participant-level, household-level, and community-level random intercepts. We then used piece-wise linear mixed-effects models for different ambient temperature segments determined by inflection points in RCS plots and reported the maximum likelihood estimates and cluster robust standard errors. By applying interaction terms for sex and ambient temperature, we determined the overall significance using the Wald test. Bonferroni correction was used for multiple comparisons. Results The RCS plots demonstrated nonlinear associations between ambient heat and urine biomarkers for males and females. Piecewise linear mixed-effects models suggested that sex did not modify the relationship of ambient temperature with any of the urine parameters after Bonferroni correction (P < 0.004). Conclusion Our findings suggest that women are as susceptible to the effects of high ambient temperature exposure as men.
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Affiliation(s)
- Hoimonty Mazumder
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Momenul Haque Mondol
- School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Department of Statistics, University of Barishal, Barishal-8254, Bangladesh
| | - Mahbubur Rahman
- International Centre for Diarrheal Disease Research, Bangladesh, Bangladesh
| | - Rizwana Khan
- International Centre for Diarrheal Disease Research, Bangladesh, Bangladesh
| | - Solaiman Doza
- Environmental and Occupational Health, School of Biological and Population Health Sciences, Oregon State University, Oregon, USA
| | - Leanne Unicomb
- International Centre for Diarrheal Disease Research, Bangladesh, Bangladesh
| | - Farjana Jahan
- International Centre for Diarrheal Disease Research, Bangladesh, Bangladesh
| | - Ayesha Mukhopadhyay
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Konstantinos C. Makris
- Cyprus International Institute for Environmental and Public Health, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus
| | - Alberto Caban-Martinez
- Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Romaina Iqbal
- Department of Community Health Sciences, Aga Khan University, Pakistan
| | - Faruk Ahmed
- Department of Engineering Technology, The University of Memphis, Memphis, Tennessee, USA
| | - Lota Creencia
- College of Fisheries and Aquatic Sciences, Western Philippines University, Palawan, Philippines
| | - Mohammad Shamsudduha
- Institute for Risk and Disaster Reduction, University College London, London, UK
| | - Fawaz Mzayek
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Chunrong Jia
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Hongmei Zhang
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Anwar Musah
- Department of Geography, University College London, London, UK
| | - Lora E. Fleming
- European Centre for Environment and Human Health, University of Exeter Medical School, Truro, Cornwall, UK
| | - Xichen Mou
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
| | - Csaba P. Kovesdy
- Division of Nephrology, University of Tennessee Health Science Centre, Memphis, Tenessee; USA
| | - Matthew O. Gribble
- Department of Medicine, Division of Occupational, Environmental, and Climate Medicine, University of California, San Francisco, San Francisco, California, USA
| | - Abu Mohd Naser
- Division of Epidemiology, Biostatistics, and Environmental Health; School of Public Health, The University of Memphis, Memphis, Tennessee, USA
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Abstract
Urolithiasis in captive domestic ferrets has previously been predominantly struvite uroliths, although more recent laboratory submissions show a shift to predominantly cystine uroliths. Genetic mutations for cystinuria have been identified in dogs, and it is suspected that underlying genetic mutations are partly responsible for this disease in ferrets. Currently, surgery remains the only definitive treatment of cystine urolithiasis in ferrets, since dietary dissolution protocols have not been thoroughly explored. Despite this, medical management with dietary and urinary manipulation should be considered for use in ferrets postoperatively based on principles of cystine urolithiasis management in dogs adapted for ferrets.
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Affiliation(s)
- Rebecca E Pacheco
- Gulf Coast Veterinary Specialists, 8042 Katy Freeway, Houston, TX 77024, USA.
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Cunha TDS, Rodriguez A, Heilberg IP. Influence of socioeconomic disparities, temperature and humidity in kidney stone composition. J Bras Nefrol 2020; 42:454-460. [PMID: 32716471 PMCID: PMC7860642 DOI: 10.1590/2175-8239-jbn-2019-0206] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2019] [Accepted: 04/01/2020] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Large variations in demographic, economic and environmental factors might influence the worldwide distribution of urolithiasis, but scarce data are available concerning their associations with stone composition. We aimed to evaluate the frequency and composition of kidney stones and their associations with temperature, humidity, and human development index (HDI). MATERIALS AND METHODS A total of 1,158 stones from distinct patients (47±14 years old, male/female 2:1) were included. The mean annual temperature and relative humidity of each town were considered separately. RESULTS Calcium oxalate monohydrate (COM) was disclosed in 38.8% of patients, calcium oxalate dihydrate (COD) in 22.1%, mixed COD/apatite in 9.4%, pure apatite in 1.9%, brushite in 1.8%, struvite in 8.3%, pure uric acid in 11.1%, mixed uric acid/COM in 5.6%, and cystine/rare types in 0.8%. Mean HDI of all pooled cities was 0.780±0.03. However, people living in HDI<0.800 regions had twice the odds of having a struvite stone versus those living in HDI>0.800 (OR=2.14, 95% CI 1.11-4.11). Furthermore, a progressive increase in the struvite stones frequency from 4.5 to 22.8% was detected from HDI>0.800 through HDI<0.700. No significant difference for other stone types was disclosed. Separate logistic regression models assessed the association of each stone composition with gender, temperature, humidity and HDI as covariates. CONCLUSION Patients living in low HDI areas are more prone to develop struvite stones, possibly due to lower access to healthcare. Temperature and humidity did not represent a specific risk factor for any stone type in the present sample.
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Affiliation(s)
- Tamara da Silva Cunha
- Universidade Federal de São Paulo, Escola Paulista de Medicina, Divisão de Nefrologia, São Paulo, SP, Brazil.,Universidade Federal do Rio de Janeiro, Divisão de Nefrologia, Rio de Janeiro, RJ, Brazil
| | - Adrian Rodriguez
- Universita Cattolica del Sacro Cuore, Department of Medical Sciences, Rome, Italy
| | - Ita Pfeferman Heilberg
- Universidade Federal de São Paulo, Escola Paulista de Medicina, Divisão de Nefrologia, São Paulo, SP, Brazil
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Grant C, Guzman G, Stainback RP, Amdur RL, Mufarrij P. Variation in Kidney Stone Composition Within the United States. J Endourol 2018; 32:973-977. [PMID: 30039712 DOI: 10.1089/end.2018.0304] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
INTRODUCTION AND OBJECTIVES Kidney stone incidence has been known to vary with temperature and climate. However, little is known about any variation in the composition of kidney stones across different regions of the United States. We attempted to evaluate whether stone composition changes depending on region. METHODS We were given access to de-identified data from LABCORPs database of kidney stone composition from August 1, 2016, to October 24, 2016, for states in seven representative areas of the country: Virginia, Minnesota, Florida, Arizona, Colorado, California, and Texas. We analyzed each component of kidney stones with optical microscopy supplemented with Fourier-transform infrared spectroscopy (FT-IR) spectrometry using both the percentage of the stone that was composed of that component as well as a binary variable coded none vs any. Univariate associations between component and state were examined using chi-square or Fisher's exact test for the binary indicator, and analysis of variance for the continuous percentage. The same set of analyses was used for decade of age vs each component. The association between age and state was examined using analysis of variance. RESULTS Data were available for 4335 kidney stones, from patients in the 7 states mentioned. The most common components across all stones were calcium oxalate monohydrate and calcium phosphate (both present in 93% of stones), calcium oxalate dihydrate (in 57% of stones), and uric acid (in 12% of stones). Stone composition did not vary widely across regions, except for uric acid stones, which were more prevalent in Florida compared to other states, with an odds ratio of 1.43 (95% confidence interval 1.12, 1.83). CONCLUSION Kidney stone composition does not vary widely by region within the United States. Although temperature and humidity play a role in stone incidence, there does not appear to be a large variation between different climates, with the exception of uric acid stone formation in Florida.
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Affiliation(s)
- Campbell Grant
- 1 Department of Urology, George Washington University Hospital , Washington, District of Columbia
| | - Gabe Guzman
- 2 George Washington University School of Medicine and Health Sciences , Washington, District of Columbia
| | | | - Richard L Amdur
- 3 Laboratory Corporation of America , Silver Spring, Maryland
| | - Patrick Mufarrij
- 1 Department of Urology, George Washington University Hospital , Washington, District of Columbia
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Kaulanjan K, Cerruti A, Galantine V, Laine C, Rose Dite Modestine J, Gourtaud G, Senechal C, Roux V, Eyraud R, Blanchet P, Brureau L. [Epidemiology of urolithiasis in French West Indies: A retrospective study]. Prog Urol 2017; 28:114-119. [PMID: 29162379 DOI: 10.1016/j.purol.2017.10.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Revised: 09/16/2017] [Accepted: 10/19/2017] [Indexed: 11/20/2022]
Abstract
INTRODUCTION The incidence of urolithiasis is increasing with dietary changes especially in developed countries. Guadeloupe is a French department overseas where western diet meets traditional local food. The objective was to describe and analyze the epidemiology of urolithiasis in Guadeloupe. MATERIAL AND METHODS We conducted a retrospective single-center study throughout the year 2015 on patients hospitalized for urolithiasis at University Hospital of Pointe-à-Pitre. Data of the patients, treatments performed and the types of stones were recorded. According to their mineral content, groups were composed. RESULTS In total, 165 patients were included. The sex ratio was 1.61. The median body mass index (BMI) was 26.5kg/m2. The most common stone was oxalocalcic (64.7%). Mixed stones (24.7%) were in second place. There were only 3.5% of uric acid urolithiasis. Calcium oxalate stones were predominantly monohydrate. The oxalocalcic stones were significantly more frequent in men (80% versus 47.5%, P=0.01) and in the age group over 50 years old (72.2% versus 51.6%, P=0.04). There was no association between the type of stone and the BMI. CONCLUSION Epidemiology of urolithiasis in our French Caribbean island is, therefore, similar to continental France. However, our population is distinguished by the proportion of women affected and by the different proportions among each type of stone. Other studies on larger samples are needed to study these specificities. LEVEL OF EVIDENCE 4.
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Affiliation(s)
- K Kaulanjan
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe.
| | - A Cerruti
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - V Galantine
- Service de néphrologie, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - C Laine
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - J Rose Dite Modestine
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - G Gourtaud
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - C Senechal
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - V Roux
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - R Eyraud
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe
| | - P Blanchet
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe; Inserm U1085, IRSET, campus de Fouillole, 97159 Pointe-à-Pitre, Guadeloupe
| | - L Brureau
- Service d'urologie et de transplantation rénale, CHU de Pointe-à-Pitre, route de Chauvel, 97159 Pointe-à-Pitre, Guadeloupe; Inserm U1085, IRSET, campus de Fouillole, 97159 Pointe-à-Pitre, Guadeloupe
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