Liu Yua,Chen Yuntiana,Liao Banghuaa,Luo Deyia,Wang Kunjiea*(),Li Honga,Zeng Guohuab
a. Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, China b. Department of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
In Asia, about 1%-19.1% of the population suffer from urolithiasis. However, due to variations in socio-economic status and geographic locations, the prevalence and incidence have changed in different countries or regions over the years. The research for risk factors of urinary tract stones is of predominant importance. In this review, we find the prevalence of urolithiasis is 5%-19.1% in West Asia, Southeast Asia, South Asia, as well as some developed countries (South Korea and Japan), whereas, it is only 1%-8% in most part of East Asia and North Asia. The recurrence rate ranges from 21% to 53% after 3-5 years. Calcium oxalate (75%-90%) is the most frequent component of calculi, followed by uric acid (5%-20%), calcium phosphate (6%-13%), struvite (2%-15%), apatite (1%) and cystine (0.5%-1%). The incidence of urolithiasis reaches its peak in population aged over 30 years. Males are more likely to suffer from urinary calculi. Because of different dietary habits or genetic background, differences of prevalence among races or nationalities also exist. Genetic mutation of specific locus may contribute to the formation of different kinds of calculi. Dietary habits (westernized dietary habits and less fluid intake), as well as climatic factors (hot temperature and many hours of exposure to sunshine) play a crucial role in the development of stones. Other diseases, especially metabolic syndrome, may also contribute to urinary tract stones.
. [J]. Asian Journal of Urology, 2018, 5(4): 205-214.
Liu Yu,Chen Yuntian,Liao Banghua,Luo Deyi,Wang Kunjie,Li Hong,Zeng Guohua. Epidemiology of urolithiasis in Asia. Asian Journal of Urology, 2018, 5(4): 205-214.
Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y . Epidemiology of stone disease across the world. World J Urol 2017; 35:1301e20.
doi: 10.1007/s00345-017-2008-6
pmid: 28213860
[2]
Huang WY, Chen YF, Carter S, Chang HC, Lan CF, Huang KH . Epidemiology of upper urinary tract stone disease in aTaiwanese population: a nationwide, population based study. J Urol 2013; 189:2158e63.
doi: 10.1016/j.juro.2012.12.105
pmid: 23313204
[3]
Novikov A, Nazarov T, Startsev VY. Epidemiology of stonedisease in the Russian federation and post-Soviet era. In:Talati J, Tiselius HG, Albala DM, YE Z, editors. Urolithiasis:basic science and clinical practice, vol 1: epidemiology. London:Springer London; 2012. p. 97e105.
[4]
Ganesamoni R, Singh SK. Epidemiology of stone disease innorthern India. In: Talati J, Tiselius HG, Albala DM, YE Z, editors.Urolithiasis: basic science and clinical practice, vol 1:epidemiology. London: Springer London; 2012. p. 39e46.
doi: 10.1007/978-1-4471-4387-1_4
[5]
Tae BS, Balpukov U, Cho SY, Jeong CW . Eleven-year cumulativeincidence and estimated lifetime prevalence of urolithiasisin Korea: a national health insurance service-nationalsample cohort based study. J Korean Med Sci 2018;33:e13.. 2018. 33. e13.
[6]
Yasui T, Iguchi M, Suzuki S, Okada A, Itoh Y, Tozawa K , et al. Prevalence and epidemiologic characteristics of lower urinarytract stones in Japan. Urology 2008; 72:1001e5.
doi: 10.1016/j.urology.2008.06.038
pmid: 18817962
[7]
Yoshida O, Terai A, Ohkawa T , Okada Y. National trend of theincidence of urolithiasis in Japan from 1965 to 1995. Kidney Int1999; 56:1899e904.
doi: 10.1046/j.1523-1755.1999.00754.x
pmid: 10571800
[8]
Zeng Q, He Y . Age-specific prevalence of kidney stones inChinese urban inhabitants. Urolithiasis 2013; 41:91e3.
doi: 10.1007/s00240-012-0520-0
pmid: 23532431
[9]
Chen S, Mai Z, Wu W, Zhao Z, Liu Y, Zeng T , et al. Associatedfactors of urolithiasis for adult residents in rural areas ofChina. J Clin Urol 2017; 32:429e32.
[10]
Zeng G, Mai Z, Xia S, Wang Z, Zhang K, Wang L , et al. Prevalenceof kidney stones in China: an ultrasonography basedcross-sectional study. BJU Int 2017; 120:109e16.
doi: 10.1111/bju.13828
pmid: 28236332
[11]
Yasui T, Iguchi M, Suzuki S, Kohri K . Prevalence and epidemiologicalcharacteristics of urolithiasis in Japan: nationaltrends between 1965 and 2005. Urology 2008; 71:209e13.
doi: 10.1016/j.urology.2007.09.034
pmid: 18308085
[12]
Kim H, Jo MK, Kwak C, Park SK, Yoo KY, Kang D , et al. Prevalenceand epidemiologic characteristics of urolithiasis inSeoul, Korea. Urology 2002; 59:517e21.
doi: 10.1016/S0090-4295(01)01606-5
pmid: 11927302
[13]
Lee YH, Huang WC, Tsai JY, Lu CM, Chen WC, Lee MH , et al. Epidemiological studies on the prevalence of upper urinarycalculi in Taiwan. Urol Int 2002; 68:172e7.
doi: 10.1159/000048445
pmid: 11919463
[14]
Memon A, Anwar K, Orakzai N, Ather MH, Biyabani SR, Nasir AR , et al. Epidemiology of stone disease in Pakistan. In:Talati J, Tiselius HG, Albala DM, YE Z, editors. Urolithiasis:basic science and clinical practice, vol 1: epidemiology. London:Springer London; 2012. p. 21e38.
doi: 10.1007/978-1-4471-4387-1_3
[15]
Nimmannit S, Malasit P, Susaengrat W , Ong-Aj-Yooth S,Vasuvattakul S, Pidetcha P, et al. Prevalence of endemic distalrenal tubular acidosis and renal stone in the northeast ofThailand. Nephron 1996; 72:604e10.
[16]
Yanagawa M, Kawamura J, Onishi T, Soga N, Kameda K, Sriboonlue P , et al. Incidence of urolithiasis in northeastThailand. Int J Urol 1997; 4:537e40.
doi: 10.1111/j.1442-2042.1997.tb00304.x
pmid: 9477179
[17]
Kale SS, Ghole VS, Pawar NJ, Jagtap DV . Inter-annual variabilityof urolithiasis epidemic from semi-arid part of DeccanVolcanic Province, India: climatic and hydrogeochemicalperspectives. Int J Environ Health Res 2014; 24:278e89.
doi: 10.1080/09603123.2013.818105
pmid: 23869912
[18]
Sreenevasan G . Incidence of urinary stones in the variousstates of mainland Malaysia. Med J Malaysia 1981; 36:142e7.
doi: 10.1016/j.msec.2015.09.020
pmid: 7329370
[19]
Sreenevasan G . Urinary stones in Malaysiadits incidence andmanagement. Med J Malaysia 1990; 45:92e112.
pmid: 2152025
[20]
Abdel-Halim RE, Al-Hadramy MS, Hussein M, Baghlaf AO, Sibaai AA, Noorwali AW , et al. The prevalence of urolithiasis inthe western region of Saudi Arabia: a population study. In:Walker VR, Sutton RAL, Cameron ECB, Pak CYC, Robertson WG,editors. Urolithiasis. Boston, MA: Springer; 1989. p. 711e2.
doi: 10.1007/978-1-4899-0873-5_218
[21]
Ahmad F, Nada MO, Farid AB, Haleem MA, Razack SM . Epidemiologyof urolithiasis with emphasis on ultrasound detection:a retrospective analysis of 5371 cases in Saudi Arabia. Saudi JKidney Dis Transpl 2015; 26:386e91.
doi: 10.4103/1319-2442.152557
pmid: 25758899
[22]
Freeg MA, Sreedharan J, Muttappallymyalil J, Venkatramana M, Shaafie IA, Mathew E , et al. A retrospectivestudy of the seasonal pattern of urolithiasis. Saudi J Kidney DisTranspl 2012; 23:1232e7.
doi: 10.4103/1319-2442.103565
pmid: 23168854
[23]
el-Reshaid K, Mughal H, Kapoor M . Epidemiological profile,mineral metabolic pattern and crystallographic analysis ofurolithiasis in Kuwait. Eur J Epidemiol 1997; 13:229e34.
doi: 10.1023/A:1007346727944
pmid: 9085010
[24]
Al-Hunayan A, Abdul-Halim H, Kehinde EO, Al-Awadi K , ElBarky E, Al-Ateequi A. Mode of presentation and first line ofmanagement of non-recurrent urolithiasis in Kuwait. Int J Urol 2004; 11:963e8.
doi: 10.1111/j.1442-2042.2004.00934.x
pmid: 15509198
[25]
Safarinejad MR . Adult urolithiasis in a population-based studyin Iran: prevalence, incidence, and associated risk factors. Urol Res 2007; 35:73e82.
doi: 10.1007/s00240-007-0084-6
pmid: 17361397
[26]
Ketabchi AA, Aziziolahi GA . Prevalence of symptomatic urinarycalculi in Kerman, Iran. Urol J 2008; 5:156e60.
doi: 10.1088/2058-7058/9/8/6
pmid: 18825621
[27]
Basiri A, Shakhssalim N, Khoshdel AR, Ghahestani SM, Basiri H . The demographic profile of urolithiasis in Iran: a nationwideepidemiologic study. Int Urol Nephrol 2010; 42:119e26.
doi: 10.1007/s11255-009-9588-z
pmid: 19521794
[28]
Frank M, De Vries A, Atsmon A, Lazebnik J, Kochwa S . Epidemiological investigation of urolithiasis in Israel. J Urol1959; 81:497e505.
doi: 10.1016/S0022-5347(17)66053-1
pmid: 13642496
[29]
Frank M, Atsmon A, Sugar P, De Vries A . Epidemiologicalinvestigation of urolithiasis in the hot arid southern region ofIsrael. Urol Int 1963; 15:65e76.
doi: 10.1159/000279001
pmid: 13959242
[30]
Yoshida O, Okada Y . Epidemiology of urolithiasis in Japan: achronological and geographical study. Urol Int 1990; 45:104e11.
doi: 10.1159/000281680
pmid: 2330656
[31]
Thalut K, Rizal A, Brockis JG, Bowyer RC, Taylor TA, Wisniewski ZS . The endemic bladder stones of Indonesia—epidemiology and clinical features. Br J Urol 1976; 48:617e21.
doi: 10.1111/j.1464-410X.1976.tb06709.x
pmid: 1016835
[32]
Afaj AH, Sultan MA . Mineralogical composition of the urinarystones fromdifferent provinces in Iraq. SciWorld J 2005; 5:24e38.
doi: 10.1100/tsw.2005.2
pmid: 15674447
[33]
Nazmi N, Zainal D, Hashim M . Renal stones in Kelantan,Malaysia-has the pattern changed? Southeast Asian J Trop MedPublic Health 1997; 28:641e4.
pmid: 9561623
[34]
Lim KG, Edward RH , McAll GL, Thaung M, Wahad NA, Arimainayagam G. Urinary stones in Kelantan, Malaysiadatwo year review. Singap Med J 1988; 29:353e6.
pmid: 3249962
[35]
Halstead SB , Valyasevi A. Studies of bladder stone disease inThailand. 3. Epidemiologic studies in Ubol Province. Am J ClinNutr 1967; 20:1329e39. Epidemiology of urolithiasis in Asia 213.
doi: 10.1079/PNS19680048
pmid: 6074670
[36]
Abomelha MS, al-Khader AA, Arnold J . Urolithiasis in SaudiArabia. Urology 1990; 35:31e4.
[37]
Yapanoglu T , Demi?el A, Adanur S, Yüksel H, Polat Ö. X-raydiffraction analysis of urinary tract stones. Turk J Med Sci2010; 40:415e20.
[38]
Pugliese JM, Baker KC . Epidemiology of nephrolithiasis inpersonnel returning from operation iraqi freedom. Urology2009; 74:56e60.
doi: 10.1016/j.urology.2008.10.079
pmid: 19395003
[39]
Muslumanoglu AY, Binbay M, Yuruk E, Akman T, Tepeler A, Esen T , et al. Updated epidemiologic study of urolithiasis in Turkey. I:changing characteristics of urolithiasis. Urol Res 2011; 39:309e14.
doi: 10.1007/s00240-010-0346-6
pmid: 21161646
[40]
Iguchi M, Umekawa T, Katoh Y, Kohri K, Kurita T . Prevalence ofurolithiasis in Kaizuka City, Japandan epidemiologic study ofurinary stones. Int J Urol 1996; 3:175e9.
doi: 10.1111/j.1442-2042.1996.tb00511.x
pmid: 8776612
[41]
Pendse AK, Singh PP . The etiology of urolithiasis in Udaipur(western part of India). Urol Res 1986; 14:59e62.
doi: 10.1007/BF00257889
pmid: 3727215
[42]
Alatab S, Pourmand G, El HMF, Buchholz N, Najafi I, Pourmand MR , et al. National profiles of urinary calculi: acomparison between developing and developed worlds. Iran JKidney Dis 2016; 10:51e61.
pmid: 26921745
[43]
Takasaki E . An observation on the composition and recurrenceof urinary calculi. Urol Int 1975; 30:228e36.
doi: 10.1159/000279983
pmid: 1118962
[44]
Shokouhi B, Gasemi K, Norizadeh E . Chemical composition andepidemiological risk factors of urolithiasis in Ardabil Iran. ResJ Biol Sci 2008; 3:620e6.
Ansari MS, Gupta NP, Hemal AK, Dogra PN, Seth A, Aron M , et al. Spectrum of stone composition: structural analysis of1050 upper urinary tract calculi from northern India. Int J Urol2005; 12:12e6.
doi: 10.1111/j.1442-2042.2004.00990.x
pmid: 15661049
[47]
Khand FD, Ansari AF, Khand TU, Memon JM . Analysis of urinarycalculi by infrared spectroscopy. J Chem Soc Pakistan 1996; 18:246e9.
pmid: 2168259
[48]
Silva GR, Maciel LC . Epidemiology of urolithiasis consultationsin the paraiba valley. Rev Col Bras Cir 2016; 43:410e5.
[49]
Tanthanuch M, Apiwatgaroon A, Pripatnanont C . Urinarytract calculi in southern Thailand. J Med Assoc Thai 2005; 88:80e5.
pmid: 15960223
[50]
Akinci M, Esen T, Tellaloglu S . Urinary stone disease in Turkey:an updated epidemiological study. Eur Urol 1991; 20:200e3.
doi: 10.1159/000471700
pmid: 1823043
[51]
Kohri K, Ishikawa Y, Katoh Y, Kataoka K, Iguchi M, Yachiku S , et al. Epidemiology of urolithiasis in the elderly. Int UrolNephrol 1991; 23:413e21.
doi: 10.1007/BF02583983
pmid: 1938239
[52]
Nasir SJ . The mineralogy and chemistry of urinary stones fromthe United Arab Emirates. Qatar Univ Sci J 1999; 18:189e202.
[53]
Chandrajith R, Wijewardana G, Dissanayake CB, Abeygunasekara A . Biomineralogy of human urinary calculi(kidney stones) from some geographic regions of Sri Lanka. Environ Geochem Health 2006; 28:393e9.
doi: 10.1007/s10653-006-9048-y
pmid: 16791711
[54]
Choi SY, Yoon C . Urologic diseases in Korean military population:a 6-year epidemiological review of medical records. JKorean Med Sci 2017; 32:135e42.
doi: 10.3346/jkms.2017.32.1.135
pmid: 5143286
[55]
Sriboonlue P, Prasongwatana V, Chata K, Tungsanga K . Prevalenceof upper urinary tract stone disease in a rural communityof north-eastern Thailand. Br J Urol 1992; 69:240e4.
doi: 10.1111/j.1464-410X.1992.tb15520.x
pmid: 1568096
[56]
Singh P, Barjatiya M, Dhing S, Bhatnagar R, Kothari S, Dhar V . Evidence suggesting that high intake of fluoride provokesnephrolithiasis in tribal populations. Urol Res 2001; 29:238e44.
doi: 10.1007/s002400100192
pmid: 11585278
[57]
Schrieks IC, Heil AL, Hendriks HF, Mukamal KJ, Beulens JW . The effect of alcohol consumption on insulin sensitivity andglycemic status: a systematic review and meta-analysis ofintervention studies. Diabetes Care 2015; 38:723e32.
doi: 10.2337/dc14-1556
pmid: 25805864
[58]
Basiri A, Shakhssalim N, Khoshdel AR, Naghavi M . Regional andseasonal variation in the incidence of urolithiasis in Iran: aplace for obsession in case finding and statistical approach. Urol Res 2009; 37:197e204.
doi: 10.1007/s00240-009-0193-5
pmid: 19468725
[59]
SalemSN, AbuElezz LZ . The incidenceof renal colic and calculi inKuwait. An epidemiological study. J Med Liban 1969; 22:747e55.
pmid: 5370524
[60]
Shajari A, Sanjerehei MM . Modeling the distribution of urolithiasisprevalence under projected climate change in Iran. Urolithiasis 2015; 43:339e47.
doi: 10.1007/s00240-015-0784-2
pmid: 25976637
[61]
Park HK, Bae SR, Kim SE, Choi WS, Paick SH, Ho K , et al. Theeffect of climate variability on urinary stone attacks:increased incidence associated with temperature over 18 oC:a population-based study. Urolithiasis 2015; 43:89e94.
[62]
Hussein NS, Sadiq SM, Kamaliah MD, Norakmal AW, Gohar MN . Twenty-four-hour urine constituents in stone formers: a studyfrom the northeast part of Peninsular Malaysia. Saudi J KidneyDis Transpl 2013; 24:630e7.
doi: 10.4103/1319-2442.111090
pmid: 23640651
[63]
Portis AJ, Hermans K, Culhane-Pera KA, Curhan GC . Stonedisease in the Hmong of Minnesota: initial description of ahigh-risk population. J Endourol 2004; 18:853e7.
doi: 10.1089/end.2004.18.853
pmid: 15659918
[64]
Andreassen KH, Pedersen KV, Osther SS, Jung HU, Lildal SK,Osther PJS . How should patients with cystine stone disease beevaluated and treated in the twenty-first century? Urolithiasis 2016;44:65.https://doi.org/10.1007/s00240-015-0841-x.
doi: 10.1007/s00240-015-0841-x
pmid: 26614112
[65]
Vasudevan V, Samson P, Smith AD, Okeke Z . The geneticframework for development of nephrolithiasis. Asian J Urol 2016; 4:18e26.
doi: 10.1016/j.ajur.2016.11.003
[66]
Wu W, Yang D, Tiselius HG, Ou L, Liang Y, Zhu H , et al. Thecharacteristics of the stone and urine composition in Chinesestone formers: primary report of a single-center results. Urology 2014; 83:732e7.
doi: 10.1016/j.urology.2013.11.012
pmid: 24485999
[67]
Hsu TC, Chen J , Huang HS,Wang CJ. Association of changes in thepattern of urinary calculi in Taiwanese with diet habit changebetween 1956 and 1999. J Formos Med Assoc 2002; 101:5e10.
doi: 10.1016/S0885-3924(01)00367-0
pmid: 11911038
[68]
Bae SR, Seong JM, Kim LY, Paick SH, Kim HG, Lho YS , et al. Theepidemiology of reno-ureteral stone disease in Koreans: anationwide population-based study. Urolithiasis 2014; 42:109e14.
doi: 10.1007/s00240-014-0643-6
pmid: 24526235
[69]
Kumari A, Dokwal S, Mittal P, Kumar R, Goel R, Bansal P , et al.An increase incidence in uric acid nephrolithiasis: changingpatterns. J Clin Diagn Res 2016; 10:Bc01e3.
doi: 10.7860/JCDR/2016/19714.8139
pmid: 27630833
[70]
Vinarova L, Vinarov Z, Tcholakova S, Denkov ND, Stoyanov S, Lips A . The mechanism of lowering cholesterol absorption bycalcium studied by using an in vitro digestion model. FoodFunct 2016; 7:151e63.
doi: 10.1039/c5fo00856e
pmid: 26481461
[71]
Guasch- Ferré M, Bulló M, Babio N, Martínez-González MA, Estruch R, Covas MI , et al. Mediterranean diet and risk ofhyperuricemia in elderly participants at high cardiovascularrisk. J Gerontol A Biol Sci Med Sci 2013; 68:1263e70.
doi: 10.1093/gerona/glt028
pmid: 23599357
[72]
Luo D, Li H, Wang K. Epidemiology of stone disease in China.In: Urolithiasis: basic science and clinical practice, vol 1:epidemiology. London: Springer London; 2012. p. 53e9.214 Y. Liu et al.
doi: 10.1007/978-1-4471-4387-1_6