Association of serum soluble αklotho with risk of kidney stone disease: a population-based cross-sectional study.
World J Urol
; 42(1): 219, 2024 Apr 08.
Article
em En
| MEDLINE
| ID: mdl-38587631
ABSTRACT
BACKGROUND:
The aim of the study was to explore the association of serum soluble klotho with kidney stone disease (KSD) in the general population over the age of 40 years in the United States.METHODS:
We integrated the data in National Health and Nutrition Examination Survey from 2007 to 2016 years. The relationship between serum soluble αklotho and prevalence of KSD was analyzed by constructing weighted multivariable logistic regression model, restricted cubic spline (RCS) curve, and subgroup analyses.RESULTS:
In the study, a total of 13,722 individuals were included in our study. A U-shaped association between serum soluble klotho and the risk of KSD was shown by the RCS curve (P value for nonlinear < 0.05). In the full adjusted model, compared with the lowest quartile of serum soluble αklotho, the adjusted odd ratios (95% confidence intervals) for KSD across the quartiles were (0.999 (0.859, 1.164), 1.005 (0.858, 1.176), and 1.061 (0.911, 1.235)). Subgroup analyses also showed that the U-shaped association of serum soluble αklotho with KSD was found among subjects who were age < 60 years, female or male, with or without hypertension, and BMI ≥ 30 kg/m2.CONCLUSIONS:
Our findings suggested that serum klotho levels had a U-shaped correlation with risk of KSD. When the Klotho level is at 818.66 pg/mL, prevalence of KSD is lowest. Therefore, maintaining a certain level of serum soluble αklotho could prevent the occurrence of KSD.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Cálculos Renais
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Hipertensão
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article