Epidemiology of urolithiasis in Asia

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 pr...

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Main Authors: Yu Liu, Yuntian Chen, Banghua Liao, Deyi Luo, Kunjie Wang, Hong Li, Guohua Zeng
Format: Article
Language:English
Published: Elsevier 2018-10-01
Series:Asian Journal of Urology
Online Access:http://www.sciencedirect.com/science/article/pii/S2214388218300729
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author Yu Liu
Yuntian Chen
Banghua Liao
Deyi Luo
Kunjie Wang
Hong Li
Guohua Zeng
author_facet Yu Liu
Yuntian Chen
Banghua Liao
Deyi Luo
Kunjie Wang
Hong Li
Guohua Zeng
author_sort Yu Liu
collection DOAJ
description 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. Keywords: Urolithiasis, Epidemiology, Prevalence, Incidence, Component, Risk factors
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spelling doaj.art-025af89e13c54148b13c1b91123205502022-12-22T02:18:55ZengElsevierAsian Journal of Urology2214-38822018-10-0154205214Epidemiology of urolithiasis in AsiaYu Liu0Yuntian Chen1Banghua Liao2Deyi Luo3Kunjie Wang4Hong Li5Guohua Zeng6Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, China; Corresponding author.Department of Urology, Institute of Urology (Laboratory of Reconstructive Urology), West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Urology, Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, ChinaIn 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. Keywords: Urolithiasis, Epidemiology, Prevalence, Incidence, Component, Risk factorshttp://www.sciencedirect.com/science/article/pii/S2214388218300729
spellingShingle Yu Liu
Yuntian Chen
Banghua Liao
Deyi Luo
Kunjie Wang
Hong Li
Guohua Zeng
Epidemiology of urolithiasis in Asia
Asian Journal of Urology
title Epidemiology of urolithiasis in Asia
title_full Epidemiology of urolithiasis in Asia
title_fullStr Epidemiology of urolithiasis in Asia
title_full_unstemmed Epidemiology of urolithiasis in Asia
title_short Epidemiology of urolithiasis in Asia
title_sort epidemiology of urolithiasis in asia
url http://www.sciencedirect.com/science/article/pii/S2214388218300729
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