Leisure time physical activity, smoking and risk of recent symptomatic urolithiasis: Survey of stone clinic patients

Michael Soueidan, Susan J. Bartlett, Yasser A. Noureldin, Ross E. Andersen, Sero Andonian

Research output: Contribution to journalArticle

Abstract

Introduction: We explore relationships between selected lifestyle factors and recent (≤6 months) symptomatic urolithiasis (RSU). Methods: Surveys querying socio-demographic, medical history, physical activity, diet and smoking were administered to a convenience sample of stone clinic patients at a tertiary care hospital. Leisure time physical activity (LTPA) was assessed with the International Physical Activity Questionnaire (long form). Multivariate logistic regression was used to identify associations between risk factors and RSU. Results: Of the 163 participants, most were male (64%) and white (78%), with a mean (standard deviation) age of 56.3 (14.2) years. The mean body mass index (BMI) was 27.3 (5.4) kg/m2 and 57 (35%) patients reported RSU. No significant (p <0.05) differences were observed between participants with and without RSU in age, sex, ethnicity, BMI, or diet. Of the cohort, 52 (35%) participants met physical activity guidelines for walking (29%), moderate (27%) or vigorous activity (29%). LTPA did not differ significantly by RSU status. Compared to those without RSU, participants with RSU had higher rates of smoking (7% vs. 21%, p = 0.02 and had 8.5 (95% confidence interval 2.2–32.2) times the odds of being current smokers after controlling for sex, diet, and LTPA. Conclusions: Physical inactivity and smoking are common among stone clinic patients, though LPTA was not associated with RSU. Study limitations include its small sample size, selection bias, and reliance on self-reported RSU (recall bias). In addition, participants may have already been following dietary recommendations to prevent urolithiasis recurrence. Nonetheless, current smoking was a potent predictor of RSU. When desired, smokers should be referred for smoking cessation.

Original languageEnglish (US)
Pages (from-to)257-262
Number of pages6
JournalJournal of the Canadian Urological Association
Volume9
Issue number7-8 August
DOIs
StatePublished - Aug 10 2015
Externally publishedYes

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Urolithiasis
Leisure Activities
Smoking
Exercise
Diet
Body Mass Index
Selection Bias
Smoking Cessation
Tertiary Healthcare
Tertiary Care Centers
Sample Size
Walking
Surveys and Questionnaires
Life Style
Logistic Models
Demography
Guidelines
Confidence Intervals
Recurrence

ASJC Scopus subject areas

  • Oncology
  • Urology

Cite this

Leisure time physical activity, smoking and risk of recent symptomatic urolithiasis : Survey of stone clinic patients. / Soueidan, Michael; Bartlett, Susan J.; Noureldin, Yasser A.; Andersen, Ross E.; Andonian, Sero.

In: Journal of the Canadian Urological Association, Vol. 9, No. 7-8 August, 10.08.2015, p. 257-262.

Research output: Contribution to journalArticle

Soueidan, Michael ; Bartlett, Susan J. ; Noureldin, Yasser A. ; Andersen, Ross E. ; Andonian, Sero. / Leisure time physical activity, smoking and risk of recent symptomatic urolithiasis : Survey of stone clinic patients. In: Journal of the Canadian Urological Association. 2015 ; Vol. 9, No. 7-8 August. pp. 257-262.
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abstract = "Introduction: We explore relationships between selected lifestyle factors and recent (≤6 months) symptomatic urolithiasis (RSU). Methods: Surveys querying socio-demographic, medical history, physical activity, diet and smoking were administered to a convenience sample of stone clinic patients at a tertiary care hospital. Leisure time physical activity (LTPA) was assessed with the International Physical Activity Questionnaire (long form). Multivariate logistic regression was used to identify associations between risk factors and RSU. Results: Of the 163 participants, most were male (64{\%}) and white (78{\%}), with a mean (standard deviation) age of 56.3 (14.2) years. The mean body mass index (BMI) was 27.3 (5.4) kg/m2 and 57 (35{\%}) patients reported RSU. No significant (p <0.05) differences were observed between participants with and without RSU in age, sex, ethnicity, BMI, or diet. Of the cohort, 52 (35{\%}) participants met physical activity guidelines for walking (29{\%}), moderate (27{\%}) or vigorous activity (29{\%}). LTPA did not differ significantly by RSU status. Compared to those without RSU, participants with RSU had higher rates of smoking (7{\%} vs. 21{\%}, p = 0.02 and had 8.5 (95{\%} confidence interval 2.2–32.2) times the odds of being current smokers after controlling for sex, diet, and LTPA. Conclusions: Physical inactivity and smoking are common among stone clinic patients, though LPTA was not associated with RSU. Study limitations include its small sample size, selection bias, and reliance on self-reported RSU (recall bias). In addition, participants may have already been following dietary recommendations to prevent urolithiasis recurrence. Nonetheless, current smoking was a potent predictor of RSU. When desired, smokers should be referred for smoking cessation.",
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AB - Introduction: We explore relationships between selected lifestyle factors and recent (≤6 months) symptomatic urolithiasis (RSU). Methods: Surveys querying socio-demographic, medical history, physical activity, diet and smoking were administered to a convenience sample of stone clinic patients at a tertiary care hospital. Leisure time physical activity (LTPA) was assessed with the International Physical Activity Questionnaire (long form). Multivariate logistic regression was used to identify associations between risk factors and RSU. Results: Of the 163 participants, most were male (64%) and white (78%), with a mean (standard deviation) age of 56.3 (14.2) years. The mean body mass index (BMI) was 27.3 (5.4) kg/m2 and 57 (35%) patients reported RSU. No significant (p <0.05) differences were observed between participants with and without RSU in age, sex, ethnicity, BMI, or diet. Of the cohort, 52 (35%) participants met physical activity guidelines for walking (29%), moderate (27%) or vigorous activity (29%). LTPA did not differ significantly by RSU status. Compared to those without RSU, participants with RSU had higher rates of smoking (7% vs. 21%, p = 0.02 and had 8.5 (95% confidence interval 2.2–32.2) times the odds of being current smokers after controlling for sex, diet, and LTPA. Conclusions: Physical inactivity and smoking are common among stone clinic patients, though LPTA was not associated with RSU. Study limitations include its small sample size, selection bias, and reliance on self-reported RSU (recall bias). In addition, participants may have already been following dietary recommendations to prevent urolithiasis recurrence. Nonetheless, current smoking was a potent predictor of RSU. When desired, smokers should be referred for smoking cessation.

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