Department of Urology, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Institute of Urology, Anhui Medical University, Hefei, China.
Front Public Health. 2022 Oct 10;10:978338. doi: 10.3389/fpubh.2022.978338. eCollection 2022.
Environmental pollution sources may play a key role in the pathogenesis of nephrolithiasis, although the link between environmental aldehyde exposure and the incidence of nephrolithiasis is unclear. The researchers in this study set out to see whether adult kidney stone formation was linked to environmental aldehydes. We examined data from 10,175 adult participants over the age of 20 who took part in the 2013-2014 National Health and Nutrition Examination Survey (NHANES), which was a cross-sectional research. A logistic regression model was employed in this work to examine the relationship between aldehyde exposure and kidney stones, machine learning was utilized to predict the connection of different parameters with the development of kidney stones, and a subgroup analysis was performed to identify sensitive groups. After controlling for all confounding variables, the results revealed that isopentanaldehyde, benzaldehyde, and hexanaldehyde were risk factors for kidney stone formation, with odds ratio (OR) of 2.47, 1.12, and 1.17, respectively, and 95 percent confidence intervals (95% CI) of 1.15-5.34, 1.02-1.22, and 1.00-1.36. Kidney stones may be a result of long-term exposure to aldehydes, which may cause them to form. Environmental pollution-related aldehyde exposure might give a novel notion and direction for future study into the process of kidney stone production, even if the cause is yet unknown.
环境污染物可能在肾结石的发病机制中起关键作用,尽管环境醛暴露与肾结石发病率之间的联系尚不清楚。本研究的研究人员着手研究成人肾结石的形成是否与环境醛有关。我们检查了年龄在 20 岁以上的 10175 名参与 2013-2014 年全国健康和营养检查调查(NHANES)的成年人的数据,这是一项横断面研究。本工作采用逻辑回归模型来研究醛暴露与肾结石之间的关系,利用机器学习来预测不同参数与肾结石发展的联系,并进行亚组分析以确定敏感群体。在控制所有混杂变量后,结果表明异戊醛、苯甲醛和己醛是肾结石形成的危险因素,其优势比(OR)分别为 2.47、1.12 和 1.17,95%置信区间(95%CI)分别为 1.15-5.34、1.02-1.22 和 1.00-1.36。肾结石可能是长期暴露于醛类物质的结果,这可能导致它们形成。与环境污染物相关的醛暴露可能为未来研究肾结石产生过程提供新的思路和方向,即使原因尚不清楚。