Journal of Clinical Medicine (Jul 2024)

Visceral Adiposity and Its Impact on Nephrolithiasis: A Narrative Review

  • Carlo Augusto Mallio,
  • Laura Cea,
  • Valerio D’Andrea,
  • Andrea Buoso,
  • Caterina Bernetti,
  • Bruno Beomonte Zobel,
  • Federico Greco

DOI
https://doi.org/10.3390/jcm13144065
Journal volume & issue
Vol. 13, no. 14
p. 4065

Abstract

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Kidney stones represent a serious medical problem, resulting from several factors such as diet, genetics, and certain medical conditions. Visceral adipose tissue has been shown in recent research to play a significant role in kidney stone formation, making it a more precise indicator than traditional obesity indicators such as body mass index. The main aim of this review is to summarize studies on visceral obesity as a predictive marker for nephrolithiasis and to highlight new mechanistic pathways such as adipokine-mediated inflammation and its impact on kidney stone formation. This review emphasizes the importance of considering visceral fat in the prevention and management of kidney stones, suggesting that targeted strategies to reduce visceral fat could decrease the incidence of kidney stones and their management costs. Further prospective studies are needed to validate these findings and propose preventive strategies based on visceral adiposity assessments.

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