The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones

Abstract Background Metabolic syndrome, identified by increased visceral fat accumulation, is notably linked to a heightened risk of nephrolithiasis. Despite this, the influence of the perirenal fat thickness relative to renal parenchymal thickness on kidney stones (KS) development remains ambiguous...

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Main Authors: Dekai Hu, Guoxiang Li, Defeng Ge, Leilei Ke, Hongmin Shu, Yang Chen, Zongyao Hao
Format: Article
Language:English
Published: BMC 2025-03-01
Series:Lipids in Health and Disease
Subjects:
Online Access:https://doi.org/10.1186/s12944-025-02497-7
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author Dekai Hu
Guoxiang Li
Defeng Ge
Leilei Ke
Hongmin Shu
Yang Chen
Zongyao Hao
author_facet Dekai Hu
Guoxiang Li
Defeng Ge
Leilei Ke
Hongmin Shu
Yang Chen
Zongyao Hao
author_sort Dekai Hu
collection DOAJ
description Abstract Background Metabolic syndrome, identified by increased visceral fat accumulation, is notably linked to a heightened risk of nephrolithiasis. Despite this, the influence of the perirenal fat thickness relative to renal parenchymal thickness on kidney stones (KS) development remains ambiguous. This study investigated the clinical characteristics of perirenal fat on both the left and right sides and explored the association between the aforementioned ratio and KS. Methods The study enrolled 161 participants who underwent computed tomography (CT) scans. In this study, kidneys were segregated into two categories based on the presence of stones: stone-bearing and non-stone-bearing for both the left and right kidneys. Perirenal fat parameters were extracted from the imaging workstation database. Both univariate and multivariate logistic regression analyses were conducted to explore the correlation between metrics related to perirenal fat and the occurrence of KS. Results Among the 161 participants, significant variations in perirenal fat were observed between the left and right kidneys, as well as between genders. Subsequent to adjustments for several confounding variables, the multivariable logistic regression model demonstrated a significant correlation between the ratio of perirenal fat thickness to renal parenchymal thickness and stone bearing kidney (P < 0.001). Conclusions The ratio of perirenal fat thickness to renal parenchymal thickness was significantly correlated with kidney stones.
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spelling doaj-art-9b99644636ce4d1fa53dbb1140a451fc2025-08-20T02:59:57ZengBMCLipids in Health and Disease1476-511X2025-03-012411810.1186/s12944-025-02497-7The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stonesDekai Hu0Guoxiang Li1Defeng Ge2Leilei Ke3Hongmin Shu4Yang Chen5Zongyao Hao6Department of Urology, The First Affiliated Hospital of Anhui Medical University and Institute of Urology, Anhui Medical UniversityDepartment of Urology, The First Affiliated Hospital of Anhui Medical University and Institute of Urology, Anhui Medical UniversityDepartment of Urology, The First Affiliated Hospital of Anhui Medical University and Institute of Urology, Anhui Medical UniversityUrology Department of Chizhou People’s HospitalDepartment of Radiology, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Urology, The First Affiliated Hospital of Anhui Medical University and Institute of Urology, Anhui Medical UniversityDepartment of Urology, The First Affiliated Hospital of Anhui Medical University and Institute of Urology, Anhui Medical UniversityAbstract Background Metabolic syndrome, identified by increased visceral fat accumulation, is notably linked to a heightened risk of nephrolithiasis. Despite this, the influence of the perirenal fat thickness relative to renal parenchymal thickness on kidney stones (KS) development remains ambiguous. This study investigated the clinical characteristics of perirenal fat on both the left and right sides and explored the association between the aforementioned ratio and KS. Methods The study enrolled 161 participants who underwent computed tomography (CT) scans. In this study, kidneys were segregated into two categories based on the presence of stones: stone-bearing and non-stone-bearing for both the left and right kidneys. Perirenal fat parameters were extracted from the imaging workstation database. Both univariate and multivariate logistic regression analyses were conducted to explore the correlation between metrics related to perirenal fat and the occurrence of KS. Results Among the 161 participants, significant variations in perirenal fat were observed between the left and right kidneys, as well as between genders. Subsequent to adjustments for several confounding variables, the multivariable logistic regression model demonstrated a significant correlation between the ratio of perirenal fat thickness to renal parenchymal thickness and stone bearing kidney (P < 0.001). Conclusions The ratio of perirenal fat thickness to renal parenchymal thickness was significantly correlated with kidney stones.https://doi.org/10.1186/s12944-025-02497-7Kidney stonesObesityVisceral adipose tissueReceiver operating characteristic
spellingShingle Dekai Hu
Guoxiang Li
Defeng Ge
Leilei Ke
Hongmin Shu
Yang Chen
Zongyao Hao
The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
Lipids in Health and Disease
Kidney stones
Obesity
Visceral adipose tissue
Receiver operating characteristic
title The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
title_full The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
title_fullStr The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
title_full_unstemmed The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
title_short The ratio of perirenal fat thickness to renal parenchymal thickness, a novel indicator of fat accumulation associated with kidney stones
title_sort ratio of perirenal fat thickness to renal parenchymal thickness a novel indicator of fat accumulation associated with kidney stones
topic Kidney stones
Obesity
Visceral adipose tissue
Receiver operating characteristic
url https://doi.org/10.1186/s12944-025-02497-7
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