Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study

ObjectivePrior research has suggested links between skeletal muscle mass and visceral fat volume with kidney stone formation. However, the link between the skeletal muscle-to-visceral fat ratio (SVR) and kidney stone risk remains to be clarified. This study aims to explore the relationship between S...

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Main Authors: Yuan-Zhuo Du, Jia-Qing Yang, Jian Tang, Chi-Teng Zhang, Yi-Fu Liu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2025.1549047/full
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author Yuan-Zhuo Du
Jia-Qing Yang
Jian Tang
Chi-Teng Zhang
Yi-Fu Liu
author_facet Yuan-Zhuo Du
Jia-Qing Yang
Jian Tang
Chi-Teng Zhang
Yi-Fu Liu
author_sort Yuan-Zhuo Du
collection DOAJ
description ObjectivePrior research has suggested links between skeletal muscle mass and visceral fat volume with kidney stone formation. However, the link between the skeletal muscle-to-visceral fat ratio (SVR) and kidney stone risk remains to be clarified. This study aims to explore the relationship between SVR and the risk of kidney stones, analyzing data from the National Health and Nutrition Examination Survey (NHANES).MethodsThe research encompassed 8,522 individuals from NHANES surveys from 2011 to 2018. Kidney stones were diagnosed through a standardized questionnaire, and SVR was calculated using dual-energy X-ray absorptiometry (DXA). Participants were grouped into quartiles based on their SVR. All data underwent weighting according to official guidelines. Logistic regression models assessed the correlation between SVR and kidney stone incidence, and subgroup analysis was employed to investigate its stability.ResultsAmong the participants, 675 individuals, representing 8.73%, received a diagnosis of kidney stones, with an average age of 39.29 years (±0.28). Findings indicate that lower SVR correlates with increased kidney stone risk. Within the comprehensively adjusted multivariate model, compared to the lowest SVR quartile, the second, third, and fourth quartiles demonstrated significantly reduced risks, with ORs of 0.63 (95% CI = 0.47–0.84), 0.57 (95% CI = 0.42–0.79), and 0.39 (95% CI = 0.25–0.61), respectively. Restricted cubic spline (RCS) regression models demonstrated a non-linear relationship between SVR and kidney stone risk. The subgroup analysis demonstrated no significant differences in weighted associations across subgroups (interaction p-value > 0.05), except for BMI, which had a significant interaction (interaction p-value < 0.05).ConclusionThe findings underscore that lower SVR correlates with increased kidney stone risk, a relationship that remains consistent across most demographics.
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spelling doaj-art-abace3d2a4ed41dab39e9a73d55561952025-08-20T03:09:31ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-05-011210.3389/fnut.2025.15490471549047Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional studyYuan-Zhuo Du0Jia-Qing Yang1Jian Tang2Chi-Teng Zhang3Yi-Fu Liu4Department of Urology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaDepartment of Urology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaThe Second Affiliated Hospital, Department of Urology, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaThe Second Affiliated Hospital, Department of Urology, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaThe Second Affiliated Hospital, Department of Urology, Hengyang Medical School, University of South China, Hengyang, Hunan, ChinaObjectivePrior research has suggested links between skeletal muscle mass and visceral fat volume with kidney stone formation. However, the link between the skeletal muscle-to-visceral fat ratio (SVR) and kidney stone risk remains to be clarified. This study aims to explore the relationship between SVR and the risk of kidney stones, analyzing data from the National Health and Nutrition Examination Survey (NHANES).MethodsThe research encompassed 8,522 individuals from NHANES surveys from 2011 to 2018. Kidney stones were diagnosed through a standardized questionnaire, and SVR was calculated using dual-energy X-ray absorptiometry (DXA). Participants were grouped into quartiles based on their SVR. All data underwent weighting according to official guidelines. Logistic regression models assessed the correlation between SVR and kidney stone incidence, and subgroup analysis was employed to investigate its stability.ResultsAmong the participants, 675 individuals, representing 8.73%, received a diagnosis of kidney stones, with an average age of 39.29 years (±0.28). Findings indicate that lower SVR correlates with increased kidney stone risk. Within the comprehensively adjusted multivariate model, compared to the lowest SVR quartile, the second, third, and fourth quartiles demonstrated significantly reduced risks, with ORs of 0.63 (95% CI = 0.47–0.84), 0.57 (95% CI = 0.42–0.79), and 0.39 (95% CI = 0.25–0.61), respectively. Restricted cubic spline (RCS) regression models demonstrated a non-linear relationship between SVR and kidney stone risk. The subgroup analysis demonstrated no significant differences in weighted associations across subgroups (interaction p-value > 0.05), except for BMI, which had a significant interaction (interaction p-value < 0.05).ConclusionThe findings underscore that lower SVR correlates with increased kidney stone risk, a relationship that remains consistent across most demographics.https://www.frontiersin.org/articles/10.3389/fnut.2025.1549047/fullskeletal muscle-to-visceral fat ratiokidney stonesNHANEScross-sectional studyskeletal musclevisceral fat
spellingShingle Yuan-Zhuo Du
Jia-Qing Yang
Jian Tang
Chi-Teng Zhang
Yi-Fu Liu
Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
Frontiers in Nutrition
skeletal muscle-to-visceral fat ratio
kidney stones
NHANES
cross-sectional study
skeletal muscle
visceral fat
title Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
title_full Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
title_fullStr Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
title_full_unstemmed Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
title_short Association between the skeletal muscle-to-visceral fat ratio and kidney stones: a cross-sectional study
title_sort association between the skeletal muscle to visceral fat ratio and kidney stones a cross sectional study
topic skeletal muscle-to-visceral fat ratio
kidney stones
NHANES
cross-sectional study
skeletal muscle
visceral fat
url https://www.frontiersin.org/articles/10.3389/fnut.2025.1549047/full
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