Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey

Objective: Biological age is a more accurate measure of aging than chronological age. This study examines the association between biological age and the prevalence of kidney stones. Methods: Data were sourced from the U.S. National Health and Nutrition Examination Survey 2007–2018 cycles. Biological...

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Main Authors: Yi Su, Zhao Hu, Houxian Liu, Lifeng Yao, Sui Yu
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211335525001317
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author Yi Su
Zhao Hu
Houxian Liu
Lifeng Yao
Sui Yu
author_facet Yi Su
Zhao Hu
Houxian Liu
Lifeng Yao
Sui Yu
author_sort Yi Su
collection DOAJ
description Objective: Biological age is a more accurate measure of aging than chronological age. This study examines the association between biological age and the prevalence of kidney stones. Methods: Data were sourced from the U.S. National Health and Nutrition Examination Survey 2007–2018 cycles. Biological age was assessed using the Klemera-Doubal Method (KDM-Age) and Phenotypic Age (Pheno-Age). Residuals from the regression of biological age measures on chronological age were computed to determine KDM-Age and Pheno-Age acceleration. Weighted chi-square tests, linear trend analyses, and multivariable logistic regression models were used. Results: A total of 17,905 people were included. The weighted prevalence of kidney stones significantly rose with increasing quartiles of chronological age, KDM-Age, and Pheno-Age in the overall population, and across sex and age subgroups. Significant increasing trends in prevalence were observed across Pheno-Age acceleration quartiles for sex and age subgroups, especially in males and younger individuals (< 65 years) (P for linear trend <0.001). No significant trends were observed for KDM-Age acceleration quartiles in any subgroup. Higher Pheno-Age acceleration was significantly associated with an elevated risk of kidney stones (OR = 1.32, 95 % CI: 1.12–1.55), with notably stronger associations observed in males and younger individuals. Conclusions: Elevated Pheno-Age levels are associated with an increased prevalence of kidney stones, particularly among males and younger individuals. These findings underscore the potential utility of Pheno-Age in identifying individuals at high risk for kidney stones and facilitating early intervention.
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spelling doaj-art-c494bac313e340e1b4d35e76ba374cf52025-08-20T03:13:03ZengElsevierPreventive Medicine Reports2211-33552025-06-015410309210.1016/j.pmedr.2025.103092Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination surveyYi Su0Zhao Hu1Houxian Liu2Lifeng Yao3Sui Yu4Department of Urology, The People's Hospital of Fenghua Ningbo, Ningbo, ChinaDepartment of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, ChinaDepartment of Urology, The People's Hospital of Fenghua Ningbo, Ningbo, ChinaDepartment of Urology, The People's Hospital of Fenghua Ningbo, Ningbo, ChinaDepartment of Urology, The People's Hospital of Fenghua Ningbo, Ningbo, China; Corresponding author at: No. 36 Gongyuan Road, Fenghua District, Ningbo City, Zhejiang Province, China.Objective: Biological age is a more accurate measure of aging than chronological age. This study examines the association between biological age and the prevalence of kidney stones. Methods: Data were sourced from the U.S. National Health and Nutrition Examination Survey 2007–2018 cycles. Biological age was assessed using the Klemera-Doubal Method (KDM-Age) and Phenotypic Age (Pheno-Age). Residuals from the regression of biological age measures on chronological age were computed to determine KDM-Age and Pheno-Age acceleration. Weighted chi-square tests, linear trend analyses, and multivariable logistic regression models were used. Results: A total of 17,905 people were included. The weighted prevalence of kidney stones significantly rose with increasing quartiles of chronological age, KDM-Age, and Pheno-Age in the overall population, and across sex and age subgroups. Significant increasing trends in prevalence were observed across Pheno-Age acceleration quartiles for sex and age subgroups, especially in males and younger individuals (< 65 years) (P for linear trend <0.001). No significant trends were observed for KDM-Age acceleration quartiles in any subgroup. Higher Pheno-Age acceleration was significantly associated with an elevated risk of kidney stones (OR = 1.32, 95 % CI: 1.12–1.55), with notably stronger associations observed in males and younger individuals. Conclusions: Elevated Pheno-Age levels are associated with an increased prevalence of kidney stones, particularly among males and younger individuals. These findings underscore the potential utility of Pheno-Age in identifying individuals at high risk for kidney stones and facilitating early intervention.http://www.sciencedirect.com/science/article/pii/S2211335525001317Biological ageKlemera-doubal method agePhenotypic ageKidney stoneUnited states
spellingShingle Yi Su
Zhao Hu
Houxian Liu
Lifeng Yao
Sui Yu
Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
Preventive Medicine Reports
Biological age
Klemera-doubal method age
Phenotypic age
Kidney stone
United states
title Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
title_full Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
title_fullStr Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
title_full_unstemmed Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
title_short Association of accelerated biological aging with kidney stone: Insights from the U.S. National health and nutrition examination survey
title_sort association of accelerated biological aging with kidney stone insights from the u s national health and nutrition examination survey
topic Biological age
Klemera-doubal method age
Phenotypic age
Kidney stone
United states
url http://www.sciencedirect.com/science/article/pii/S2211335525001317
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