The purpose of the study. Determination of the possible relationship of the development of urolithiasis in overweight and obese metabolically healthy patients by body mass index, urine pH and mineral composition categories of urolites.
Research results: our scientific studies have shown these results in patients with kidney-stone disease.
№
|
Surname, name
|
Age
|
Height
|
Weight
|
Body mass index (kg/m2) norm (18.5 - 24.99)
|
Ratio between weight and length
|
Urine Ph
|
Stone type
|
1
|
Zuhriddinov L
|
32
|
172
|
80
|
27.04
|
body weight excess
|
5,45
|
oxalate stone
|
2
|
Yaxyayev U
|
25
|
173
|
79
|
26.4
|
body weight excess
|
6,35
|
oxalate stone
|
3
|
Mirzayev A
|
20
|
165
|
83
|
30.49
|
first degree obesity
|
5,75
|
oxalate stone
|
4
|
Turiboyeva A
|
52
|
167
|
78
|
27.94
|
body weight excess
|
6,4
|
oxalate stone
|
5
|
Shomaxmudova M
|
31
|
165
|
90
|
33.06
|
first degree obesity
|
6,11
|
oxalate stone
|
6
|
Xujakeshov A
|
43
|
178
|
93
|
29.35
|
body weight excess
|
6,12
|
oxalate stone
|
7
|
Safarova M
|
62
|
165
|
69
|
25.34
|
body weight excess
|
6,6
|
cystine stone
|
8
|
Bahodirov A
|
33
|
168
|
78
|
27.64
|
body weight excess
|
6.4
|
oxalate stone
|
In our studies, we calculated the body mass index indicator using the formula discovered by Adolf Ketley.
Body mass index = body weight (kg / height m2
Body mass index
|
Body mass index ratio between weight and length of a person
|
16 and less
|
Significant deficiency of body weight
|
16—18,5
|
Lack of body weight
|
18,5—24,99
|
Norm
|
25—30
|
Excess body weight
|
30—35
|
first degree obesity
|
35—40
|
secondary obesity
|
40 and above
|
third degree obesity
|
In order to carry out the task aimed at determining the type of rock formation, a study of the mineral composition and structural properties of urinary stones was carried out using the X-ray phase analysis method (spectrometry method), which makes it possible to study the crystal structure of a small amount of substance in a mixture with other elements.
Conclusion. An increase in the body mass index is associated with a decrease in the acidity of the urine and the development of oxalate and phosphate-oxalate urolites. Prevention and treatment of obesity is a large medical and socio-economic task, the solution of which is not always successful. Various independent studies have shown that urolithiasis and obesity have common biochemical mechanisms that can reduce the risk of urinary stones. Lithogenic metabolic disorders, including increased body mass index, decreased urine volume, hypercalciuria, hyperphosphaturia, hypomagniuria, hyperoxaluria, and hyperinsulinemia, are the most important factors associated with obesity and the formation of urinary stones.
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