Bad news for North
Indian who live in a stone belt as two large prospective cohort studies have
shown that women (not men) with a history of kidney stones have a modestly
increased risk of coronary heart disease. The magnitude of the increase ranged
between 20% and 50% in the two studies. Similar increases emerged from separate
analyses of fatal and nonfatal heart attacks and revascularization. The
findings are reported by Dr Pietro Manuel Ferraro, of Columbus-Gemelli
Hospital in Rome , and colleagues online in the Journal of
the American Medical Association. The findings suggest that women with a
history of nephrolithiasis might warrant more scrutiny for signs of heart
blockages.
A previous study has indicated
that light exercise can lower the risk of kidney stones in women.
Several other studies
have identified associations between nephrolithiasis and systemic diseases,
including atherosclerosis, hypertension, diabetes, metabolic syndrome, and
cardiovascular disease.
In the present study
the investigators analyzed data from three large, prospective cohort studies
including 45,748 men, ages 40 to 75, and 196,357 women, ages 30 to 55, all
without heart blockages at baseline. The studies' data encompassed follow-up of
18 years in women and 24 years in men.
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