Incidence of and potential risk factors for gallstone disease in a general population sample

• Published in: British journal of surgery Vol. 96; no. 11; pp. 1315 - 1322
• Main Authors: Halldestam, I., Kullman, E., Borch, K.
• Format: Journal Article
• Language: English
• Published: Chichester, UK John Wiley & Sons, Ltd 01-11-2009; Wiley
• Subjects: Adult; Age Distribution; Aged; Aged, 80 and over; Biological and medical sciences; Body Mass Index; Epidemiology; Female; Gallstones - epidemiology; Gastroenterology. Liver. Pancreas. Abdomen; General aspects; Humans; Incidence; Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; MEDICIN; MEDICINE; Middle Aged; Other diseases. Semiology; Prejudice; Public health. Hygiene; Public health. Hygiene-occupational medicine; Quality of Life; Risk Factors; Rural Health; Sweden - epidemiology; Urban Health; Sweden; Human; Disease; Digestive system; Biliary tract disease; Epidemiology; Cholelithiasis; Incidence; Medicine; Treatment; Surgery; Risk factor; Digestive diseases; Gallbladder
• ISSN: 0007-1323; 1365-2168
• DOI: 10.1002/bjs.6687

Background:
Several epidemiological studies have been published, but there are few reports on relations between gallstone incidence, symptomatology and risk factors.
Methods:
Of 621 randomly selected individuals aged 35–85 years in a general population who had been screened previously with ultrasonography and found to have no gallbladder stones, 503 (81·0 per cent) were re‐examined after a minimum interval of 5 years. At baseline and re‐examination, heredity for gallstone disease was explored and body mass index, digestive symptoms including abdominal pain, quality of life, alcohol and smoking habits, use of non‐steroidal anti‐inflammatory drugs and oestrogen, parity and blood lipid levels were recorded.
Results:
Forty‐two (8·3 per cent) of the 503 subjects developed stones. Subjects were followed for a total of 3025·8 person‐years, yielding an incidence for newly developed gallstones of 1·39 per 100 person‐years. A positive association for gallstone development was found only for length of follow‐up and plasma low‐density lipoprotein‐cholesterol levels at baseline. Weekly alcohol consumption was inversely related to gallstone development.
Conclusion:
The incidence of gallstones in this population was 1·39 per 100 person‐years. Gallstone development was related to length of follow‐up and LDL‐cholesterol levels, and inversely related to alcohol consumption. Copyright © 2009 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Gallstone development at follow‐up