The new research involved nearly 85,000 women 50 and older in the government-funded Women’s Health Initiative study. All had an exam to measure weight and height so doctors could figure out their body mass index, a gauge of obesity. They also filled out annual surveys on what they ate, so researchers could take into account things known to lower the risk of kidney stones, such as drinking a lot of fluids and eating less salt or meat.
Participants said how much exercise they usually got and that was translated into “METs” — a measure of how much effort an activity takes. For example, 10 METs per week is about 2 1/2 hours of walking at a moderate pace, four hours of light gardening or one hour of jogging.
After about eight years, 3 percent of the women had developed a kidney stone. Compared to women who got no leisure-time exercise, those who got up to five METs per week had a 16 percent lower risk for stones. The risk was 22 percent lower with five to 10 METs per week, and 31 percent lower for 10 METs or more. Exercise beyond 10 METs added no additional benefit for kidney stone prevention. Exercise intensity didn’t matter — just how much women got each week.
“We’re not asking people to run marathons. This is just a very mild to moderate additional amount of activity,” Sorensen said.
Why might exercise help? It changes the way the body handles nutrients and fluids that affect stone formation. Exercisers sweat out salt and tend to retain calcium in their bones, rather than having these go into the kidneys and urine where stones form. They also tend to drink water and fluids afterward, another plus for preventing stones.
“There’s something about exercise itself that probably produces things in your urine that prevent stone formation,” said Dr. Kevin McVary, an expert not involved in the work. He is chairman of urology at Southern Illinois University School of Medicine in Springfield, Ill., and a spokesman for the urology group. “It’s not just being skinny or not being fat, it’s something about the exercise that protects you.”
Exercise is known to cut the risk of heart disease, diabetes, high blood pressure and other conditions that raise the risk of kidney stones. Next, researchers want to study men and younger women to see if exercise helps prevent kidney stones in them, too.