Interplay between BMI, gender, and gallstone formation: insights from an Iraqi cohort

Authors

  • Mohammed Khalid Abbood
  • Hasan Alauldeen Khalaf
  • Hiba Mohammed Ali
  • Ali Khalaf Hasan

DOI:

https://doi.org/10.60988/p.v37i2S.136

Keywords:

gallstone; gender; body mass index; BMI; cholelithiasis

Abstract

Gallstone disease (GD; also known as cholelithiasis) is a prevalent illness with many aggravating factors; it is firmly connected with metabolic abnormalities associated with insulin resistance, being overweight, hypertriglyceridaemia, and dietary propensities. Patients at risk of developing cholelithiasis are usually women, of increasing age, and suffering from diabetes mellitus. This study was performed at the Al-Yarmouk Teaching Medical Hospital in Baghdad, Iraq, between January 2020 and December 2021. It involves 250 participants: 103 obese, 100 overweight, and 47 normal-weight patients. The patients’ gender, weight, height, and body mass index (BMI) were recorded and studied. Statistical analysis revealed a strong association (p<0.05) between BMI and gallstone formation. Gender also plays a significant role, where women exhibited a higher incidence (p=0.002) than men. Age also significantly correlated with GD development risk (p=0.02). Although demographics and hormonal factors were significant, clinical evaluations revealed a high correlation between BMI and the incidence of GD. The increase in BMI leads to an increase in the incidence of cholelithiasis. Further study into the genetic and environmental factors associated with Middle Eastern populations are essential in order to enhance our understanding regarding this pathological condition and to inform our interventions.

Author Biographies

Mohammed Khalid Abbood

Department of Clinical Pharmacy, College of Pharmacy, Al-Bayan University, Baghdad, Iraq

Hasan Alauldeen Khalaf

Department of Pharmacognosy, College of Pharmacy, Al-Bayan University, Baghdad, Iraq

Hiba Mohammed Ali

Department of Pharmaceutical Science, College of Pharmacy, University of Baghdad, Baghdad, Iraq

Ali Khalaf Hasan

Department of Clinical Laboratory Science, College of Pharmacy, Tikrit University, Saladin, Iraq

References

Sun H., Tang H., Jiang S., Zeng L., Chen E.Q., Zhou T.Y., et al. Gender and metabolic differences of gallstone diseases. World J. Gastroenterol. 15(15), 1886–1891, 2009. DOI: 10.3748/wjg.15.1886

Shi C., Liu X., Xie Z., Sun H., Hao C., Xue D., et al. Lifestyle factors and the risk of gallstones: results from the national health and nutrition examination survey 2018–2020 and mendelian randomization analysis. Scand. J. Gastroenterol. 58(9), 1021–1029, 2023. DOI: 10.1080/00365521.2023.2197093

Khalaf M.A., Jumaa A.M., Hussein A.L. Prevalence of gallstone in relation to age, sex and body mass index in Tikrit City. Eur. J. Mol. Clin. Med. 7(3), 418–423, 2020.

Bhatti A.Y., Waqar A.B., Zia S.A., Hussain N., Zulfiqar T. A cross sectional study on the risk factors of gallbladder stone. Int. J. Res. Med. Sci. 4(11), 5041–5046, 2016. DOI: 10.18203/2320-6012.ijrms20163814

Mary R.L., Philip S., Cherian B. A study to assess the knowledge regarding lifestyle modification of cholelithiasis among patients and care givers admitted in surgical ward at Shri Mahant Indresh Hospital, Dehradun. Int. J. Nurs. Educ. Res. 8(2), 153–157, 2020. DOI: 10.5958/2454-2660.2020.00034.4

Rodriguez Gatta D., Huidobro L., Petermann-Rocha F., Van de Wyngard V., Godoy F., Cid V., et al. Sex disparities in gallstone disease: insights from the MAUCO prospective population-based cohort study. BMJ Open Gastroenterol. 11(1), e001457, 2024. DOI: 10.1136/bmjgast-2024-001457

Faheem, Khan Z., Shah M.Y., Tahir M.N.B., Qamar R., Yousaf S. Relationship of gallstone disease with age and gender. Pak. Armed Forces Med. J. 74(4), 1161–1164, 2024. DOI: 10.51253/pafmj.v74i4.8460

Kim H.J., Kang T.U., Kim M.J., Swan H., Park S.M. Long-term weight patterns and physical activity in gallstones. Sci. Rep. 14(1), 25817, 2024. DOI: 10.1038/s41598-024-77218-8

Zhang J., Chen L., Shen K., Zhang J., Zhu Y., Qiao Q., et al. Association between metabolically healthy overweight/obesity and gallstones in Chinese adults. Nutr. Metab. (Lond.) 20(1), 20, 2023. DOI: 10.1186/s12986-023-00741-4

Xie Z., Chen X., Xie C., Yang Q., Lin H. Association between ZJU index and gallstones in US adult: a cross-sectional study of NHANES 2017–2020. BMC Gastroenterol. 24(1), 458, 2024. DOI: 10.1186/s12876-024-03553-9

Downloads

Published

10-10-2025

How to Cite

[1]
Khalid Abbood, M. et al. 2025. Interplay between BMI, gender, and gallstone formation: insights from an Iraqi cohort. Pharmakeftiki . 37, 2S (Oct. 2025). DOI:https://doi.org/10.60988/p.v37i2S.136.