Diet: from Food to Stone

Overview

Journal World J Urol

Specialty Urology

Date 2014 Jun 19

PMID 24938177

Citations 11

Authors

Justin I Friedlander

Jodi A Antonelli

Margaret S Pearle

Affiliations

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Abstract

Dietary factors have been shown to influence urine composition and modulate the risk of kidney stone disease. With the rising prevalence of stone disease in many industrialized nations, dietary modification as therapy to improve lithogenic risk factors and prevent stone recurrence has gained appeal, as it is both relatively inexpensive and safe. While some dietary measures, such as a high fluid intake, have been shown in long-term randomized clinical trials to have durable effectiveness, other dietary factors have been subjected to only short-term clinical or metabolic studies and their efficacy has been inferred. Herein, we review the current literature regarding the role of diet in stone formation, focusing on both the effect on urinary stone risk factors and the effect on stone recurrence.

Citing Articles

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References

Ortiz-Alvarado O, Miyaoka R, Kriedberg C, Leavitt D, Moeding A, Stessman M . Omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid in the management of hypercalciuric stone formers. Urology. 2011; 79(2):282-6. DOI: 10.1016/j.urology.2011.08.022. View

Shuster J, Jenkins A, Logan C, Barnett T, Riehle R, Zackson D . Soft drink consumption and urinary stone recurrence: a randomized prevention trial. J Clin Epidemiol. 1992; 45(8):911-6. DOI: 10.1016/0895-4356(92)90074-w. View

Zuckerman J, Assimos D . Hypocitraturia: pathophysiology and medical management. Rev Urol. 2009; 11(3):134-44. PMC: 2777061. View

Borghi L, Schianchi T, Meschi T, Guerra A, Allegri F, Maggiore U . Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria. N Engl J Med. 2002; 346(2):77-84. DOI: 10.1056/NEJMoa010369. View

Lange J, Wood K, Mufarrij P, Callahan M, Easter L, Knight J . The impact of dietary calcium and oxalate ratios on stone risk. Urology. 2012; 79(6):1226-9. PMC: 6918943. DOI: 10.1016/j.urology.2012.01.053. View

Antonelli J, Langman C, Odom C, Poindexter J, Huet B, Pearle M . Defining variation in urinary oxalate in hyperoxaluric stone formers. J Endourol. 2013; 27(12):1530-4. DOI: 10.1089/end.2013.0199. View

Holmes R, Assimos D . The impact of dietary oxalate on kidney stone formation. Urol Res. 2004; 32(5):311-6. DOI: 10.1007/s00240-004-0437-3. View

Curhan G, Willett W, Speizer F, Spiegelman D, Stampfer M . Comparison of dietary calcium with supplemental calcium and other nutrients as factors affecting the risk for kidney stones in women. Ann Intern Med. 1997; 126(7):497-504. DOI: 10.7326/0003-4819-126-7-199704010-00001. View

Sutton R, Wong N, Dirks J . Effects of metabolic acidosis and alkalosis on sodium and calcium transport in the dog kidney. Kidney Int. 1979; 15(5):520-33. DOI: 10.1038/ki.1979.67. View

10.

Baia L, Baxmann A, Moreira S, Holmes R, Heilberg I . Noncitrus alkaline fruit: a dietary alternative for the treatment of hypocitraturic stone formers. J Endourol. 2012; 26(9):1221-6. DOI: 10.1089/end.2012.0092. View

11.

Taylor E, Stampfer M, Curhan G . Dietary factors and the risk of incident kidney stones in men: new insights after 14 years of follow-up. J Am Soc Nephrol. 2004; 15(12):3225-32. DOI: 10.1097/01.ASN.0000146012.44570.20. View

12.

Nguyen N, Dumoulin G, Henriet M, Regnard J . Increase in urinary calcium and oxalate after fructose infusion. Horm Metab Res. 1995; 27(3):155-8. DOI: 10.1055/s-2007-979929. View

13.

Buck A, Sampson W, Lote C, Blacklock N . The influence of renal prostaglandins on glomerular filtration rate (GFR) and calcium excretion in urolithiasis. Br J Urol. 1981; 53(6):485-91. DOI: 10.1111/j.1464-410x.1981.tb03244.x. View

14.

Curhan G, Willett W, Speizer F, Stampfer M . Beverage use and risk for kidney stones in women. Ann Intern Med. 1998; 128(7):534-40. DOI: 10.7326/0003-4819-128-7-199804010-00003. View

15.

Dussol B, Iovanna C, Rotily M, Morange S, Leonetti F, Dupuy P . A randomized trial of low-animal-protein or high-fiber diets for secondary prevention of calcium nephrolithiasis. Nephron Clin Pract. 2008; 110(3):c185-94. DOI: 10.1159/000167271. View

16.

Bleich H, Moore M, LEMANN Jr J, ADAMS N, Gray R . Urinary calcium excretion in human beings. N Engl J Med. 1979; 301(10):535-41. DOI: 10.1056/NEJM197909063011008. View

17.

Nguyen S, Baggerly L, French C, Heaney R, Gorham E, Garland C . 25-Hydroxyvitamin D in the range of 20 to 100 ng/mL and incidence of kidney stones. Am J Public Health. 2013; 104(9):1783-7. PMC: 4151925. DOI: 10.2105/AJPH.2013.301368. View

18.

Licata A, Bou E, Bartter F, Cox J . Effects of dietary protein on urinary calcium in normal subjects and in patients with nephrolithiasis. Metabolism. 1979; 28(9):895-900. DOI: 10.1016/0026-0495(79)90088-x. View

19.

Curhan G, Willett W, Knight E, Stampfer M . Dietary factors and the risk of incident kidney stones in younger women: Nurses' Health Study II. Arch Intern Med. 2004; 164(8):885-91. DOI: 10.1001/archinte.164.8.885. View

20.

Curhan G, Willett W, Rimm E, Stampfer M . A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med. 1993; 328(12):833-8. DOI: 10.1056/NEJM199303253281203. View