Abstract
Diet influences the formation and growth of most types of urolithiasis. Medical nutrition therapy is a recognized and safe intervention that may be used alone or in concert with pharmacologic therapy. Patients frequently ask about dietary changes they can make to prevent stone recurrence. Urologists are increasingly managing patients with urinary tract stones between events and offering preventive strategies. Urologists must be familiar with basic preventive nutrition concepts for urolithiasis and with how dietary changes affect recurrence risk, even when a registered dietitian is available for patient counseling. In this chapter, the various risk factors for recurrence of the most common types of urolithiasis are reviewed with respect to the specific, evidence-based nutrition therapy that addresses each one. Frequently asked patient questions about understanding and complying with nutrition therapy, derived from the author’s clinical experience, are addressed.
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References
Abratt VR, Reid SJ (2010) Oxalate-degrading bacteria of the human gut as probiotics in the management of kidney stone disease. Adv Appl Microbiol 72:63–87
Asplin JR (2009) Obesity and urolithiasis. Adv Chronic Kidney Dis 16:11–20
Baranoski CL, King SL (2000) Insurance companies are reimbursing for medical nutrition therapy. J Am Diet Assoc 100:1530–1532
Barcelo P, Wuhl O, Servitge E et al (1993) Randomized double-blind study of potassium citrate in idiopathic hypocitraturic calcium nephrolithiasis. J Urol 150:1761–1764
Bell DS (2011) Beware the low urine pH – the major cause of the increased prevalence of nephrolithiasis in the patient with type 2 diabetes. Diabetes Obes Metab. doi:10.1111/j.1463-1326.2011.01519.x
Brandle E, Bernt U, Hautmann RE (1998) In situ characterization of oxalate transport across the basolateral membrane of the proximal tubule. Pflugers Arch 435:840–849
Bushinsky DA, Bashir MA, Riordon DR et al (1999) Increased dietary oxalate does not increase urinary calcium oxalate saturation in hypercalciuric rats. Kidney Int 55:602–612
Coe FL, Moran E, Kavalich AG (1976) The contribution of dietary purine over-consumption to hyperuricosuria in calcium oxalate stone formers. J Chronic Dis 29:793–800
Curhan GC, Willett WC, Rimm EB et al (1996) Prospective study of beverage use and the risk of kidney stones. Am J Epidemiol 143:240–247
Curhan GC, Willett WC, Knight EL et al (2004) Dietary factors and the risk of incident kidney stones in younger women: Nurses’ Health Study II. Arch Intern Med 164:885–891
de Vries H, Kremers SP, Smeets T et al (2008) The effectiveness of tailored feedback and action plans in an intervention addressing multiple health behaviors. Am J Health Promot 22:417–425
Eisner BH, Asplin JR, Goldfarb DS et al (2010) Citrate, malate and alkali content in commonly consumed diet sodas: implications for nephrolithiasis treatment. J Urol 183:2419–2423
Eyles HC, Mhurchu CN (2009) Does tailoring make a difference? A systematic review of the long-term effectiveness of tailored nutrition education for adults. Nutr Rev 67:464–480
Fink HA, Akornor JW, Garimella PS et al (2009) Diet, fluid, or supplements for secondary prevention of nephrolithiasis: a systematic review and meta-analysis of randomized trials. Eur Urol 56:72–80
Goldfarb DS, Coe FL (1999) Beverages, diet, and prevention of kidney stones. Am J Kidney Dis 33:398–400
Grases F, Costa-Bauza A (1999) Phytate (IP6) is a powerful agent for preventing calcifications in biological fluids: usefulness in renal lithiasis treatment. Anticancer Res 19:3717–3722
Grases F, Perello J, Simonet BM et al (2004) Study of potassium phytate effects on decreasing urinary calcium in rats. Urol Int 72:237–243
Grases F, Costa-Bauza A, Perello J et al (2006) Influence of concomitant food intake on the excretion of orally administered myo-inositol hexaphosphate in humans. J Med Food 9:72–76
Hampl JS, Anderson JV, Mullis R et al (2002) Position of the American Dietetic Association: the role of Âdietetics professionals in health promotion and disease prevention. J Am Diet Assoc 102:1680–1687
Harambat J, Fargue S, Bacchetta J (2011) Primary hyperoxaluria. Int J Nephrol. doi:10.4061/2011/864580
Holick MF, Chen TC (2008) Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr 87:1080S–1086S
Hoppe B, Leumann E, von Unruh G et al (2003) Diagnostic and therapeutic approaches in patients with secondary hyperoxaluria. Front Biosci 8:e437–e443
Hoppe B, von Unruh G, Laube N et al (2005) Oxalate degrading bacteria: new treatment option for patients with primary and secondary hyperoxaluria? Urol Res 33:372–375
Institute of Medicine of the National Academies (2010) Dietary reference intakes for calcium and vitamin D. National Academies Press, Washington, DC. Available at http://www.iom.edu. Accessed 2 Dec 2011
Khan SR (2011) Crystal/cell interaction and nephrolithiasis. Arch Ital Urol Androl 83:1–5
Kocvara R, Plasqura P, Petrik A et al (1999) A prospective study of nonmedical prophylaxis after a first kidney stone. BJU Int 84:393–398
Koehler LA, Osborne CA, Buettner MT et al (2008) Canine uroliths: frequently asked questions and their answers. Vet Clin North Am Small Anim Pract 39:161–181
Lanaspa MA, Tapia E, Soto V et al (2011) Uric acid and fructose: potential biological mechanisms. Semin Nephrol 31:426–432
Massey LK (2007) Food oxalate: factors affecting measurement, biological variation, and bioavailability. J Am Diet Assoc 107:1191–1194
Massey LK, Liebman M, Kynast-Gales SA (2005) Ascorbate increases human oxaluria and kidney stone risk. J Nutr 135:1673–1677
Meschi T, Nouvenne A, Borghi L (2011) Lifestyle recommendations to reduce the risk of kidney stones. Urol Clin North Am 38:313–320
Nguyen QV, Kalin A, Drouve U et al (2001) Sensitivity to meat protein intake and hyperoxaluria in idiopathic calcium stone formers. Kidney Int 59:2273–2281
Ortiz-Alvarado O, Miyaoka R, Kriedberg C et al (2011) Pyridoxine and dietary counseling for the management of idiopathic hyperoxaluria in stone-forming patients. Urology 77:1054–1058
Pak CY, Sakhaee K, Crowther C et al (1980) Evidence justifying a high fluid intake in treatment of nephrolithiasis. Ann Intern Med 93:36–39
Patel SR, Penniston KL, Iwicki L et al (2011) Dietary induction of long-term hyperoxaluria in the porcine model. J Endourol 2011 Sep 16. [Epub ahead of print]
Patrick S (2009) What went right? The story of US Medicare medical nutrition therapy. Nestle Nutr Workshop Ser Clin Perform Programme 12:137–158
Peces R, Sanchez L, Gorostidi M et al (1991) Effects of variation in sodium intake on cystinuria. Nephron 57:421–423
Penniston KL, Jones AN, Nakada SY et al (2009) Vitamin D repletion does not alter urinary calcium excretion in healthy postmenopausal women. BJU Int 104:1512–1516
Schloss PD, Handelsman J (2004) Status of the microbial census. Microbiol Mol Biol Rev 68:686–691
Siener R (2006) Impact of dietary habits on stone incidence. Urol Res 34:131–133
Simpson GM, Khajawall AM (1983) Urinary acidifiers in phencyclidine detoxification. Hillside J Clin Psychiatry 5:161–168
Smith RE, Patrick S, Michael P et al (2005) Medical nutrition therapy: the core of ADA’s advocacy efforts (part 1). J Am Diet Assoc 105:825–834
Spahn JM, Reeves RS, Keim KS et al (2010) State of the evidence regarding behavior change theories and strategies in nutrition counseling to facilitate health and food behavior change. J Am Diet Assoc 110:879–891
Spivacow FR, Negri AL, Polonsky A et al (2010) Long-term treatment of renal lithiasis with potassium citrate. Urology 76:1346–1349
Taylor EN, Stampfer MJ, Curhan GC (2004) Dietary factors and the risk of incident kidney stones in men: new insights after 14 years of follow-up. J Am Soc Nephrol 15:3225–3232
Weaver CM, Heaney RP, Teegarden D et al (1996) Wheat bran abolishes the inverse relationship between Âcalcium load size and absorption fraction in women. J Nutr 126:303–307
Weaver CM, Rothwell AP, Wood KV (2006) Measuring calcium absorption and utilization in humans. Curr Opin Clin Nutr Metab Care 9:568–574
Welch AA, Mulligan A, Bingham SA et al (2008) Urine pH is an indicator of dietary acid-base load, fruit and vegetables and meat intakes: results from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Norfolk population study. Br J Nutr 99:1335–1343
Wolf RL, Cauley JA, Baker CE et al (2000) Factors associated with calcium absorption efficiency in pre- and perimenopausal women. Am J Clin Nutr 72:466–471
Yadav S, Gite S, Nilegaonkar S et al (2011) Effect of supplementation of micronutrients and phytochemicals to fructooligosaccharides on growth response of probiotics and E. coli. Biofactors 37:58–64
Yamamoto T, Moriwaki Y, Takahashi S (2005) Effect of ethanol on metabolism of purine bases (hypoxanthine, xanthine, and uric acid). Clin Chim Acta 356:35–57
Zimmermann DJ, Voss S, von Unruh GE et al (2005) Importance of magnesium in absorption and excretion of oxalate. Urol Int 74:262–267
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Penniston, K.L. (2013). Dietary Stone Prevention. In: Knoll, T., Pearle, M. (eds) Clinical Management of Urolithiasis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28732-9_18
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DOI: https://doi.org/10.1007/978-3-642-28732-9_18
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