Abstract
Current examples for the development of urinary stone disease are discussed by means of data from the literature and our own studies. Urinary stone disease has gained increasing significance due to changes in living conditions, i.e., industrialization and malnutrition. Changes in prevalence and incidence, the occurrence of stone types and stone location, and the manner of stone removal are explained. The importance of nutrition in the prevention of calcium oxalate stone disease is discussed in terms of fluid intake, calcium and oxalate metabolism, and dietary fat intake. The results of a study on a standardized mixed diet or an ovo-lactovegetarian diet show that well-balanced nutrition with consecutive high intake of fluids leads to a significant decrease in the risk for urinary stone formation (calculated as relative supersaturation with calcium oxalate by the computer program EQUIL).
Similar content being viewed by others
References
Akinci M, Esen T, Tellaloglu S (1991) Urinary stone disease in Turkey: an updated epidemiological study. Eur Urol 20: 200–203
Asper R (1984) Epidemiology and socioeconomic aspects of urolithiasis. Urol Res 12: 1–5
Berg W, Haerting R, Bothor C, Meinig S, Eschholz A, Schulze HP (1990) Assessing enteral oxalate absorption in patients with idiopathic recurrent calcium-oxalate urinary stone disease. Urologe [Λ] 29: 148–151
Blacklock NJ (1976) Epidemiology of urolithiasis. In: Williams DI, Chisholm GD (eds) Scientific foundations of urology, vol I. William Heinemann, London, pp 235–243
Brändle E, Hesse A, Hautmann RE (1995) Effect of protein on renal excretion of lithogenic substances and glomerular filtration rate — new pathophysiological aspects for the lithogenic action of dietary protein. In: Rao PN, Kavanagh JR, Tiselius HG (eds) Urolithiasis: consensus and controversies. University Hospitals, Manchester, pp 265–267
Buck AC, Davies RL, Harrison T (1991) The protective role of eicosapentaenoic acid (EPA) in the pathogenesis of nephrolithiasis. J Urol 146: 188–194
Butz M, Kaiser M, Fitzner R (1994) Enhancement of urinary oxalate excretion by vitamin C: fact or artifact? In: Ryall R, Bais R, Marshall VR, Rofe AM, Smith LH, Walker VR (eds) Urolithiasis 2. Plenum, New York London, pp 133–135
Churchill DN, Maloney CM, Bear J, Bryant DG, Fodor G, Gault MH (1980) Urolithiasis a study of drinking water hardness and genetic factors. J Chronic Dis 33: 727–731
Curhan GC, Willett WC, Rimm EB, Stampfer MJ (1993) A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med 328: 833–838
Curhan GC, Rimm EB, Willett WC, Stampfer MJ (1994) Regional variation in nephrolithiasis incidence and prevalence among United States men. J Urol 151: 838–841
Curhan GC, Willett WC, Fimm EB, Stampfer MJ (1996) A prospective study of dietary calcium and other nutrients and the risk of kidney stones in men: 8 year follow-up. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 164–166
Curhan GC, Willett WC, Rimm EB, Spiegelman D, Stampfer MJ (1996) Prospective study of beverage use and the risk of kidney stones. Am J Epidemiol 143: 240–247
Desnos E (1972) The history of urology to the nineteenth century. In: Murphy LJT (ed) The history of urology. Thomas, Springfield, Illinois
Herring LC (1962) Observations on the analysis of ten thousand urinary calculi. J Urol 88: 545–562
Hesse A (1988) Zur Epidemiologie des Harnsteinleidens. J Clin Chem Clin Biochem 26: 841–842
Hesse A, Schneider HJ, Heinzsch E (1972) Infra-red spectroscopy of urinary calculi. Dtsch Med Wochenschr 97: 1694–1701
Hesse A, Bach D, Vahlensieck W (1981) Epidemiology survey on urolithiasis in the German Federal Republic. In: Brockis JG, Finlayson B (eds) Urinary calculus. PSG, Littleton, pp 25–33
Hesse A, Siener R, Heynck H, Jahnen A (1993) The influence of dietary factors on the risk of urinary stone formation. Scanning Microsc 7: 1119–1128
Hesse A, Tiselius HG, Jahnen A (1997) Urinary stones. Diagnosis, treatment and prevention of recurrence. Karger, Basel
Hiatt RA, Dales LG, Friedman GD, Hunkeler EM (1982) Frequency of urolithiasis in a prepaid medical care program. Am J Epidemiol 115: 255–265
Iguchi M, Umekawa T, Katayama C, Takamura C, Khori K, Kurita T (1994) An epidemiological study of upper urinary stones in Kaizuka City. In: Ryall RL, Bais R, Marshall VR, Rofe AM, Smith LH, Walker VR (eds) Urolithiasis 2. Plenum, New York, pp 457–459
Joost J, Egger G, Hohlbrugger G, Marberger H (1980) Epidemiologie des Nierensteinleidens in Tirol. Oesterr Arztetg 35: 1016–1020
Kisters R, Terhorst B (1973) Harnsteinanalyse durch Infrarotspektroskopie. Urologe [B] 13: 85–89
Lemann J (1996) Calcium and phosphate metabolism: an overview in health and in calcium stone formers. In: Coe FL, Favus MJ, Pak CYC, Parks JH, Preminger GM (eds) Kidney stones: medical and surgical management. Lippincott-Raven, Philadelphia, pp 259–288
Lunghall S, Christensson T, Wengle B (1977) Prevalence and incidence of renal stone disease in a healthy-screening programme. Scand J Urol Nephrol 41: 39–45
Mandel NS, Mandel GS (1989) Urinary tract stone disease in the United States veteran population. I. Geographical frequency of occurrence. J Urol 142: 1513–1515
Mandel NS, Mandel GS (1996) Urinary tract stone incidence in the U.S. veteran population: a 12 year compositional survey. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 454–455
Marangella M, Bianco O, Martini C, Petrarulo M, Vitale C, Linari F (1989) Effect of animal and vegetable protein on oxalate excretion in idiopathic calcium stone disease. Br J Urol 63: 348–351
Masai M, Ito H (1996) Increased urinary oxalate excretion in rats following a high fat diet. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 177–178
Reis Santos JM (1995) Studies on the prevalence of renal stones disease in Portugal: regional variations. In: Rao PN, Kavanagh JP, Tiselius HG (eds) Urolithiasis: consensus and controversies. University Hospitals, Manchester, p 262
Robertson WG, Peacock M, Marshall DH (1982) Prevalence of urinary stone disease in vegetarians. Eur Urol 8: 334–339
Robertson WG, Peacock M, Baker M, Marshall DH, Pearlmen B, Speed R, Sergeant V, Smith A (1983) Studies on the prevalence and epidemiology of urinary stone disease in men in Leeds. Br J Urol 55: 595–598
Schneider HJ, Hesse A (1976) Zur Epidemiologie des Harnsteinleidens. Therapiewoche 26: 5881–5899
Schneider HJ (1985) Epidemiology of urolithiasis. In: Schneider HJ (ed) Urolithiasis: etiology, diagnosis. Springer, Berlin Heidelberg New York Tokyo, pp 137–184
Schubert G (1996) 70 000 urinary stone analysis — analytical and metaphylactic aspects. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 452–453
Siener R, Hesse A (1995) Influence of a mixed and a vegetarian diet on urinary magnesium excretion and concentration. Br J Nutr 73: 783–790
Siener R, Jahnen A, Peters R, Hesse A (1996) Influence of varied calcium intake on urinary calcium and oxalate excretion and the risk of calcium oxalate stone formation. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 169–170
Sierakowski R, Finlayson B, Landes R (1979) Stone incidence as related to water hardness in different geographical regions of the United States. Urol Res 7: 157–160
Takasaki E (1975) An observation on the composition and recurrence of urinary calculi. Urol Int 30: 228–236
Thun MJ, Schober S (1991) Urolithiasis in Tennessee: An occupational window into a original problem. Am J Public Health 81: 587–591
Trinchieri A (1996) Epidemiology of urolithiasis. Arch Ital Urol 68: 203–249
Trinchieri A, Nespoli R, Rovera F, Currò A, Ostini F, Zanetti G, Vezzoli G, Rubinacci A, Moro GL (1996) Influence of dietary calcium intake on the vertebral and femoral bone mineral density of stone formers. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 155–157
Vahlensieck EW, Bach D, Hesse A (1982) Incidence, prevalence and mortality of urolithiasis in the German Federal Republic. Urol Res 10: 161–164
Vitale C, Marangella M, Petrarulo M, Rovera L, Dutto F (1996) Effects of mineral composition of drinking water on risk for stone formation and bone metabolism in idiopathic calcium nephrolithiasis. In: Pak CYC, Resnick MI, Preminger GM (eds) Urolithiasis 1996. Millet, Dallas, pp 173–174
Wandzilak TR, D'Andre S, Davis PA, Williams HE (1994) Effect of high dose vitamin C on urinary oxalate levels. J Urol 151: 834–837
Yoshida O, Okada Y (1990) Epidemiology of urolithiasis in Japan: a chronological and geographical study. Urol Int 45: 104–111
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Hesse, A., Siener, R. Current aspects of epidemiology and nutrition in urinary stone disease. World J Urol 15, 165–171 (1997). https://doi.org/10.1007/BF02201853
Issue Date:
DOI: https://doi.org/10.1007/BF02201853