Skip to main content

Diet and Urolithiasis

  • Chapter
Urinary Stone Disease

Part of the book series: Current Clinical Urology ((CCU))

  • 1324 Accesses

Abstract

Nephrolithiasis is a common disorder affecting approx 8–13% of the US population (1,2). After experiencing renal colic and/or treatment for urinary stones, nearly every patient expresses interest in diet and specific dietary changes useful in lowering the risk for future stones.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Ramello A, Vitale C, Marangella M. Epidemiology of nephrolithiasis. J Nephrol 2000; 13Suppl 3: S45–50.

    PubMed  Google Scholar 

  2. Johnson CM, Wilson DM, O’Fallon WM, et al. Renal stone epidemiology: a 25-year study in Rochester, Minnesota. Kid Int 1979; 16: 624–631.

    Article  CAS  Google Scholar 

  3. Borghi L, Meschi T, Amato F, Briganti A, Novarini A, Giannini A. Urinary volume, water and recurrences in idiopathic calcium nephrolithiasis: a 5-year randomized prospective study. J Urol 1996; 155(3): 839–843.

    Article  PubMed  CAS  Google Scholar 

  4. Curhan GC, Willett WC, Speizer FE, Stampfer MJ. Beverage use and risk for kidney stones in women. Ann Intern Med 1998; 128(7): 534–540.

    PubMed  CAS  Google Scholar 

  5. Ryall RL, Marshall VR. The value of the 24-hour urine analysis in the assessment of stone-formers attending a general hospital outpatient clinic. Br J Urol 1983; 55(1): 1–5.

    PubMed  CAS  Google Scholar 

  6. Power C, Barker DJ, Nelson M, Winter PD. Diet and renal stones: a case-control study. Brit J Urol 1984; 56: 456.

    PubMed  CAS  Google Scholar 

  7. Ljunghall S, Waern AU. Urinary electrolytes in renal stone formers and healthy subjects. A population study of 60-year-old men. Scand J Urol Nephrol. 1977; 41(11 Suppl): 55 abstract.

    Google Scholar 

  8. Consensus conference. Prevention and treatment of kidney stones. JAMA 1988; 260: 977.

    Google Scholar 

  9. Shuster J, Finlayson B, Scheaffer R, Sierakowski R, Zoltek J, Dzegede S. Water hardness and urinary stone disease. J Urol 1982; 128(2): 422–425.

    PubMed  CAS  Google Scholar 

  10. Curhan GC, Willett WC, Rimm EB, Spiegelman D, Stampfer MJ. Prospective study of beverage use and the risk of kidney stones. Am J Epidemiol 1996; 143(3): 240–247.

    PubMed  CAS  Google Scholar 

  11. Krieger JN, Kronmal RA, Coxon V, Wortley P, Thompson L, Sherrard DJ. Dietary and behavioral risk factors for urolithiasis: potential implications for prevention. Am J Kidney Dis 1996; 28(2): 195–201.

    PubMed  CAS  Google Scholar 

  12. Kovacs L, Robertson GL. Syndrome of inappropriate antidiuresis. Endocrinol Metab Clin North Am 1992; 21(4): 859–875.

    PubMed  CAS  Google Scholar 

  13. Seltzer MA, Low RK, McDonald M, Shami GS, Stoller ML. Dietary manipulation with lemonade to treat hypocitraturic calcium nephrolithiasis. J Urol 1996; 156(3): 907–909.

    Article  PubMed  CAS  Google Scholar 

  14. Lee YL, Owens J, Thrupp L, Cesario TC. Does cranberry juice have antibacterial activity? JAMA 2000; 283(13): 1691.

    Article  PubMed  CAS  Google Scholar 

  15. Kessler T, Jansen B, Hesse A. Effect of blackcurrant-, cranberry-and plum juice consumption on risk factors associated with kidney stone formation. Eur J Clin Nutr 2002; 56(10): 1020–1023.

    Article  PubMed  CAS  Google Scholar 

  16. Anderson DA. Environmental factors in the etiology of urolithiasis. In: Urinary Calculi, (Cifuentes-Delatte A, Rapado A, Hodgkinson A, eds.). Basel, Karger, 1973; p.130.

    Google Scholar 

  17. Curhan GC, Willett WC, Rimm EB, Stampfer M J. A prospective study of dietary calcium and other nutrients and the risk of symptomatic kidney stones. N Engl J Med 1993; 328(12): 833–838.

    Article  PubMed  CAS  Google Scholar 

  18. Licata AA, Bou E, Bartter FC, Cox J. Effects of dietary protein on urinary calcium in normal subjects and in patients with nephrolithiasis. Metabolism 1979; 28(9): 895–900.

    Article  PubMed  CAS  Google Scholar 

  19. Holmes RP, Goodman HO, Hart LJ, Assimos DG. Relationship of protein intake to urinary oxalate and glycolate excretion. Kidney Int 1993; 44(2): 366–372.

    Article  PubMed  CAS  Google Scholar 

  20. Breslau NA, Brinkley L, Hill KD, Pak C Y. Relationship of animal protein-rich diet to kidney stone formation and calcium metabolism. J Clin Endocrinol Metab 1988; 66(1): 140–146.

    PubMed  CAS  Google Scholar 

  21. Fellstrom B, Danielson BG, Karlstrom B, Lithell H, Ljunghall S, Vessby B. Dietary habits in renal stone patients compared with healthy subjects. Br J Urol 1989; 63(6): 575–580.

    PubMed  CAS  Google Scholar 

  22. Trinchieri A, Mandressi A, Luongo P, Longo G, Pisani E. The influence of diet on urinary risk factors for stones in healthy subjects and idiopathic renal calcium stone formers. Br J Urol 1991; 67(3): 230–236.

    PubMed  CAS  Google Scholar 

  23. Garg A, Bonanome A, Grundy SM, Unger RH, Breslau NA, Pak CY. Effects of dietary carbohydrates on metabolism of calcium and other minerals in normal subjects and patients with noninsulindependent diabetes mellitus. J Clin Endocrinol Metab 1990; 70(4): 1007–1013.

    PubMed  CAS  Google Scholar 

  24. Barilla DE, Townsend J, Pak CY. An exaggerated augmentation of renal calcium excretion after oral glucose ingestion in patients with renal hypercalciuria. Invest Urol 1978; 15(6):486–488.

    PubMed  CAS  Google Scholar 

  25. Nguyen NU, Dumoulin G, Henriet MT, Regnard J. Effects of i.v. insulin bolus on urinary calcium and oxalate excretion in healthy subjects. Horm Metab Res 1998; 30(4): 222–226.

    PubMed  CAS  Google Scholar 

  26. Nguyen NU, Dumoulin G, Wolf JP, Bourderont D, Berthelay S. Urinary oxalate and calcium excretion in response to oral glucose load in man. Horm Metab Res 1986; 18(12): 869, 870.

    Google Scholar 

  27. Wood RJ, Gerhardt A, Rosenberg IH. Effects of glucose and glucose polymers on calcium absorption in healthy subjects. Am J Clin Nutr 1987; 46(4): 699–701.

    PubMed  CAS  Google Scholar 

  28. Nguyen NU, Henriet MT, Dumoulin G, Widmer A, Regnard J. Increase in calciuria and oxaluria after a single chocolate bar load. Horm Metab Res 1994; 26(8): 383–386.

    PubMed  CAS  Google Scholar 

  29. Curhan GC, Willett WC, Speizer FE, Spiegelman D, Stampfer MJ. 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.

    PubMed  CAS  Google Scholar 

  30. Modlin M. Urinary sodium and renal stone. In: Hodgkinson A, Nordin BEC (eds). Renal Stone Research Symposium. London J and Churchill A, pp. 209–220, 1969.

    Google Scholar 

  31. Buck AC, Davies RL, Harrison T. The protective role of eicosapentaenoic acid [EPA] in the pathogenesis of nephrolithiasis. J Urol 1991; 146(1): 188–194.

    PubMed  CAS  Google Scholar 

  32. Rothwell PJ, Green R, Blacklock NJ, Kavanagh JP. Does fish oil benefit stone formers? J Urol 1993; 150(5 Pt 1): 1391–1394.

    PubMed  CAS  Google Scholar 

  33. Broadus AE, Erickson SB, Gertner JM, Cooper K, Dobbins JW. An experimental human model of 1,25-dihydroxyvitamin D-mediated hypercalciuria. J Clin Endocrinol Metab 1984; 59(2): 202–206.

    Article  PubMed  CAS  Google Scholar 

  34. Asplin JR, Favus ME, Coe FL. Nephrolithiasis. In: Brenner & Rector’s the Kidney, 6th Ed, Vol. 2., (Brenner BM, ed.). W.B. Saunders, Philadelphia, PA, 2000; pp. 1774–1819.

    Google Scholar 

  35. Bleich HL, Moore MJ, Lemann J Jr, Adams ND, Gray RW. Urinary calcium excretion in human beings. N Engl J Med 1979; 301(10): 535–541.

    Article  PubMed  CAS  Google Scholar 

  36. Robertson WG. Diet and calcium stones. Miner Electrolyte Metab 1987; 13(4): 228–234.

    PubMed  CAS  Google Scholar 

  37. Bataille P, Achard JM, Fournier A, et al. Diet, vitamin D and vertebral mineral density in hypercalciuric calcium stone formers. Kidney Int 1991; 39(6): 1193–1205.

    Article  PubMed  CAS  Google Scholar 

  38. Borghi L, Schianchi T, Meschi T, et al. Comparison of two diets for the prevention of recurrent stones in idiopathic hypercalciuria. N Engl J Med 2002; 346(2): 77–84.

    Article  PubMed  CAS  Google Scholar 

  39. Hagler L, Herman RH. Oxalate metabolism. IV. Am J Clin Nutr 1973; 26(10): 1073–1079.

    PubMed  CAS  Google Scholar 

  40. Menon M, Mahle CJ. Oxalate metabolism and renal calculi. J Urol 1982; 127(1): 148–151.

    PubMed  CAS  Google Scholar 

  41. Holmes RP, Goodman HO, Assimos DG. Contribution of dietary oxalate to urinary oxalate excretion. Kidney Int 2001; 59(1): 270–306.

    Article  PubMed  CAS  Google Scholar 

  42. Holmes RP, Kennedy M. Estimation of the oxalate content of foods and daily oxalate intake. Kidney Int 2000; 57(4): 1662–1667.

    Article  PubMed  CAS  Google Scholar 

  43. Holmes RP, Assimos DG, Goodman HO. Genetic and dietary influences on urinary oxalate excretion. Urol Res 1998; 26(3): 195–200.

    Article  PubMed  CAS  Google Scholar 

  44. Kasidas GP, Rose GA. Oxalate content of some common foods: determination by an enzymatic method. J Hum Nutr 1980; 34(4): 255–266.

    PubMed  CAS  Google Scholar 

  45. McKay DW, Seviour JP, Comerford A, Vasdev S, Massey LK. Herbal tea: an alternative to regular tea for those who form calcium oxalate stones. J Am Diet Assoc 1995; 95(3): 360–361.

    Article  PubMed  CAS  Google Scholar 

  46. Kwak C, Jeong BC, Lee JH, Kim HK, Kim EC, Kim HH. Molecular identification of Oxalobacter formigenes with the polymerase chain reaction in fresh or frozen fecal samples. BJU Int 2001; 88(6): 627–632.

    Article  PubMed  CAS  Google Scholar 

  47. Kumar R, Mukherjee M, Bhandari M, Kumar A, Sidhu H, Mittal RD. Role of Oxalobacter formigenes in calcium oxalate stone disease: a study from north India. Eur Urol 2002; 41(3): 318–322.

    Article  PubMed  CAS  Google Scholar 

  48. Troxel SA, Low RK, Sidhu H. Intestinal Oxalobacter Forminges colonization in calcium oxalate stone formers. Abstract 1011, AUA meeting, Orlando, Fl, 2002.

    Google Scholar 

  49. Agus ZS, Goldfarb S, Wasserstein A. Calcium transport in the kidney. Rev Physiol Biochem Pharmacol 1981; 90: 155–169.

    Article  PubMed  CAS  Google Scholar 

  50. McCarron DA, Rankin LI, Bennett WM, Krutzik S, McClung MR, Luft FC Urinary calcium excretion at extremes of sodium intake in normal man. Am J Nephrol 1981; 1(2): 84–90.

    Article  PubMed  CAS  Google Scholar 

  51. Wasserstein AG, Stolley PD, Soper KA, Goldfarb S, Maislin G, Agus Z. Case-control study of risk factors for idiopathic calcium nephrolithiasis. Miner Electrolyte Metab 1987; 13(2): 85–95.

    PubMed  CAS  Google Scholar 

  52. Silver J, Rubinger D, Friedlaender MM, Popovtzer MM. Sodium-dependent idiopathic hypercalciuria in renal-stone formers. Lancet 1983; 27; 2(8348): 484–486.

    Article  PubMed  CAS  Google Scholar 

  53. Muldowney FP, Freaney R, Moloney MF. Importance of dietary sodium in the hypercalciuria syndrome. Kidney Int 1982; 22(3): 292–296.

    Article  PubMed  CAS  Google Scholar 

  54. Sarig S. The hyperuricosuric calcium oxalate stone former. Miner Electrolyte Metab 1987; 13(4): 251–256.

    PubMed  CAS  Google Scholar 

  55. Simpson DP. Citrate excretion: a window on renal metabolism. Am JPhysiol 1983; 244(3): F223–F234.

    CAS  Google Scholar 

  56. Pak C. General guidelines in management. In: Urolithiasis. W.B. Saunders, Philadelphia, PA, 1990; p. 176.

    Google Scholar 

  57. Jaegar P, Portmann L, Saunders A, et al: Anticystinuric effects of glutamine and of dietary sodium restriction. N Eng J Med 1986; 315: 1120.

    Article  Google Scholar 

  58. Traxer O, Huet B, Pak CYC, Pearle MS. Stone forming risk of ascorbic acid. J. Endourol 2000; 14(Supp 1): A9.

    Google Scholar 

  59. Simon JA, Hudes ES. Relation of serum ascorbic acid to serum vitamin B12, serum ferritin, and kidney stones in US adults. Arch Intern Med 1999; 159(6): 619–624.

    Article  PubMed  CAS  Google Scholar 

  60. Curhan GC, Willett WC, Speizer FE, Stampfer MJ. Intake of vitamins B6 and C and the risk of kidney stones in women. J Am Soc Nephrol 1999; 10(4): 840.

    PubMed  CAS  Google Scholar 

  61. Terris MK, Issa MM, Tacker JR. Dietary supplementation with cranberry concentrate tablets may increase the risk of nephrolithiasis. Urology 2001; 57(1): 26–29.

    Article  PubMed  CAS  Google Scholar 

  62. Pak CY, Barilla DE, Holt K, Brinkley L, Tolentino R, Zerwekh JE. Effect of oral purine load and allopurinol on the crystallization of calcium salts in urine of patients with hyperuricosuric calcium urolithiasis. Am J Med 1978; 65(4): 593–599.

    Article  PubMed  CAS  Google Scholar 

  63. Rodman JS, Sosa RE, Lopez MA. Diagnosis and Treatment of Uric Acid Calculi. In: Kidney Stone. Lippincott-Raven, Philadelphia, PA, 1996; p. 980.

    Google Scholar 

  64. Dent CE, Friedman M, Green H, et al. Treatment of Cystinuria. Br J Urol 1955; 27: 317.

    PubMed  CAS  Google Scholar 

  65. Shorr E, Carter AC. Aluminum gels in the management of renal phosphate calculi. JAMA 1950, 144: 1549–1556.

    CAS  Google Scholar 

  66. Lavengood RW Jr, Marshall VF. The prevention of renal phosphatic calculi in the presence of infection by the Shorr regimen. J Urol 1972; 108(3): 368–371.

    PubMed  Google Scholar 

  67. Takeuchi H, Ueda M, Satoh M, Yoshida O. Effects of dietary calcium, magnesium and phosphorus on the formation of struvite stones in the urinary tract of rats. Urol Res 1991; 19(5): 305–308.

    Article  PubMed  CAS  Google Scholar 

  68. Andersen JA. Benurestat, a urease inhibitor for the therapy of infected ureolysis. Invest Urol 1975; 12(5): 381–386.

    PubMed  CAS  Google Scholar 

  69. Williams JJ, Rodman JS, Peterson CM. A randomized double-blind study of acetohydroxamic acid in struvite nephrolithiasis. N Engl J Med 1984; 311(12): 760–764.

    Article  PubMed  CAS  Google Scholar 

  70. Murphy FJ, Zehman S, Mau W. Ascorbic acid as a urinary acidifying agent. Its role in chronic urinary tract infection. J. Urol 1965; 94: 300–303.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Humana Press Inc.

About this chapter

Cite this chapter

Johnston, W.K., Low, R.K. (2007). Diet and Urolithiasis. In: Stoller, M.L., Meng, M.V. (eds) Urinary Stone Disease. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59259-972-1_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-59259-972-1_15

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-219-3

  • Online ISBN: 978-1-59259-972-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics