The Impact of Nutrition and Exercise on Kidney Health: How to Prevent Kidney Stones?
DOI:
https://doi.org/10.12775/QS.2024.22.54268Keywords
kidney stone disease, diet, nutrition, physical activityAbstract
Introduction
Kidney stone disease, characterized by the formation of calculi in the kidneys, is becoming an increasingly common urinary tract disorder in developed countries. Although kidney stone disease may be caused by metabolic disorders, anatomical, functional, and genetic factors, diet plays a crucial role in its formation. Changing dietary habits has become a primary tool in the treatment and prevention of kidney stone disease.
Objective
The aim of this study is to present research on the impact of diet and its individual components on the risk of kidney stone formation. Special attention is given to the role of vitamins, minerals, and dietary habits in the pathogenesis and prevention of this condition.
Materials and Methods
The study involves a review of the scientific literature, considering research published in reputable medical and scientific journals regarding the impact of diet on the risk of kidney stones, focusing on key dietary components such as calcium, magnesium, sodium, vitamins C and D, as well as the role of physical activity and proper hydration.
Conclusions
A balanced diet, proper hydration and maintaining a healthy body weight are fundamental elements in preventing of kidney stone disease. Adequate hydration is crucial; high fluid intake, especially water, dilutes urine and reduces the concentration of lithogenic substances.Calcium and magnesium intake are particularly important as they influence the absorption and excretion of oxalates, and excessive supplementation with vitamins C and D should be avoided. A diet rich in fruits and vegetables, and the limitation of animal protein and salt, can significantly reduce the risk of kidney stone formation. Ultimately, dietary changes and lifestyle modifications, including weight control and physical activity, play a crucial role in preventing kidney stone disease. However, further research is needed to develop effective dietary guidelines tailored to the individual needs of patients.
References
K. Stamatelou and D. S. Goldfarb, “Epidemiology of Kidney Stones,” Healthcare 2023, Vol. 11, Page 424, vol. 11, no. 3, p. 424, Feb. 2023, doi: 10.3390/HEALTHCARE11030424.
R. Siener, “Nutrition and Kidney Stone Disease,” Nutrients, vol. 13, no. 6, Jun. 2021, doi: 10.3390/NU13061917.
P. M. Ferraro, M. Bargagli, A. Trinchieri, and G. Gambaro, “Risk of Kidney Stones: Influence of Dietary Factors, Dietary Patterns, and Vegetarian–Vegan Diets,” Nutrients 2020, Vol. 12, Page 779, vol. 12, no. 3, p. 779, Mar. 2020, doi: 10.3390/NU12030779.
A. Rodriguez, G. C. Curhan, G. Gambaro, E. N. Taylor, and P. M. Ferraro, “Mediterranean diet adherence and risk of incident kidney stones,” Am J Clin Nutr, vol. 111, no. 5, p. 1100, May 2020, doi: 10.1093/AJCN/NQAA066.
L. FRASSETTO and I. KOHLSTADT, “Treatment and Prevention of Kidney Stones: An Update,” Am Fam Physician, vol. 84, no. 11, pp. 1234–1242, Dec. 2011, Accessed: Aug. 07, 2024. [Online]. Available: https://www.aafp.org/pubs/afp/issues/2011/1201/p1234.html
Z. Wang, Y. Zhang, J. Zhang, Q. Deng, and H. Liang, “Recent advances on the mechanisms of kidney stone formation (Review),” Int J Mol Med, vol. 48, no. 2, Aug. 2021, doi: 10.3892/IJMM.2021.4982.
S. R. Khan et al., “Kidney stones,” Nat Rev Dis Primers, vol. 2, p. 16008, Feb. 2016, doi: 10.1038/NRDP.2016.8.
Z. Ye et al., “The status and characteristics of urinary stone composition in China,” BJU Int, vol. 125, no. 6, pp. 801–809, Jun. 2020, doi: 10.1111/BJU.14765.
Z. Xu, X. Yao, C. Duan, H. Liu, and H. Xu, “Metabolic changes in kidney stone disease,” Front Immunol, vol. 14, p. 1142207, 2023, doi: 10.3389/FIMMU.2023.1142207.
M. Bargagli, P. M. Ferraro, M. Vittori, G. Lombardi, G. Gambaro, and B. Somani, “Calcium and Vitamin D Supplementation and Their Association with Kidney Stone Disease: A Narrative Review,” Nutrients, vol. 13, no. 12, Dec. 2021, doi: 10.3390/NU13124363.
P. Peerapen and V. Thongboonkerd, “Kidney Stone Prevention,” Advances in Nutrition, vol. 14, pp. 555–569, 2023, doi: 10.1016/j.advnut.2023.03.002.
D. Aune, Y. Mahamat-Saleh, T. Norat, and E. Riboli, “Body fatness, diabetes, physical activity and risk of kidney stones: a systematic review and meta-analysis of cohort studies,” Eur J Epidemiol, vol. 33, no. 11, p. 1033, Nov. 2018, doi: 10.1007/S10654-018-0426-4.
B. Hernawan and N. Gonzales, “The Correlation Between Physical Activity and Kidney Stone Formation: A Literature Review,” Smart Medical Journal, vol. 6, no. 2, pp. 89–98, Oct. 2023, doi: 10.13057/smj.v6i1.71483.
X. Feng et al., “Association between physical activity and kidney stones based on dose–response analyses using restricted cubic splines,” Eur J Public Health, vol. 30, no. 6, pp. 1206–1211, Dec. 2020, doi: 10.1093/EURPUB/CKAA162.
H. Konjengbam and S. Y. Meitei, “Association of kidney stone disease with dietary factors: a review,” Anthropological Review, vol. 83, no. 1, pp. 65–73, Mar. 2020, doi: 10.2478/ANRE-2020-0005.
K. N. Gamage, E. Jamnadass, S. K. Sulaiman, A. Pietropaolo, O. Aboumarzouk, and B. K. Somani, “The role of fluid intake in the prevention of kidney stone disease: A systematic review over the last two decades,” Turk J Urol, vol. 46, no. Suppl 1, p. S92, 2020, doi: 10.5152/TUD.2020.20155.
J. S. Wang, H. Y. Chiang, H. L. Chen, M. Flores, A. Navas-Acien, and C. C. Kuo, “Association of water intake and hydration status with risk of kidney stone formation based on NHANES 2009–2012 cycles,” Public Health Nutr, vol. 25, no. 9, p. 2403, Sep. 2022, doi: 10.1017/S1368980022001033.
M. Xu et al., “DIETETIC AND LIFESTYLE RECOMMENDATIONS FOR STONE FORMERS,” Arch Esp Urol, vol. 7, no. 6, pp. 112–122, Feb. 2021, doi: 10.1007/S13238-016-0264-7.
P. M. Ferraro, E. N. Taylor, G. Gambaro, and G. C. Curhan, “Soda and other beverages and the risk of kidney stones,” Clinical Journal of the American Society of Nephrology, vol. 8, no. 8, pp. 1389–1395, Jul. 2013, doi: 10.2215/CJN.11661112/-/DCSUPPLEMENTAL.
R. Kachkoul, G. B. Touimi, G. El Mouhri, R. El Habbani, M. Mohim, and A. Lahrichi, “Urolithiasis: History, epidemiology, aetiologic factors and management,” Malays J Pathol, vol. 45, no. 3, pp. 333–352, 2023.
J. C. Dai and M. S. Pearle, “Diet and Stone Disease in 2022,” J Clin Med, vol. 11, no. 16, Aug. 2022, doi: 10.3390/JCM11164740.
A. Ticinesi, A. Nouvenne, N. M. Maalouf, L. Borghi, and T. Meschi, “Salt and nephrolithiasis,” Nephrology Dialysis Transplantation, vol. 31, no. 1, pp. 39–45, Jan. 2016, doi: 10.1093/NDT/GFU243.
T. Mitchell et al., “Dietary oxalate and kidney stone formation,” Am J Physiol Renal Physiol, vol. 316, no. 3, p. F409, Mar. 2019, doi: 10.1152/AJPRENAL.00373.2018.
J. L. Nishiura, L. A. Martini, C. O. G. Mendonça, N. Schor, and I. P. Heilberg, “Effect of calcium intake on urinary oxalate excretion in calcium stone-forming patients,” Brazilian Journal of Medical and Biological Research, vol. 35, no. 6, pp. 669–675, 2002, doi: 10.1590/S0100-879X2002000600006.
F. Tamborino et al., “Pathophysiology and Main Molecular Mechanisms of Urinary Stone Formation and Recurrence,” International Journal of Molecular Sciences 2024, Vol. 25, Page 3075, vol. 25, no. 5, p. 3075, Mar. 2024, doi: 10.3390/IJMS25053075.
T. Remer et al., “Protein intake and risk of urolithiasis and kidney diseases: an umbrella review of systematic reviews for the evidence-based guideline of the German Nutrition Society,” Eur J Nutr, vol. 62, no. 5, p. 1957, Aug. 2023, doi: 10.1007/S00394-023-03143-7.
E. N. Taylor and G. C. Curhan, “Diet and fluid prescription in stone disease,” Kidney Int, vol. 70, no. 5, pp. 835–839, Sep. 2006, doi: 10.1038/SJ.KI.5001656.
A. Karam, G. Mjaess, H. Younes, and F. Aoun, “Increase in urolithiasis prevalence due to vitamins C and D supplementation during the COVID-19 pandemic,” J Public Health (Oxf), vol. 44, no. 4, pp. E625–E626, Dec. 2022, doi: 10.1093/PUBMED/FDAB328.
S. Shringi, C. A. Raker, and J. Tang, “Dietary Magnesium Intake and Kidney Stone: The National Health and Nutrition Examination Survey 2011-2018”.
H. Ketha et al., “Altered Calcium and Vitamin D Homeostasis in First-Time Calcium Kidney Stone-Formers,” PLoS One, vol. 10, no. 9, Sep. 2015, doi: 10.1371/JOURNAL.PONE.0137350.
E. N. Taylor, M. J. Stampfer, D. B. Mount, and G. C. Curhan, “DASH-Style Diet and 24-Hour Urine Composition,” Clin J Am Soc Nephrol, vol. 5, no. 12, p. 2315, Dec. 2010, doi: 10.2215/CJN.04420510.
F. G. Rodrigues, T. M. Lima, L. Zambrano, and I. P. Heilberg, “Dietary pattern analysis among stone formers: resemblance to a DASH-style diet,” Jornal Brasileiro de Nefrologia, vol. 42, no. 3, p. 338, Jun. 2020, doi: 10.1590/2175-8239-JBN-2019-0183.
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Copyright (c) 2024 Julia Natalia Łojewska, Kamila Rosińska , Oliwia Bochenek, Mateusz Koper , Ewelina Justyna Janicka, Agnieszka Perko, Mateusz Rosiński , Monika Niedźwiedzka
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