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Citrus Juices and Prevention of Calcium Stones: Some, but Not All?

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Abstract

Citrus juices and some other beverages are widely available, nonpharmacologic sources of citrate, a naturally occurring inhibitor of urinary stone formation. The mechanisms of citrate supplementation are complex, as urinary citrate levels are dependent not only on the citrate content of a given beverage, but also on the patient’s systemic acid–base status. Moreover, delivering an appropriate amount of citrate by juice or other beverage may be accompanied by a caloric intake that would make such a prescription inadvisable. Herein, we summarize all available English-language PUBMED-indexed literature on beverages and 24-h urine composition, as well as epidemiologic data on beverage intake and kidney stone risk with special emphasis on calcium urolithiasis.

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Authors and Affiliations

  1. Department of Urology, Massachusetts General Hospital, GRB 1102, 55 Fruit Street, 02114, Boston, MA, USA

    Michael P. Kurtz & Brian H. Eisner

Authors
  1. Michael P. Kurtz
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  2. Brian H. Eisner
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Correspondence to Brian H. Eisner .

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Editors and Affiliations

  1. Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA

    Margaret S. Pearle

  2. Department of Urology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA

    Stephen Y. Nakada

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Kurtz, M., Eisner, B. (2014). Citrus Juices and Prevention of Calcium Stones: Some, but Not All?. In: Pearle, M., Nakada, S. (eds) Practical Controversies in Medical Management of Stone Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9575-8_4

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  • DOI: https://doi.org/10.1007/978-1-4614-9575-8_4

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4614-9575-8

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