Dietary Intervention for Calcium-Based Kidney Stones

Renal calculi, or kidney stones, are crystal aggregates composed of organic and inorganic materials, several of which are typical solutes in urine composition.  Stone formation generally occurs when the urine becomes supersaturated with a specific solute such as calcium, uric acid, or struvite.  Calcium-based stones are the most common, comprising about 80% of cases in the United States  High incidence of calcium-based stones in affluent societies is directly linked to certain dietary patterns, which likely contribute to the increasing prevalence of kidney stones.  These factors include low intakes of dietary fiber, fluid, citric acid and dietary calcium, as well as high intakes of dietary oxalates.

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A Patient-Centered vs. A Disease-Centered Model

This idea of wellness embodies prevention at the most basic level, encouraging individuals to become active participants in their health journey by taking advantage of their inner resources and seeking balance with the world around them (1).  This is in stark comparison to the “magic bullet” mentality of modern medicine, which prescribes both preventative and treatment measures that can endorse a high-risk lifestyle despite its impinging consequences.  The idea of patient-centered and disease-centered models of care separates these two medical systems, though both aspire to offer successful therapeutic methods.

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